Læknablaðið - 15.12.2007, Blaðsíða 20

FRÆÐIGREINAR
METÝLFENÍDAT
kostnað stuttverkandi lyfjaforms. Samanborið
við Evrópulönd er notkun metýlfenídats á íslandi
mikil. Aldursdreifing og kynhlutfall lyfjanotkunar
er svipað og víðast annars staðar og kemur einnig
heim og saman við dreifingu ADHD hjá börnum.
Miðað við tíðnitölur ADHD er ekki hægt að álykta
að um ofnotkun lyfjanna sé að ræða hér á landi.
Hins vegar er nauðsynlegt að vandlega sé staðið
að greiningu ADHD hjá börnum og að önnur
meðferðar- og stuðningsúrræði séu reynd fyrir og
samhliða lyfjagjöf. Mikilvægt er að stuðla að skyn-
samlegri lyfjanotkun og að þeir hljóti viðeigandi
meðferð sem á þurfa að halda.
Höfundar leggja til frekari að gerður verði frek-
ari samanburður á geðlyfjanotkun og meðferð-
arúrræðum barna milli landa í framtíðinni. Einnig
er þarft að kanna algengi og dreifingu lyfjanotk-
unar við ADHD hjá fullorðnum á íslandi. Loks
hlýtur það að teljast verðugt verkefni að kostn-
aðargreina meðferðarúrræði ADHD, til dæmis
hvort aukin notkun dýrari lyfjaforma sé þjóðhags-
lega hagkvæm.
Þakkir
Þakkir fá Hrefna Þorbjarnardóttir, ritari og
Kristinn Jónsson, kerfisfræðingur.
Heimildir
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