Hollingworth Samantha A, Chan Ryan, Pham Jenny, Shi Sonya, Ford Pauline J
School of Pharmacy, University of Queensland, Woolloongabba, Queensland, Australia.
School of Dentistry, University of Queensland, Herston, Queensland, Australia.
Community Dent Oral Epidemiol. 2017 Aug;45(4):303-309. doi: 10.1111/cdoe.12291. Epub 2017 Mar 2.
Dental practitioners are able to prescribe a variety of medicines subsidized on the Pharmaceutical Benefits Schedule (PBS), the main categories of which are analgesics and antibiotics. We aimed to investigate the patterns of PBS prescribing of non-antimicrobial medicines by dental practitioners in Australia from 2001 to 2012.
Data were collected from Medicare Australia on prescriptions from dental practitioners dispensed to concessional beneficiaries between 2001 and 2012. We examined patterns of use over time.
There was an overall increase in number of prescriptions and in dispensed use (standardized by dose and population) of analgesic medicines for the concessional population over the 12-years period. The use of dentally prescribed analgesics increased 15%, with use of nonsteroidal anti-inflammatory drugs increasing by 41% and opioid analgesics by 12%. Prescribing of the oxycodone 5-mg tablet increased 344% between 2005 and 2012, and dental prescription of the benzodiazepines diazepam and temazepam increased by 51% and 229%, respectively, over the observation period. Injectable corticosteroid use increased by 19%. Conversely, use of carbamazepine and anti-emetics decreased by 39% and 10%, respectively.
Dental prescribing of analgesics, anti-inflammatories and benzodiazepines in the concessional population has increased significantly over the past decade. These data can form the baseline to further examine appropriate medicine use in the management of dental conditions.
牙科从业者能够开具多种列入《药品福利计划》（PBS）的补贴药品，其中主要类别为镇痛药和抗生素。我们旨在调查2001年至2012年澳大利亚牙科从业者开具PBS非抗菌药物的模式。
从澳大利亚医疗保险局收集2001年至2012年期间牙科从业者开具给优惠受益人的处方数据。我们研究了随时间的使用模式。
在这12年期间，优惠人群的镇痛药处方数量和配药量（按剂量和人口标准化）总体呈上升趋势。牙科开具的镇痛药使用量增加了15%，其中非甾体抗炎药的使用量增加了41%，阿片类镇痛药增加了12%。2005年至2012年期间，5毫克羟考酮片剂的处方量增加了344%，在观察期内，牙科开具的苯二氮䓬类药物地西泮和替马西泮的处方量分别增加了51%和229%。注射用皮质类固醇的使用量增加了19%。相反，卡马西平和止吐药的使用量分别下降了39%和10%。
在过去十年中，优惠人群中牙科开具的镇痛药、抗炎药和苯二氮䓬类药物显著增加。这些数据可作为进一步研究牙科疾病治疗中合理用药的基线。
