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Cost minimization and budget impact analysis of the use of a new 6-month form of triptorelin in the treatment of patients with prostate cancer in Ukraine 在乌克兰使用一种新的6个月形式的雷普雷林治疗前列腺癌患者的成本最小化和预算影响分析
Pub Date : 2022-12-29 DOI: 10.32352/0367-3057.6.22.05
С. О. Соловйов, Е. О. Стаховський, М. В. Лелека, Ф. В. Гладких
Prostate cancer is one of the most serious health problems encountered by the manhood of different countries of the world. Prostate cancer is a hormone-dependent tumor – growth and proliferation of both normal and cancer cells significantly depend on level of androgens. The analogues of gonadotropin-releasing hormone have been widely applied in prostate cancer therapy for more than 15 years. In Ukraine goserelin (1 month, 1 M; 3 months, 3 M) currently occupies the major part of market among the analogues of gonadotropin-releasing hormone. The alternative to goserelin is triptorelin (1 month, 1 M; 1 months, 3 M; 6 months, 6 M) – another well-studied and widely applied analogue of gonadotropin-releasing hormone, which is used for medical castration in cases of prostate cancer. Taking this into consideration, conducting the analysis of triptorelin and goserelin application is relevant. The purpose of the work was to conduct cost minimization and budget impact analysis using triptorelin 6 M and goserelin 3 M in hormonal therapy of prostate cancer in Ukrainian patients. The research was based on treatment cost of one patient during one year under condition of equivalent efficacy and safety of goserelin and triptorelin. The pharmacoeconomic analysis was conducted according to the «cost minimization» method. For calculation of direct costs when applying goserelin and triptorelin a pharmacoeconomic decision tree model was used, according to which the costs are computed with an allowance for possibilities and expenditures on side effects. The results of pharmacoeconomic modeling showed a tendency for a yearly cost cut in the amount of 2 887.69 UAH per patient when using triptorelin in model cohort which consisted of 1 000 patients. Besides, it allows 137 additional patients per thousand of them to be treated with triptorelin. As the result of modeling the influence on budget it was estimated that the amount of cost saving on buying triptorelin would average at 4,6 million UAH per every year for five years of its implementation. Hormone therapy with application of the analogues of gonadotropin-releasing hormone is one of the major treatment methods of patients with prostate cancer. A pharmacoeconomic analysis of triptorelin application in comparison with goserelin for treating patients with prostate cancer in Ukraine was conducted. The results of pharmacoeconomic modeling showed that a significant cost cut is expected when using triptorelin. It will allow additional patients, who need hormone therapy, to be treated.
癌症是世界各国男性面临的最严重的健康问题之一。前列腺癌症是一种激素依赖性肿瘤——正常和癌症细胞的生长和增殖显著依赖于雄激素水平。促性腺激素释放激素的类似物在前列腺癌症治疗中已被广泛应用超过15年。在乌克兰,戈瑟林(1个月,1 M;3个月,3 M)目前在促性腺激素释放激素类似物中占据了主要市场份额。戈瑟瑞林的替代品是曲普瑞林(1个月,1M;1个月;3M;6个月,6M)——另一种研究充分并广泛应用的促性腺激素释放激素类似物,用于癌症前列腺的医学阉割。考虑到这一点,进行曲普瑞林和戈瑟林应用的分析是相关的。该工作的目的是在乌克兰患者中使用曲普瑞林6M和戈塞林3M进行前列腺癌症激素治疗的成本最小化和预算影响分析。该研究基于一名患者在戈瑟林和曲普瑞林疗效和安全性相同的情况下一年的治疗费用。根据“成本最小化”方法进行药物经济学分析。为了计算应用戈瑟林和曲普瑞林时的直接成本,使用了药物经济学决策树模型,根据该模型计算成本时考虑了副作用的可能性和支出。药物经济学建模的结果显示,在由1000名患者组成的模型队列中使用曲普瑞林时,每位患者的年成本有减少2887.69 UAH的趋势。此外,它还允许每千名患者中增加137名患者接受曲普瑞林治疗。根据对预算影响的建模结果,估计在实施曲普瑞林的五年内,购买曲普瑞林平均每年节省460万乌克兰格里夫纳的成本。应用促性腺激素释放激素类似物的激素治疗是癌症患者的主要治疗方法之一。对曲普瑞林与戈瑟林治疗乌克兰癌症前列腺癌患者的应用进行了药物经济学分析。药物经济学建模的结果表明,当使用曲普瑞林时,预计会显著降低成本。它将允许更多需要激素治疗的患者接受治疗。
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引用次数: 0
Coverage of influenza vaccination of patients with diabetes and determination of barriers for implementation of vaccination 糖尿病患者流感疫苗接种覆盖率及实施障碍的确定
Pub Date : 2022-12-29 DOI: 10.32352/0367-3057.6.22.03
І. О. Власенко, Л. Л. Давтян
People with diabetes (PWD) are considered to be at high risk of developing severe influenza complications that can lead to hospitalization and sometimes death. It is because of the high risk of developing severe complications that WHO recommends seasonal influenza vaccination (SIV) for PWD. The purpose of the work is to establish the level of coverage of vaccination in PWD and to identify barriers to vaccination in this group in order to overcome obstacles. We analyzed data on the coverage of SIV in PWD and studied the problems of low adherence to vaccination in PWD. We used content analysis, bibliosemantic, analytical, generalizing analyses. An insufficient level of vaccination coverage of PWD has been established. Barriers to vaccination in PWD have been identified. Barriers can be: age, health status, allergic reactions and chronic diseases of people, lower level of education, gender and their employment in economic activities. At the same time, gaps in the knowledge of health care provider, insufficient involvement of endocrinologists and diabetologists in informing PWD about vaccination, a limited number of imported vaccines, and low physical and economic accessibility of vaccines negatively affect the coverage of SIV. A significant factor influencing the level of vaccination coverage of people is their vaccination hesitation. Pharmacists should actively participate in the vaccination campaign by raising public awareness and providing advice to PWD who regularly visit pharmacies. To increase the vaccination coverage of PWD, it is necessary to introduce training programs for doctors and pharmacists to attract them to influenza vaccination companies. Simultaneously conduct educational campaigns and education of PWD. It is advisable to organize a free flu vaccination in medical and diagnostic diabetic hospital (institutions) to increase the physical and economic accessibility of vaccination for PWD. A large number of studies showing the cost-effectiveness of SIV in PWD should be a significant factor for health authorities to improve measures to increase the level of coverage of SIV in patients in this risk group.
糖尿病患者被认为是发生严重流感并发症的高危人群,可能导致住院治疗,有时甚至死亡。正是由于出现严重并发症的高风险,世卫组织建议针对残疾患者接种季节性流感疫苗。这项工作的目的是确定残疾儿童的疫苗接种覆盖率,并确定在这一群体中接种疫苗的障碍,以便克服障碍。我们分析了残疾儿童免疫缺陷病毒的覆盖率数据,并研究了残疾儿童疫苗接种依从性低的问题。我们使用了内容分析、文献语义学分析、分析分析、概括分析。已确定的是,残疾儿童病的疫苗接种覆盖率不足。已经确定了残疾患者接种疫苗的障碍。障碍可能是:人们的年龄、健康状况、过敏反应和慢性疾病、教育水平较低、性别及其在经济活动中的就业情况。与此同时,卫生保健提供者的知识差距、内分泌科医生和糖尿病科医生在向残疾人通报疫苗接种方面的参与不足、进口疫苗数量有限以及疫苗的物质和经济可及性较低,都对SIV的覆盖率产生了负面影响。影响人群疫苗接种覆盖率的一个重要因素是接种犹豫。药剂师应积极参与疫苗接种运动,提高公众的认识,并向经常到访药房的残疾人士提供建议。为提高残疾患者的疫苗接种覆盖率,有必要为医生和药剂师推出培训计划,以吸引他们到流感疫苗接种公司工作。同时开展教育活动和残疾人士教育。建议在医疗和糖尿病诊断医院(机构)组织免费流感疫苗接种,以增加残疾人疫苗接种的物质和经济可及性。大量研究表明,在PWD中SIV的成本效益应该是卫生当局改进措施以提高这一风险群体患者SIV覆盖水平的重要因素。
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引用次数: 1
Marketing analysis of the use of drugs containing retinoids in the treatment of acne 含类视黄醇药物治疗痤疮的市场分析
Pub Date : 2022-12-29 DOI: 10.32352/0367-3057.6.22.01
О. В. Штрімайтіс, О. С. Кухтенко, В. І. Чуєшов
Acne is a common skin disease, which is accompanied by a significant skin and psychological burden. Today in Ukraine, significant attention is paid to the issue of acne treatment – scientists from leading scientific, medical (pharmaceutical) and cosmetic institutions are engaged in the search for the most optimal means for the acne treatment. Retinoids are a group of substances that deserves thorough study in terms of production and sustainable introduction of drugs to the pharmaceutical market of Ukraine. Therefore, the goal of our work was the marketing analysis of drugs for the treatment of acne with the content of retinoids as active substances. Determining the main trends of foreign manufacturers in the use of retinoids in medicinal products for the acne treatment will allow to predict approaches to the development of domestic effective medicine containing retinoids. During the analysis, methods of logical and meaningful formulation of the problem, office marketing research, content analysis of publications in scientific and practically oriented medical and pharmaceutical publications, comparative analysis, tabular and graphic means of visual presentation of the obtained data were used. The analysis of the range of drugs containing retinoids, presented on the domestic pharmaceutical market, was carried out according to the data of the State Register of Medicinal Products of Ukraine, the classification system of the ATC, and the State Formulary of Medicinal Products. According to the results of the work, it was determined that 13 trade names of medicinal products containing retinoids for the acne treatment are registered on the pharmaceutical market of Ukraine. It was determined that there are no registered medicinal products for the acne treatment containing retinoids of domestic production. In Ukraine medicines containing retinoids are represented by six countries. Among the dosage forms used for the acne treatment, solid dosage forms (hard and soft capsules) and soft dosage forms (gels, creams, lotions) should be distinguished. Today, the pharmaceutical market of Ukraine presents drugs of the I, III and IV generation of retinoids. Most of the drugs for the acne treatment containing retinoids registered in Ukraine are monocomponent. The lack of combinations of retinoids with active components widely used for the acne treatment is related to the technological aspects of the production of drugs with retinoids. The volume of sales of drugs with retinoids for the treatment of acne has been increasing in recent years, despite the high cost of products, which indicates the demand for the development of these drugs of domestic production. The obtained data will make it possible to develop approaches to the introduction into the production of domestic drugs for the treatment of acne containing retinoids.
痤疮是一种常见的皮肤病,伴随着严重的皮肤和心理负担。如今,在乌克兰,人们对痤疮治疗问题给予了极大的关注——来自领先的科学、医疗(制药)和美容机构的科学家们正在寻找治疗痤疮的最佳方法。维甲酸是一组值得在乌克兰制药市场生产和可持续引入药物方面进行彻底研究的物质。因此,我们工作的目标是对以类视黄醇为活性物质的治疗痤疮的药物进行市场分析。确定外国制造商在治疗痤疮的医药产品中使用类视黄醇的主要趋势,将有助于预测开发含有类视黄酸的国内有效药物的方法。在分析过程中,使用了问题的逻辑和有意义的表述方法、办公室营销研究、科学和实用的医学和制药出版物中出版物的内容分析、比较分析、对所获得数据进行可视化呈现的表格和图形方法。根据乌克兰国家药品注册局、ATC分类系统和国家药品处方集的数据,对国内药品市场上出现的含有类视黄醇的药物范围进行了分析。根据这项工作的结果,确定在乌克兰药品市场上注册了13种含有用于治疗痤疮的类视黄醇的药品的商品名。经确定,目前没有国内生产的含有类视黄醇的用于痤疮治疗的注册药品。在乌克兰,含有类视黄醇的药物有六个国家。在用于治疗痤疮的剂型中,应区分固体剂型(硬胶囊和软胶囊)和软剂型(凝胶、乳膏、乳液)。如今,乌克兰的制药市场推出了I、III和IV代类视黄醇药物。在乌克兰注册的大多数含有类视黄醇的痤疮治疗药物都是单组分的。缺乏广泛用于痤疮治疗的类视黄醇与活性成分的组合与用类视黄酮生产药物的技术方面有关。近年来,尽管产品成本很高,但含有类视黄醇的治疗痤疮药物的销量一直在增加,这表明国内生产的这些药物的开发需求很大。所获得的数据将有可能开发出将其引入治疗含有类视黄醇的痤疮的国产药物生产的方法。
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引用次数: 2
5-HT1 receptor inhibitors (triptans) for the treatment of migraine during pregnancy: an analysis of the instructions for medical use 5-HT1受体抑制剂(曲坦类)治疗妊娠期偏头痛:医疗使用说明书分析
Pub Date : 2022-10-29 DOI: 10.32352/0367-3057.5.22.09
Я. О. Гриньків
Considering the high prevalence of migraine among women of reproductive age, the impact of this pathology on the state of health of the mother and the fetus, the selection of adequate pharmacotherapy is an extremely important process. Goal ‒ to analyze the possibility of using triptans registered on the pharmaceutical market of Ukraine for the treatment of migraine paroxysms in women during pregnancy on the basis of instructions, data from scientific literature, etc. Materials ‒ data from informational reference and scientific literature, State Register of Medicinal Products of Ukraine, UTIS. Research methods – webometric, comparative analyses; systematization of data. As of September 2022, eletriptan, zolmitriptan, rizatriptan, sumatriptan, frovatriptan are registered in Ukraine. The most complete information on the use of sumatriptan is presented in the instructions for «Sumamigren», «Antimigraine-Zdorovya». Summarized information from all the instructions: «The use of sumatriptan is possible only in cases where the expected benefit for the mother exceeds possible risks for the fetus». The information in the instructions for rizatriptan is practically identical for Rizamigren and Rizoptan, and for Rizatriptan-Pharmaten it is presented significantly more succinctly: «During pregnancy, should be used only in case of urgent need». The instructions for zolmitriptan «Zolmigren Spray» indicate: «use of the drug by pregnant women is possible only when the expected therapeutic effect for the woman exceeds the potential risk for the fetus/child». Domestic and foreign manufacturers of tablets indicate similar information. 1 medicine of frovatriptan is registered, where it is indicated: «The safety of the use of in pregnant women has not been established» and 1 medicine of eletriptan: «There is no experience of clinical use of in pregnant women». As of September 2022, the following medicines are registered in Ukraine: sumatriptan, rizatriptan, zolmitriptan, frovatriptan, eletriptan. Forms of release: tablets, tablets covered with a shell or a film shell, tablets dispersible in the oral cavity, capsules, dosed nasal spray. The content of the information in the instructions for the medical use of each triptan medicine taken separately for the analysis of the INN is similar, but not identical. Sumatriptan is considered the only relatively safe triptan for treatment of migraine paroxysms in pregnant women. A prospective direction for the development and expansion of the domestic pharmaceutical market of triptans is the registration of new release forms (and active substances (almotriptan, lasmiditan, naratriptan).
考虑到育龄妇女偏头痛的高患病率,这种病理对母亲和胎儿健康状况的影响,选择适当的药物治疗是一个极其重要的过程。目标-分析使用在乌克兰药品市场上注册的曲坦类药物治疗怀孕期间妇女偏头痛发作的可能性,根据说明书、科学文献等数据。材料-数据来自信息参考和科学文献,乌克兰国家药品注册,UTIS。研究方法。网络测量、比较分析;数据的系统化。截至2022年9月,ele曲坦、zolmitriptan、rizatriptan、sumatriptan、frovatriptan在乌克兰注册。关于舒马匹坦使用的最完整信息在«Sumamigren»,«Antimigraine-Zdorovya»的说明中。从所有说明书中总结出的信息:“只有在对母亲的预期益处超过对胎儿的可能风险的情况下,才可以使用舒马曲坦”。利扎曲坦说明书上的信息与利扎美格伦和利佐普坦几乎相同,而利扎曲坦-法玛坦说明书上的信息要简洁得多:“在怀孕期间,仅在紧急情况下使用”。佐米曲坦的说明书“佐米曲坦喷雾”指出:“只有当预期的治疗效果超过对胎儿/儿童的潜在风险时,孕妇才可以使用该药”。国内外片剂生产商也给出了类似的信息。1种药物frovatriptan已注册,其中指出:“孕妇使用的安全性尚未确定”,1种药物ele曲坦:“没有孕妇临床使用的经验”。截至2022年9月,以下药物在乌克兰注册:舒马曲坦、利扎曲坦、佐米曲坦、frovatriptan、ele曲坦。释放形式:片剂、包壳片剂或膜壳片剂、口腔分散片剂、胶囊、给药鼻喷雾剂。每一种曲坦类药物的医疗使用说明中的信息内容相似,但不完全相同。舒马曲坦被认为是治疗孕妇偏头痛发作的唯一相对安全的曲坦类药物。曲坦类药物新剂型和原料药(阿莫曲坦、拉西米坦、纳曲普利坦)的注册是曲坦类药物开发和扩大国内医药市场的一个前景方向。
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引用次数: 0
Study of the correlation between the content of polyphenols in different combinations of plant extracts and their antioxidant activity of a multicomponent herbal medicine with antiallergic effect 具有抗变态反应作用的多组分中草药不同组合植物提取物中多酚含量与其抗氧化活性的相关性研究
Pub Date : 2022-10-29 DOI: 10.32352/0367-3057.5.22.07
С. А. Котов, Т. М. Гонтова
Combinations of medicinal plants ensure the collective work of several active components, which can lead to an additive or synergistic effect. We have chosen the bur-marigold-calendula-hawthorn combination to obtain an antiallergic herbal medicine, in which the bur-marigold is the main plant, calendula is a helper plant that helps in the fight against accompanying symptoms, and hawthorn harmonizes the action of the first 2 plants. The aim of the work – the study of possible synergistic interactions in a multicomponent herbal antiallergic preparation by calculating the correlation between the content of polyphenols in various combinations of plant extracts and their antioxidant activity. Both individual extracts of a bur-marigold herb, calendula flowers and hawthorn leaves and flowers and a combined target extract with the ratio of herbal drugs (6:3:1) were obtained. Two and three component ompositions were obtained by mixing extracts in appropriate ratios. The content of polyphenols was determined by SPhU 2.0, 2.8.14. The antioxidant activity was determined by the neocuproin method. The Pearson Correlation was used to calculate the relationship between the content of polyphenols in extracts and their antioxidant activity. The maximum amount of polyphenols was found in the hawthorn extract (7.2%), in the bur-marigolg extract – 5.5%, and in the calendula extract – 3.4%. When adding calendula extract to the bur-marigold extract, the antioxidant activity was expected to decrease, thus an additive effect is observed; for the combination of bur-marigold /hawthorn 1:0.5, an increase in antioxidant activity (110.6%) was observed compared to the expected value, which may be synergism; for the combination of calendula/hawthorn, an increase in activity was observed. For 3-component combinations, it was found that only the combination of bur-marigold/calendula/hawthorn 1:0.5:0.5 showed greater activity (112%) than the target extract, all others combinations showed activity within the limits of possible variations (± 10%) of the components. When calculating the correlation between the content of polyphenols in the combinations and their activity using the Pearson coefficient, a strong positive correlation was found. The correlation between the content of polyphenols in various combinations of plant extracts and their antioxidant activity of a multicomponent herbal antiallergic preparation was studied. In 2-component combinations an additive effect was found when determining antioxidant activity, and an assumption was made about the ability of a synergism only for a combination of bur-marigold/hawthorn 1:0.5. All analyzed 3-component compositions showed antioxidant activity within the limits of possible variations (± 10%) of the components. A strong positive correlation was found between the content of polyphenols in the combinations and their activity.
药用植物的组合确保了几种有效成分的共同作用,这可能导致加性或协同效应。我们选择了金盏花-金盏花-山楂的组合来获得一种抗过敏的草药,其中金盏花是主要植物,金盏花是辅助植物,可以帮助对抗伴随的症状,山楂协调了前两种植物的作用。这项工作的目的是通过计算各种植物提取物组合中多酚含量与其抗氧化活性之间的相关性,研究一种多成分草药抗过敏制剂中可能的协同作用。得到了金盏花、金盏花、山楂叶和花的单独提取物和药物比例为6:3:1的联合目标提取物。将提取液按适当比例混合,得到二组分和三组分。采用SPhU 2.0、2.8.14测定其多酚含量。采用新根腐素法测定其抗氧化活性。采用Pearson相关法计算提取物中多酚含量与其抗氧化活性之间的关系。山楂提取物中多酚含量最高(7.2%),金盏花提取物中多酚含量最高(5.5%),金盏花提取物中多酚含量最高(3.4%)。在金盏花提取物中加入金盏花提取物,抗氧化活性降低,存在加性效应;金盏花/山楂1:0.5的组合抗氧化活性较预期值提高了110.6%,可能是协同作用;金盏菊/山楂组合后,活性增加。在3组分组合中,只有金盏花/金盏花/山楂1:0.5:0.5的组合比目标提取物的活性高(112%),其余组合的活性均在各组分可能变化范围内(±10%)。用Pearson系数计算组合中多酚含量与其活性之间的相关性时,发现了强正相关。研究了多种植物提取物组合中多酚的含量与其抗氧化活性的关系。在测定抗氧化活性时,发现双组分组合存在加性效应,并假设只有金盏花/山楂1:0.5的组合才有协同作用。所有被分析的3组分的抗氧化活性都在可能变化的范围内(±10%)。组合中多酚的含量与其活性呈极显著正相关。
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引用次数: 1
Retrospective research of the range of combined antihypertensive drugs in Ukraine in 2022 compared to 2015 乌克兰2022年与2015年联合降压药使用范围的回顾性研究
Pub Date : 2022-10-29 DOI: 10.32352/0367-3057.5.22.02
М. Б. Демчук, Н. В. Маланчук, Т. А. Грошовий
The prevalence of arterial hypertension is reaching alarming proportions in low- and middle-income countries, including Ukraine. A sufficiently high prevalence of hypertension among people of the working age creates an additional economic burden on the country's budget. Domestic and international clinical guidelines for the treatment of hypertension recommend to prefer using the combinations of drugs from different groups for the treatment of hypertension. Fixed combinations provide additional benefits for patients and healthcare programs, including simpler dosing regimens, improved adherence and better blood pressure control. The aim of this research was to analyze the dynamics of changes in the range of fixed combinations of antihypertensive drugs registered at the pharmaceutical market of Ukraine in 2022 compared to 2015. The object of the research was the data of the State Register of Medicinal Products of Ukraine for 2015 and 2022. The research was conducted using modern methods of analysis, systematization and generalization, mathematical and statistical calculations. According to the results of the retrospective analysis it was established that the total number of registered drugs increased by 28%. During the analyzed period, the assortment of the domestic market was supplemented with new combinations of antihypertensive drugs, which contribute to the qualitative and quantitative expansion of the assortment of combined antihypertensive drugs. In the analyzed period, there was a tendency to increase the share of medicines containing a fixed triple combination of active substances, which have antihypertensive effect, from 5.8% in 2015 to 13.6% of the assortment in 2022. The analysis of the assortment structure of combined antihypertensive drugs made it possible to establish a significant dominance of two groups, namely, angiotensin II receptor blockers in combination with diuretics (almost 27% of the assortment) and angiotensin-converting enzyme inhibitor with diuretics (from 36.1% to 20% of the assortment). According to the analysis, the dominance of foreign medicines at the pharmaceutical market of Ukraine was established. In 2015, the share of Ukrainian manufacturers was 26.45%, but the expansion of the range of drugs in the period until 2022 was provided by foreign manufacturing companies, which led to decrease in the share of domestic drugs to 17.3%. The analysis of the domestic market of combined antihypertensive drugs showed significant saturation and increase in the depth of the product range in the period to 2022. Nevertheless, it also made possible to establish the feasibility of creating and developing domestic combined antihypertensive drugs.
在包括乌克兰在内的低收入和中等收入国家,动脉高血压的患病率正达到令人震惊的程度。工作年龄人群中足够高的高血压患病率对国家预算造成了额外的经济负担。国内外高血压治疗临床指南均建议优先采用不同组药物联合治疗高血压。固定组合为患者和医疗保健计划提供了额外的好处,包括更简单的剂量方案,改善的依从性和更好的血压控制。本研究的目的是分析与2015年相比,2022年在乌克兰药品市场注册的抗高血压药物固定组合范围的变化动态。该研究的对象是乌克兰2015年和2022年国家药品注册数据。本研究采用现代分析方法、系统化和泛化方法、数学和统计计算方法进行。根据回顾性分析的结果确定,注册药品总数增加了28%。在分析期内,国内市场的药物分类中补充了新的抗高血压药物组合,有助于从定性和定量上扩大抗高血压药物组合的种类。在分析期内,具有降压作用的含有固定三联药的药品所占比例有上升趋势,从2015年的5.8%上升到2022年的13.6%。通过对联合降压药分类结构的分析,可以确定两组显著优势,即血管紧张素II受体阻滞剂联合利尿剂(占分类的近27%)和血管紧张素转换酶抑制剂联合利尿剂(占分类的36.1% ~ 20%)。根据分析,外国药品在乌克兰药品市场的主导地位已经确立。2015年,乌克兰制造商的份额为26.45%,但到2022年期间药品范围的扩大由外国制造公司提供,这导致国产药品的份额下降到17.3%。对国内联合降压药市场的分析显示,到2022年期间,国内联合降压药市场明显饱和,产品范围深度增加。尽管如此,这也为国产联合降压药的研制奠定了可行性。
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引用次数: 1
Review of the research on the influence of different functional substituents of new 1,2,4-triazole derivatives on the compounds biological properties 新型1,2,4-三唑衍生物中不同功能取代基对化合物生物学性质影响的研究综述
Pub Date : 2022-10-29 DOI: 10.32352/0367-3057.5.22.08
М. В. Оглобліна, І. В. Бушуєва, В. В. Парченко
Today, 1,2,4-triazole derivatives are a promising class of organic compounds. This is caused, first of all, by the possibility of various chemical modifications of the 1,2,4-triazole fragment due to the addition of typical pharmacophores, which contributes to the expansion of the new molecules’ arsenal. A significant number of the 1,2,4-triazole derivatives show biological properties, that postively affects the further process of the most promising substances’ introduction. The aim of the work was to analyze the influence of various functional substituents of the new 1,2,4-triazole derivatives on the indicators of the mentioned compounds’ biological activity. Literature sources containing information on the influence of various functional substituents of the new 1,2,4-triazole derivatives on the indicators of these compounds’ biological activity became the research materials. Methods were used in the work: analytical, bibliosemantic information search, generalization. Triazoles and their heterocyclic analogues are compounds that contain a certain amount of Nitrogen atoms in their composition, showing the properties of typical pharmacophores. Their derivatives are easily synthesized and can be transformed into various biologically active molecules. Information on the 1,2,4-triazole derivatives’ chemical modeling, which allows for purposefully obtaining compounds with the necessary biological properties, taking into account the toxicity indicators of new molecules, has been analyzed and summarized. The authors have proved, that the gradual and predicted introduction of various substituents into the molecule of 1,2,4-triazole derivatives leads to the appearance of new types of biological activity, in some cases it gives an increase in already existing activity indicators. Chemical compounds’ modification due to the substituents’ changing around the 1,2,4-triazole fragment fundamentally changes the type of biological activity of new molecules. This approach was chosen by the majority of scientists as promising one for the new biologically active substances’ search among the 1,2,4-triazole derivatives. The priority, relevance and perspective of such researches have been proved by not only domestic scientists’ teams. Recently, foreign investigators from Turkey, India, Korea, China, Egypt, etc. have been actively searching for new biologically active substances among the 1,2,4-triazole derivatives. The analysis of modern literary sources on the study of the new 1,2,4-triazole derivatives’ biological activity allows us to establish certain features of the various functional substituents’ influence on the types of biological activity and convincingly proves the outlook of further synthetic tests in the compounds’ specified series.
目前,1,2,4-三唑衍生物是一类很有前途的有机化合物。这首先是由于典型药效团的加入可能导致1,2,4-三唑片段发生各种化学修饰,这有助于扩大新分子的武器库。大量1,2,4-三唑衍生物显示出生物学特性,这对最有希望的物质的进一步引入产生了积极的影响。本研究的目的是分析1,2,4-三唑类新衍生物的各种功能取代基对上述化合物生物活性指标的影响。含有1,2,4-三唑类新衍生物的各种功能取代基对这些化合物生物活性指标影响的文献来源成为研究材料。工作中采用的方法有:分析法、文献语义信息检索法、泛化法。三唑及其杂环类似物是在其组成中含有一定量的氮原子的化合物,具有典型的药效团的性质。它们的衍生物很容易合成,并可转化为各种生物活性分子。本文对1,2,4-三唑衍生物的化学模型进行了分析和总结,该模型允许有目的地获得具有必要生物学特性的化合物,同时考虑到新分子的毒性指标。作者已经证明,在1,2,4-三唑衍生物分子中逐渐和预期地引入各种取代基,导致新的生物活性类型的出现,在某些情况下,它使已有的活性指标增加。由于取代基在1,2,4-三唑片段周围的变化而引起的化合物的修饰从根本上改变了新分子的生物活性类型。这种方法被大多数科学家认为是在1,2,4-三唑衍生物中寻找新的生物活性物质的一种有希望的方法。这些研究的优先性、相关性和前景不仅得到了国内科学家团队的证明。近年来,来自土耳其、印度、韩国、中国、埃及等国的研究人员在1,2,4-三唑类衍生物中积极寻找新的生物活性物质。通过对现代文献资料对新型1,2,4-三唑衍生物生物活性研究的分析,确立了各种功能取代基对生物活性类型影响的某些特征,并有力地证明了该化合物指定系列的进一步合成试验的前景。
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引用次数: 0
Overview of the pharmaceutical market of anticoagulants for the treatment of coronavirus disease (COVID-19) during marital state in Ukraine 乌克兰婚姻状态期间用于治疗冠状病毒疾病(新冠肺炎)的抗凝药物市场概述
Pub Date : 2022-10-29 DOI: 10.32352/0367-3057.5.22.01
І Організація, Управління Фармацією, Удк, тименту заводів
The war in Ukraine has not changed the epidemic situation with coronavirus disease (COVID-19). Further, new cases of disease and death among the population are recorded every day. A large number of people in shelters and bomb shelters, in transport during the evacuation, increases the risk of infection. One of the main complications that occur in patients with COVID-19 is the formation of blood clots, which can lead to negative consequences and death of the patient, and therefore, at the present stage, the use of anticoagulants in the form of low molecular weight heparins plays a very important role in the hospital treatment of coronavirus disease. Heparin potentially has advantages over other anticoagulants for its not only anticoagulant but also anti-inflammatory properties (reducing lung inflammation and improving oxygenation) and also has potential antiviral properties. The purpose of our study was to analyze the availability and range of anticoagulants used to treat coronavirus disease (COVID-19) and post-COVID syndrome in Ukraine. The materials of our study were the data of the State Register of Medicines, the Compendium directory, the Register of wholesale selling prices for medicines and the prices for anticoagulants in Lviv pharmacies. We have analyzed the domestic market of low molecular weight heparins used for the treatment of coronavirus disease (COVID-19) and post-covid syndrome according to the international non-proprietary name, taking into account all forms of production, manufacturers and prices. It has been established that in the pharmaceutical market of Ukraine these medicines are represented by 9 trade names, which in turn are divided according to the amount of active substance in 1 ml of solution. Analyzing the manufacturing companies, it was found that more than half (52.6%) of the presented heparins were produced in Ukraine, and 47.4% of the trade names of drugs are imported. The state of supply and prices for low molecular weight heparins in pharmacies in Lviv was analyzed. It has been established that the pharmacies of the city are provided with a sufficient amount of these medicines, manufacturers and dosages are widely represented. Although the current number of active patients coronavirus disease (COVID-19) in Ukraine has decreased compared to 2021, there is still a large number of patients who are treated with anticoagulants after an illness as a preventive measure or rehabilitation. There fore, the provision of pharmacies with a wide range of anticoagulant drugs in sufficient quantity and variety of dosage plays an important role in providing pharmaceutical assistance to the population in full.
乌克兰战争并没有改变新冠肺炎疫情的形势。此外,人口中每天都有新的疾病和死亡病例记录。在疏散过程中,大量的人在避难所和防空洞中,增加了感染的风险。COVID-19患者发生的主要并发症之一是血栓的形成,这可能导致患者的负面后果和死亡,因此,在现阶段,使用低分子肝素形式的抗凝剂在医院治疗冠状病毒疾病中起着非常重要的作用。与其他抗凝剂相比,肝素具有潜在的优势,因为它不仅具有抗凝作用,而且具有抗炎特性(减少肺部炎症和改善氧合),还具有潜在的抗病毒特性。本研究的目的是分析乌克兰用于治疗冠状病毒病(COVID-19)和covid后综合征的抗凝血剂的可用性和范围。我们研究的资料是国家药品注册表、药典目录、药品批发销售价格注册表和利沃夫药店抗凝血药价格的数据。我们根据国际非专利名称,综合考虑各种生产形式、生产厂家和价格,对治疗新冠肺炎及后综合征用低分子肝素国内市场进行了分析。已经确定,在乌克兰的药品市场上,这些药物由9个商品名称代表,而这些商品名称又根据每毫升溶液中活性物质的含量进行划分。对生产企业进行分析发现,超过一半(52.6%)的肝素是乌克兰生产的,47.4%的药品商品名是进口的。分析了利沃夫市各药店低分子量肝素的供应状况和价格。已经确定,该市的药房提供了足够数量的这些药物,制造商和剂量广泛分布。虽然乌克兰目前的冠状病毒病(COVID-19)活跃患者人数与2021年相比有所减少,但仍有大量患者在发病后接受抗凝剂治疗,作为预防措施或康复措施。因此,为药店提供种类广泛、数量充足、剂量多样的抗凝药物,对充分向人群提供药物援助具有重要作用。
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引用次数: 0
Scientific substantiation of the concept of pharmacoeconomic analysis of technologies for early diagnosis and pharmacotherapy of pulmonary arterial hypertension 科学实证了肺动脉高压早期诊断和药物治疗技术的药物经济学分析概念
Pub Date : 2022-10-29 DOI: 10.32352/0367-3057.5.22.06
І. С. Даценко, А. В. Кабачна
Pulmonary arterial hypertension (PAH) is a rare, progressive disorder characterized by high blood pressure (hypertension) in the arteries of the lungs (pulmonary artery) for no apparent reason. Because symptoms are nonspecific and physical signs may be subtle, the disease is often diagnosed at late stages. Over the past few decades, significant progress has been made in the field of pulmonary arterial hypertension. Technological progress allows to diagnose the disease in the early stages, as well as to better assess the severity of the disease. Today, screening studies are becoming increasingly important to establish a clinical diagnosis and minimize lost opportunities without timely diagnosis, especially in patients with idiopathic PAH. Therefore, the issue of early diagnosis of patients with suspected PAH and confirmation of the diagnosis is a very important and urgent issue today. The objective of the paper: to study the methods of implementation of technologies for early diagnosis and pharmacotherapy of pulmonary arterial hypertension and conceptual presentation of the results of their implementation. The work used available scientific sources of information on the results of the implementation of diagnostic screening for early detection of PAH and pharmacotherapy in the world. The analysis of input data was carried out using systematic, documentary, informational and graphical research methods. The result of the analysis of information materials showed that over the past two decades, significant progress has been made in the treatment of PAH and more than doubled the survival rate of patients. It has been found that diagnostic screening is a relatively unique medical technology in relation to other medical interventions and can be defined as the systematic use of diagnostic technologies in individuals at risk to detect the disease before the onset of symptoms. The study proposes a systematic concept of economic evaluation of the diagnostic screening program for PAH to determine its optimal design. At the same time, this concept embodies the complex effect of the introduction of technologies for early diagnosis and pharmacotherapy of PAH, which is expressed in the positive dynamics of clinical indicators, reduced mortality and improved quality of life. It should be noted that a number of new tools and approaches for diagnostic screening give hope that advances in the diagnosis of PAH will also affect the effectiveness of medical care.
肺动脉高压(PAH)是一种罕见的进行性疾病,其特征是无明显原因的肺动脉高压(高血压)。由于症状非特异性,身体体征可能很微妙,因此该疾病通常在晚期才被诊断出来。在过去的几十年里,肺动脉高压的研究取得了显著的进展。技术进步使我们能够在早期阶段诊断疾病,并更好地评估疾病的严重程度。今天,筛查研究对于建立临床诊断和减少没有及时诊断的机会变得越来越重要,特别是对于特发性PAH患者。因此,对疑似多环芳烃患者的早期诊断和确诊是当今非常重要和紧迫的问题。本文的目的是:研究肺动脉高压早期诊断和药物治疗技术的实施方法及其实施结果的概念介绍。这项工作利用了世界范围内实施多环芳烃早期发现诊断筛查和药物治疗结果的现有科学信息来源。对输入数据的分析采用系统的、文献的、信息的和图形化的研究方法进行。信息资料分析的结果表明,在过去的二十年中,PAH的治疗取得了重大进展,患者的生存率提高了一倍以上。研究发现,与其他医疗干预措施相比,诊断筛查是一种相对独特的医疗技术,可以定义为系统地在有风险的个体中使用诊断技术,以便在症状出现之前发现疾病。本研究提出了一个系统的多环芳烃诊断筛查方案的经济评价概念,以确定其最佳设计。同时,这一概念体现了PAH早期诊断和药物治疗技术的引入所带来的复杂效应,表现为临床指标的积极动态、死亡率的降低和生活质量的提高。值得注意的是,一些新的诊断筛查工具和方法给多环芳烃诊断的进步带来了希望,也将影响医疗保健的有效性。
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引用次数: 1
Directions of development of functional missions of computer pharmaceutical knowledge bases talking into account various types of crisis situations 计算机药学知识库功能任务的发展方向考虑各种类型的危机情况
Pub Date : 2022-10-29 DOI: 10.32352/0367-3057.5.22.05
А. І. Бойко, І. Ю. Рев’яцький
The computer pharmaceutical knowledge bases are effective tools of information support for the organization provision of medicines, pharmaceutical care and education of pharmaceutical specialists. The purpose of the work іs to substantiate the urgency of developing the computer pharmaceutical knowledge base «Pharmaceutical care for patients with diabetes» with increasing the number of the functional tasks of the information blocks of medicine provision management pharmaceutical care to patients with diabetes mellitus, didactic support of educational system of pharmacists in the conditions of various types of crisis situations. The objects of the study were the components of the information system about medicinal products, informational materials on the problems of pharmaceutical care for patients with diabetes mellitus during the period of the COVID-19 epidemic and the period of martial law. The methods of studying the need for information about medicines, pharmaceutical diagnostics, construction of information arrays of computer pharmaceutical knowledge bases were used. The following areas of expansion of the information arrays of blocks are substantiated: «Medicines» – inclusion of materials on new and classic drugs for the treatment of COVID-19; changes in the arsenal of antidiabetic drugs due to martial law; «Management of pharmaceutical care» – inclusion of systematized scientific data on the problem of specialization of information provision; «Reforming the health care system (pharmaceutical subsystem)» – adding information materials to optimize the management of the supply of antidiabetic drugs in view of the systematized measures overcoming the COVID-19 pandemic, epidemics of other genesis, anti-crisis measures in the health care system during the period of martial law; «Education of pharmaceutical specialists (postgraduate stage)» – filling with materials of provision of medicines and pharmaceutical care for patients with COVID-19 also have diabetes mellitus and during martial law. The structure of the computerized pharmaceutical knowledge base «Pharmaceutical care for patients with diabetes» was substantiated and the directions of its development were worked out in view of the expansion of functional tasks during the COVID-19 pandemic and martial law.
计算机药学知识库是为组织提供药物、药学护理和药学专家教育提供信息支持的有效工具。这项工作的目的是证实开发计算机药学知识库《糖尿病患者的药学护理》的紧迫性,同时增加糖尿病患者的药物供应管理药学护理信息块的功能任务数量,药剂师教育系统在各种危机情况下的教学支持。研究对象是新冠肺炎疫情期间和戒严期间的药品信息系统的组成部分、糖尿病患者药物护理问题的信息材料。采用了研究药物信息需求、药物诊断、构建计算机药学知识库信息阵列的方法。区块信息阵列扩展的以下领域得到了证实:《药品》——包含治疗新冠肺炎的新药和经典药物材料;戒严导致抗糖尿病药物库的变化;《药品护理管理》——纳入关于信息提供专业化问题的系统化科学数据;«改革卫生保健系统(制药子系统)»——针对戒严期间卫生保健系统中克服新冠肺炎大流行、其他起源的流行病和抗危机措施的系统化措施,增加信息材料以优化抗糖尿病药物供应管理;«制药专家教育(研究生阶段)»-填写新冠肺炎患者的药物供应和药物护理材料,这些患者也患有糖尿病和戒严期间。根据新冠肺炎大流行和戒严期间功能任务的扩展,证实了计算机化药物知识库“糖尿病患者药物护理”的结构,并确定了其发展方向。
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Farmatsevtichnii zhurnal
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