ADVANTAGES OF EXTEMPORANEOUS DOSAGE FORMS IN UKRAINE
Author(s)
Zalis'ka O, Maksymovych N, Kacheray J, Sichkoriz O
Danylo Halytsky Lviv National Medical University, Lviv, Ukraine
OBJECTIVES We evaluated the data of license registry of Ukraine on 01.01.2014. Extemporaneous medicines are presented in 426 pharmacies, about 3% of the total number in Ukraine. The range of extemporaneous formulations in Ukraine is significant, it is complemented by modern specifications physicians. METHODS We analyzed the 1570 prescriptions on extemporaneous dosage forms of various doctors in few Lviv pharmacies during 2013-2014. RESULTS We found that 53 names of substances used active substances and excipients. That should be noted that different formulations are made: medicine, tinctures, solutions, suspensions, drops, ointments, pastes, suppositories, powders. Among the most commonly prescribed by doctors' prescriptions are liquid dosage forms, topical solution (solution furacillin 0.02% - 500.0; rivanol 0.05%, 0.1% - 500.0; hydrogen peroxide 3% - 500 0, a solution of methylene blue 1% - 10.0), solutions for electrophoresis, nasal drops (solution collargolum 3% - 10.0 and protargolum 2% - 10.0),thymi water, soothing medicine quater, Pavlova, Ravkin. These pharmacies offer 26 solutions to supply hospitals. Also popular are antiflu powder (antigrypin) and vitamins, care products for face and body. Among soft medicines dominate ointment for wound healing (Lesyuk ointment, kalanhoie ointment) and for the treatment of sinusitis, Unna paste (for healing venous wounds), suppositories for hemorrhoid treatment (by prof.Maslyak) and antifungals (solution Kastelyani and various ointment). Currently, there are difficulties in ensuring substances, including missing: dibazol, diphenhydramine, collodion 4% lithium chloride, paracetamol, pepsin, yellow mercury, sulfur purified, diluted hydrochloric acid 8.4%, zinc sulfate, extract althey root, aminophylline, 1% citral alcohol solution. CONCLUSIONS Extemporaneous medicines are economically available, the average costs of solutions are 4-12 UAH ( 1 Euro=16.0UAH),eye drops- 6-18 UAH, ointments - 5 - 15 UAH, which is 40-85% less than the manufactory drugs.That's cost-effective therapy and provide individualized drug treatment for children, elderly, and chronically patients in Ukraine.
Conference/Value in Health Info
2014-11, ISPOR Europe 2014, Amsterdam, The Netherlands
Value in Health, Vol. 17, No. 7 (November 2014)
Code
PHP79
Topic
Health Policy & Regulatory
Topic Subcategory
Health Disparities & Equity
Disease
Multiple Diseases