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Titolo:
Recent trends in the use of antidepressant drugs in Australia, 1990-1998
Autore:
McManus, P; Mant, A; Mitchell, PB; Montgomery, WS; Marley, J; Auland, ME;
Indirizzi:
Dept Hlth & Aged Care, Drug Utilisat Subcomm, Canberra, ACT 2601, Australia Dept Hlth & Aged Care Canberra ACT Australia 2601 ra, ACT 2601, Australia S Eastern Sydney Area Hlth Serv, Sydney, NSW, Australia S Eastern Sydney Area Hlth Serv Sydney NSW Australia ney, NSW, Australia Univ New S Wales, Sch Psychiat, Kensington, NSW 2033, Australia Univ New SWales Kensington NSW Australia 2033 ngton, NSW 2033, Australia Eli Lilly Australia Pty Ltd, Hlth Econ & Outcomes Res, Sydney, NSW, Australia Eli Lilly Australia Pty Ltd Sydney NSW Australia Sydney, NSW, Australia Univ Adelaide, Dept Gen Practice, Adelaide, SA, Australia Univ Adelaide Adelaide SA Australia en Practice, Adelaide, SA, Australia SmithKline Beecham Australia Pty Ltd, Hlth Econ & Pricing Dept, Melbourne,Vic, Australia SmithKline Beecham Australia Pty Ltd Melbourne Vic Australia , Australia
Titolo Testata:
MEDICAL JOURNAL OF AUSTRALIA
fascicolo: 9, volume: 173, anno: 2000,
pagine: 458 - 461
SICI:
0025-729X(20001106)173:9<458:RTITUO>2.0.ZU;2-I
Fonte:
ISI
Lingua:
ENG
Soggetto:
CONSENSUS STATEMENT; GENERAL-PRACTICE; DEPRESSION;
Tipo documento:
Article
Natura:
Periodico
Settore Disciplinare:
Clinical Medicine
Life Sciences
Citazioni:
21
Recensione:
Indirizzi per estratti:
Indirizzo: McManus, P Dept Hlth & Aged Care, Drug Utilisat Subcomm, Mail Drop Point 83,GPO Box 9848, Canberra, ACT 2601, Australia Dept Hlth & Aged Care Mail Drop Point 83,GPO Box 9848 Canberra ACT Australia 2601
Citazione:
P. McManus et al., "Recent trends in the use of antidepressant drugs in Australia, 1990-1998", MED J AUST, 173(9), 2000, pp. 458-461

Abstract

Objective: To determine the pattern of use of antidepressant drugs in the Australian community, 1990-1998, and to compare this with those of other developed countries.;Design: Retrospective analyses of prescription and sales data, together with information about patient encounters for depression (from an ongoing survey of service provision by general practitioners) and population-based prevalence estimates for affective disorders (from community health surveys). Main outcome measures: National and international consumption of antidepressants, expressed in defined daily doses (DDDs) per 1000 population per day. Changes in both the frequency of general practice patient encounters for depression and population-based prevalence estimates for affective disorders. Results: Dispensing of antidepressant prescriptions through community pharmacies in Australia increased from an estimated 12.4 DDDs/1000 population per day in 1990 (5.1 million prescriptions) to 35.7 DDDs/1000 population/dayin 1998 (8.2 million prescriptions). There has been a rapid market uptake of the selective serotonin reuptake inhibitors (SSRls), accompanied by a decrease of only 25% in the use of tricyclic antidepressants (TCAs), In 1998,the level of antidepressant use in Australia was similar to that of the United States, while the rate of increase in use between 1993 and 1998 was second only to that of Sweden. In Australia, depression has risen from the tenth most common problem managed in general practice in 1990-91 to the fourth in 1998-99, and the number of people reporting depression in the NationalHealth Surveys (1995 v 1989-90) has almost doubled. Of the prescriptions dispensed in 1998 for antidepressant drugs subsidised by the Pharmaceutical Benefits Scheme, 85% were written by general practitioners, and 11.2% by psychiatrists. Conclusions: As in most developed countries, antidepressant use increased between 1990 and 1998. The rapid market uptake of the new antidepressants, particularly SSRls, is likely to have been driven by increased awareness ofdepression, together with availability and promotion of new therapies.

ASDD Area Sistemi Dipartimentali e Documentali, Università di Bologna, Catalogo delle riviste ed altri periodici
Documento generato il 09/04/20 alle ore 10:50:55