南尼日利亚某三级医院抗精神病药物处方模式及成本分析。

P. Osahon, A. C. Baye-Osagie, I. C. Ediae, P. Erah
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引用次数: 7

摘要

为了促进发展中国家的合理用药,重要的是利用世界卫生组织(世卫组织)的药物使用指标来评估药物使用模式。因此,本研究的主要目的是利用世卫组织的一些核心药物使用指标,评估贝宁市联邦神经精神病医院的处方模式并进行药物成本分析。这是一个回顾性的,横断面调查和样本选择采用系统随机抽样。对2014年1月- 2014年9月收治的540例患者进行回顾性分析。每次就诊的平均处方药物数为2.3种,范围在1至6种之间。处方抗生素或注射的比例分别为2.0% (n=11)和40.9% (n=221)。按仿制名开具处方的占92.5% (n=1165),按基本药物清单开具处方的占70.0% (n=880)。处方的口服抗精神病药物(86%)包括氟哌啶醇、氯丙嗪、三氟拉嗪、硫硝嗪、奥氮平和利培酮。储备制剂为癸酸氟非那嗪和癸酸氟辛醇(17%)。处方费用从N90-N18, 405不等。我们的研究表明,所研究的医院的处方模式不符合世卫组织的指导方针。非典型性药物非常昂贵,对研究环境中的大多数患者来说是负担不起的。这表明需要采取措施降低较新的精神药物的成本,增加其可得性和使用,以提高尼日利亚精神病患者的生活质量。:处方模式,抗精神病药物,合理用药
本文章由计算机程序翻译,如有差异,请以英文原文为准。
Prescription pattern and cost analysis of antipsychotics in a tertiary hospital in south- South Nigeria.
The aim of this study was to formulate metformin as a floating drug delivery system using Irvingia gabonesis gum in order to increase its bioavailability and enhance its site-specific absorption. Floating matrix granules of metformin were prepared by wet granulation technique using the extracted natural gum from Irvingia gabonensis at varying concentrations (2, 4, 6 and 8 %w/w). Sodium bicarbonate (30%) and tartaric acid (5%) were incorporated as the gas generating agents. Formulations were either prepared alone with the natural gum or with the addition of 1.0 %w/w of acrylatemethacrylate copolymer (Eudragit RL100). All granules were evaluated for micromeritic properties i.e. bulk and tapped densities, Hausner’s ratio, Carr’s index, and angle of repose. Granules were compressed at an optimized compression pressure of 35 arbitrary unit on the tableting machine load scale. Tablets were evaluated for hardness, friability, floating lag time, in vitro buoyancy and drug release profiles. Release data were subjected to analysis by four different mathematical models namely, – zero order flux, first order, Higuchi square root of time relationship and Korsmeyer-Peppas equation. Drug-excipient compatibility study was done using Fourier Transform Infra-red Spectroscopy (FTIR). From the results obtained, all formulated gastroretentive floating matrix (GRFM) granules were free flowing with angle of repose and Carr’s index ≤ 30.2o and ≤ 11% respectively. The floating lag time for GRFM tablets formulated with Irvingia gabonesis was ≤ 850 s. The in vitro buoyancy times of GRFM tablets formulations using Irvingia gabonesis gum alone (i.e. without the incorporation of acrylatemethacrylate copolymer) were 12 h. All GRFM granules were compressible with tablet hardness between 2.2 – 6.3 Kpa. There was a significant difference in tablet hardness with increase in binder concentration (p 0.45, hence their release mechanism was by Non-Fickian diffusion. FTIR studies show that the excipients and the active pharmaceutical ingredient (API) i.e. metformin were compatible. Irvingia gabonesis gum has been investigated in the formulation of gastroretentive floating matrix tablets of metformin which may find useful application in sustained release drug delivery particularly for drugs with short biological half-life that require frequent administration.Keywords: Floating drug delivery system (FDDS), Irvingia gabonesis gum, Metformin hydrochloride, Gastroretentive floating matrix tablets (GRFMTs).
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