不同抗抑郁药物治疗重度抑郁症的成本差异分析

R. Tripathi, Shamsher Singh
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引用次数: 3

摘要

印度的制药业生产规模很大,在生产规模上排名第三。由于这种巨大的生产规模,他们生产所有的药物,而且同一种药物有许多品牌。这些品牌之间存在竞争,因此可以看到成本差异。目的:研究三环类抗抑郁药(TCAs)、选择性5 -羟色胺再摄取抑制剂(SSRIs)、单胺氧化酶抑制剂(MAOIs)、5 -羟色胺-去甲肾上腺素再摄取抑制剂(SNRIs)治疗重度抑郁症(MDD)的成本差异。材料与方法:本研究分析了印度各制药企业生产的抗抑郁药物。数据由作者从“当前医学专业索引”(CIMS)网络版、www.drugs.com和全国药品定价移动应用程序中收集。结果:印度市场共有15种抗抑郁药物,63种剂型,1173个品牌。在所有抗抑郁药物中,氟伏沙明100 mg的成本比和百分比变化最高,其次是阿米替林50 mg,去甲替林20 mg,氯丙帕明75 mg。品牌数量最多的是艾司西酞普兰10毫克,其次是舍曲林50毫克和帕罗西汀37.5毫克。结论:用于治疗重度抑郁症(MDD)的抗抑郁药物的标记制剂之间存在很大的成本差异。关键词:重度抑郁症(MDD),三环抗抑郁药(TCAs),选择性5 -羟色胺再摄取抑制剂(SSRIs),单胺氧化酶抑制剂(MAOIs), 5 -羟色胺-去甲肾上腺素再摄取抑制剂(SNRIs),成本比,百分比成本变化
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Cost variation analysis among different antidepressant drugs used to treat major depressive disorder
The Indian pharmaceutical industry produces drugs on a large scale and standing on 3rd rank bases on the scale of production. Due to this huge scale of production they produce all of the drugs and there are many brands of the same drugs. These brands are having competition between them so cost variation could be seen. Aim:The aim of our study is to find out the cost variation among the antidepressant drugs used in the treatment of major depressive disorder (MDD) that are the tricyclic antidepressants (TCAs), selective serotonin reuptake inhibitors (SSRIs), monoamine oxidase inhibitors (MAOIs), the serotonin–norepinephrine reuptake inhibitors (SNRIs). Materials and Method:The anti-depressant drugs that are manufactured by various Indian pharmaceutical industries are analyzed in that study. The data was collected by the authors from “Current Index of Medical Specialties” (CIMS) online edition, www.drugs.com and Mobile Application of National Pharma Pricing. Results:There are 15 anti-depressant drugs with 63 formulations are available in the marked of India with 1173 brands. Among all the antidepressant drugs, the highest cost ratio and percentage cost variation was found for the fluvoxamine 100 mg followed by amitriptyline 50 mg Nortriptyline 20 mg and clomipramine 75 mg. The highest numbers of brands are for escitalopram 10 mg followed by Sertraline 50 mg and Paroxetine 37.5 mg. Conclusion:It is concluded that there is very high cost variation among the marked preparations of antidepressant drugs used to treat Major depressive disorder (MDD). Keywords: Major Depressive Disorder (MDD), Tricyclic antidepressants (TCAs), Selective serotonin reuptake inhibitors (SSRIs), Monoamine oxidase inhibitors (MAOIs), The serotonin–norepinephrine reuptake inhibitors (SNRIs), Cost ratio, Percentage cost variation
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