Opioid Prescribing Trends by Croatian Dentists - Is there a Reason for Concern?

Objective: Prescription opioid abuse, associated with numerous opioids, is a well-established public health problem in developed countries such as the UK, US and Australia. Opioids have a limited role in general dental practice; hence the aim of this study was to assess prescribing rates of opioids...

Full description

Saved in:
Bibliographic Details
Main Authors: Lara Vranić, Krešimir Bašić, Ivana Šutej
Format: Article
Language:English
Published: University of Zagreb. School of Dental Medicine 2024-01-01
Series:Acta Stomatologica Croatica
Subjects:
Online Access:https://hrcak.srce.hr/file/469613
Tags: Add Tag
No Tags, Be the first to tag this record!
_version_ 1823856422753927168
author Lara Vranić
Krešimir Bašić
Ivana Šutej
author_facet Lara Vranić
Krešimir Bašić
Ivana Šutej
author_sort Lara Vranić
collection DOAJ
description Objective: Prescription opioid abuse, associated with numerous opioids, is a well-established public health problem in developed countries such as the UK, US and Australia. Opioids have a limited role in general dental practice; hence the aim of this study was to assess prescribing rates of opioids in dentistry from 2013 to 2023 in Croatia. Materials and Methods: Data on opioid prescribing practices for this study were provided by the Croatian Health Insurance Fund. The analysis included the number of prescriptions, cost, and the number of packages prescribed. Results: Over the 11 years, dentists in Croatia have prescribed a total of 9132 opioid prescriptions, representing annually on average 1,1% of all analgesic prescriptions, and 0,2% of all dental prescriptions. The number of opioid prescriptions per 1,000 dental patients was on average 0, 19. Tramadol/paracetamol and tramadol were the most prescribed opioids, with average annual number of prescriptions amounting to 622, 7 (64% of opioids prescriptions) and 114, 5 (1, 1% of analgesic prescriptions), respectively. Trends in opioid prescription varied, especially during pandemic years (2020-2022), when tramadol rates decreased while fixed combination medications tramadol/paracetamol and tramadol/dexketoprofen increased. But an overall increasing trend was observed during that period. Conclusion: Dentists in Croatia are restrictive and conservative in prescribing opioids, and there is no need for intervention, but because of increasing trends, observing the prescribing pattern in the future is highly recommended.
format Article
id doaj-art-5645b8ae78254fcf948e216a7abbf637
institution Kabale University
issn 0001-7019
1846-0410
language English
publishDate 2024-01-01
publisher University of Zagreb. School of Dental Medicine
record_format Article
series Acta Stomatologica Croatica
spelling doaj-art-5645b8ae78254fcf948e216a7abbf6372025-02-12T09:08:34ZengUniversity of Zagreb. School of Dental MedicineActa Stomatologica Croatica0001-70191846-04102024-01-0158437338110.15644/asc58/4/6Opioid Prescribing Trends by Croatian Dentists - Is there a Reason for Concern?Lara Vranić0Krešimir Bašić1Ivana Šutej2Student of the University of Zagreb School of Dental Medicine, Zagreb, CroatiaDepartment of Pharmacology, University of Zagreb School of Dental Medicine, Zagreb, CroatiaDepartment of Pharmacology, University of Zagreb School of Dental Medicine, Zagreb, CroatiaObjective: Prescription opioid abuse, associated with numerous opioids, is a well-established public health problem in developed countries such as the UK, US and Australia. Opioids have a limited role in general dental practice; hence the aim of this study was to assess prescribing rates of opioids in dentistry from 2013 to 2023 in Croatia. Materials and Methods: Data on opioid prescribing practices for this study were provided by the Croatian Health Insurance Fund. The analysis included the number of prescriptions, cost, and the number of packages prescribed. Results: Over the 11 years, dentists in Croatia have prescribed a total of 9132 opioid prescriptions, representing annually on average 1,1% of all analgesic prescriptions, and 0,2% of all dental prescriptions. The number of opioid prescriptions per 1,000 dental patients was on average 0, 19. Tramadol/paracetamol and tramadol were the most prescribed opioids, with average annual number of prescriptions amounting to 622, 7 (64% of opioids prescriptions) and 114, 5 (1, 1% of analgesic prescriptions), respectively. Trends in opioid prescription varied, especially during pandemic years (2020-2022), when tramadol rates decreased while fixed combination medications tramadol/paracetamol and tramadol/dexketoprofen increased. But an overall increasing trend was observed during that period. Conclusion: Dentists in Croatia are restrictive and conservative in prescribing opioids, and there is no need for intervention, but because of increasing trends, observing the prescribing pattern in the future is highly recommended.https://hrcak.srce.hr/file/469613Prescription DrugsPrescriptionsOpioid analgesicsDentistsCroatiaOpioid analgesics
spellingShingle Lara Vranić
Krešimir Bašić
Ivana Šutej
Opioid Prescribing Trends by Croatian Dentists - Is there a Reason for Concern?
Acta Stomatologica Croatica
Prescription Drugs
Prescriptions
Opioid analgesics
Dentists
Croatia
Opioid analgesics
title Opioid Prescribing Trends by Croatian Dentists - Is there a Reason for Concern?
title_full Opioid Prescribing Trends by Croatian Dentists - Is there a Reason for Concern?
title_fullStr Opioid Prescribing Trends by Croatian Dentists - Is there a Reason for Concern?
title_full_unstemmed Opioid Prescribing Trends by Croatian Dentists - Is there a Reason for Concern?
title_short Opioid Prescribing Trends by Croatian Dentists - Is there a Reason for Concern?
title_sort opioid prescribing trends by croatian dentists is there a reason for concern
topic Prescription Drugs
Prescriptions
Opioid analgesics
Dentists
Croatia
Opioid analgesics
url https://hrcak.srce.hr/file/469613
work_keys_str_mv AT laravranic opioidprescribingtrendsbycroatiandentistsisthereareasonforconcern
AT kresimirbasic opioidprescribingtrendsbycroatiandentistsisthereareasonforconcern
AT ivanasutej opioidprescribingtrendsbycroatiandentistsisthereareasonforconcern