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8.3 MOST FREQUENTLY PRESCRIBED MEDICATIONS IN PUBLIC AND PRIVATE
CLINICS
Table 8.4 and Table 8.5 shows 30 most frequently prescribed medications in public and private clinic, reported at ATC level 5 or equivalent. In both sectors, paracetamol was consistently the most common
medication prescribed. In public clinics Table 8.4:
7KHWRSPHGLFDWLRQVPDGHXSRIDOOPHGLFDWLRQVSUHVFULEHGLQSXEOLFFOLQLFV
RXU RXW RI ÀYH PRVW IUHTXHQWO\ SUHVFULEHG PHGLFDWLRQV ZHUH IRU FKURQLF GLVHDVHV LH GLDEHWHV and cardiovascular disease. Together these four medications amounted to one quarter of total
prescriptions in public clinics 24.9. The high usages of these medications are explained by a bigger proportion of diabetes and cardiovascular cases managed in public clinics.
U\WKURP\FLQ DQG DPR[LFLOOLQ ZHUH WZR PRVW IUHTXHQWO\ SUHVFULEHG DJHQWV IURP WKH V\VWHPLF antiinfectives group.
9LWDPLQVDQGPLQHUDOVLURQPXOWLYLWDPLQVDQGPLQHUDOVYLWDPLQFRPSOH[IROLFDFLGIHUURXV fumarate, and vitamin C were frequently prescribed in public clinics and listed among top 30
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In private clinics Table 8.5: 7KLUW\PRVWFRPPRQO\SUHVFULEHGPHGLFDWLRQVDFFRXQWHGIRURIDOOSUHVFULSWLRQVLQSULYDWH
clinics. 0DMRULW\ RI WKH PHGLFDWLRQV OLVWHG LQ 7DEOH ZHUH PDLQO\ LQGLFDWHG IRU DFXWH FRQGLWLRQV DQG
symptomatic relief. :LWKH[FHSWLRQRISDUDFHWDPROHDFKPHGLFDWLRQZHUHSUHVFULEHGLQOHVVWKDQRIHQFRXQWHUV
and constitutes less than 5.0 of prescribed medications individually. 6\VWHPLFDQWLLQIHFWLYHVFRQVWLWXWHGRIDOOSUHVFULSWLRQVLQSULYDWHFOLQLFVDPR[LFLOOLQZDVWKH
highest 2.9, followed by amoxicillin and enzyme inhibitor combination 1.3, and erythromycin 1.2.
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Table 8.4: Thirty most frequently prescribed medications in public clinics in 2012
Medication Number
Percentage of all
medications n = 103,484
Rate per 100 encounters
95 CI n = 42,340
Rate per 100 diagnoses
95 CI n = 68,877
Paracetamol 7,751
7.5 18.3 17.9 - 18.7
11.3 11.0 - 11.5 Metformin
7,259 7.0
17.1 16.8 - 17.5 10.5 10.3 - 10.8
Amlodipine 6,721
6.5 15.9 15.5 - 16.2
9.8 9.5 - 10.0 Lovastatin
6,262 6.1
14.8 14.5 - 15.1 9.1 8.9 - 9.3
Perindopril 5,513
5.3 13.0 12.7 - 13.3
8.0 7.8 - 8.2 Diphenhydramine, combinations
3,495 3.4
8.3 8.0 - 8.5 5.1 4.9 - 5.2
Gliclazide 3,234
3.1 7.6 7.4 - 7.9
4.7 4.5 - 4.9 Chlorphenamine
2,933 2.8
6.9 6.7 - 7.2 4.3 4.1 - 4.4
Hydrochlorothiazide 2,903
2.8 6.9 6.6 - 7.1
4.2 4.1 - 4.4 Simvastatin
2,860 2.8
6.8 6.5 - 7.0 4.2 4.0 - 4.3
Atenolol 2,679
2.6 6.3 6.1 - 6.6
3.9 3.7 - 4.0 Glibenclamide
2,092 2.0
4.9 4.7 - 5.2 3.0 2.9 - 3.2
Iron, multivitamins and minerals 1,891
1.8 4.5 4.3 - 4.7
2.7 2.6 - 2.9 Acetylsalicylic acid
1,880 1.8
4.4 4.2 - 4.6 2.7 2.6 - 2.9
Vitamin B-complex, plain 1,728
1.7 4.1 3.9 - 4.3
2.5 2.4 - 2.6 Insulin human - intermediate
acting 1,718
1.7 4.1 3.9 - 4.2
2.5 2.4 - 2.6 Folic acid
1,659 1.6
3.9 3.7 - 4.1 2.4 2.3 - 2.5
Bromhexine 1,531
1.5 3.6 3.4 - 3.8
2.2 2.1 - 2.3 Metoprolol
1,395 1.3
3.3 3.1 - 3.5 2.0 1.9 - 2.1
Ferrous fumarate 1,272
1.2 3.0 2.8 - 3.2
1.8 1.7 - 1.9 Nifedipine
1,186 1.1
2.8 2.6 - 3.0 1.7 1.6 - 1.8
Enalapril 1,170
1.1 2.8 2.6 - 2.9
1.7 1.6 - 1.8 Salbutamol
1,083 1.0
2.6 2.4 - 2.7 1.6 1.5 - 1.7
Erythromycin 1,033
1.0 2.4 2.3 - 2.6
1.5 1.4 - 1.6 Oral rehydration salt formulations
990 1.0
2.3 2.2 - 2.5 1.4 1.4 - 1.5
Mefenamic acid 986
1.0 2.3 2.2 - 2.5
1.4 1.3 - 1.5 Amoxicillin
952 0.9
2.3 2.1 - 2.4 1.4 1.3 - 1.5
Ascorbic acid vit C 943
0.9 2.2 2.1 - 2.4
1.4 1.3 - 1.5 Diclofenac
911 0.9
2.2 2.0 - 2.3 1.3 1.2 - 1.4
Pseudoephedrine, combinations 875
0.8 2.1 1.9 - 2.2
1.3 1.2 - 1.4
ATC Level 4
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