Anti- Psychotic Drugs Consumption in the Primary Health Care in Albania, 2004-2019

Laerta Kakariqi
University of Medicine, Faculty of Medicine

Abstract

Anti- Psychotic drugs consumption in the primary health care in Albania, 2004-2019 Laerta Kakariqi1 1University of Medicine in Tirana, Biomedical and Experimental Department, Faculty of Medicine, Tirana, Albania email: [email protected] Aim: This study evaluates the use of antipsychotic drugs at the primary health care level in Albania, focusing on new antipsychotics and differences of prescription patterns over a period of 16 years, from 2004 to 2019. The relation between the consumption data of antipsychotics and psychosis morbidity is also investigated over the same period. Methods: We retrieved the data from the Health Insurance Institute in Tirana, Albania and analysed them for the period 2004-2019. The consumption of drugs was expressed as a number of Defined Daily Dose (DDDs)/1000 inhabitants/day. We also analysed the data of imported and domestically produced drugs, which represent the total consumption of Antipsychotics in the country. Results: The consumption of Antipshycotics was 2.19-3.75 DDD/1000 inhabitants/day during 2004-2019. The most prescribed Antipsychotics are the atypical generation drugs with values of 0.59-1.96 DDD/1000 inhabitants/day. New generation atypical Antipsychotics included in the reimbursement scheme are risperidone, clozapine, and olanzapine. Meanwhile the consumption of typical (old) generation of Antipsichotics results 1.60-1.79 DDD/1000 inhabitants/day. Conclusion: Based on the values of consumption, we conclude that in Albania, these drugs are consumed a few times less as compared to the majority of other countries, suggesting that there is maybe an under-diagnosis and under-treatment of psychotic disorders in our country. Around 20-30% of the consumption flows out of the scheme. Meanwhile, in the domestic pharmaceutical market do actually circulate other new Antipsychotics, consumed out of the scheme, such as piperazine, quetiapine, sulpiride. Psychosis morbidity data indicate that there exists a correlation statistically significant between this disease and the trend of consumption of Antipsychotics. Keywords: anti-psychotic, drugs, DDD, consumption, psychosis


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