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Phân Tích Hoạt Động Phân Phối Thuốc Của Công Ty Cổ Phần Traphaco Giai Đoạn 2010 - 2012
Phân Tích Hoạt Động Phân Phối Thuốc Của Công Ty Cổ Phần Traphaco Giai Đoạn 2010 - 2012
TRNG I HC DC H NI
KHO ST C CU V XU HNG
NHP KHU THUC IU TR
I THO NG TI VIT NAM
GIAI ON 2006-2011
KHA LUN TT NGHIP DC S
H NI 2013
B Y T
TRNG I HC DC H NI
KHO ST C CU V XU HNG
NHP KHU THUC IU TR
I THO NG TI VIT NAM
GIAI ON 2006-2011
KHA LUN TT NGHIP DC S
Ngi hng dn:
1. DS. Nguyn Vnh Nam
2. ThS. Chu Quc Thnh
Ni thc hin:
1. B mn Qun l v Kinh t dc
Trng i hc Dc H Ni
2. Phng Qun l gi thuc
Cc Qun l Dc - B Y t
H NI 2013
LI CM N
Ti xin c by t lng bit n chn thnh v su sc nht n:
ThS. Chu Quc Thnh Chuyn vin Phng Qun l gi thuc Cc
Qun l Dc B Y t, ngi cung cp cho ti cc s liu, hng dn v
gi cho ti v phng php nghin cu.
DS. Nguyn Vnh Nam B mn Qun l v kinh t Dc Trng
i hc Dc H Ni, thy lun tn tnh hng dn, ng vin v cho ti
nhiu kin thc qu bu hon thnh kha lun tt nghip ny.
ThS. Nguyn Th H B mn Qun l v kinh t Dc Trng i
hc Dc H Ni, c cho ti nh ng li khuyn qu bu v gip ti
trong sut thi gian lm kha lun.
Ti cng xin cm n cc thy c gio Trng i hc Dc H Ni,
c bit cc thy c B mn Qun l v Kinh t Dc tn tnh dy d ti
trong sut thi gian hc tp ti trng.
Cui cng ti xin gi li cm n su sc n gia nh v bn b
khch l ng vin ti t c nhng thnh cng ngy hm nay.
H ni, ngy 21 thng 05 nm 2013.
Sinh vin
MC LC
DANH MC CC CH VIT TT
DANH MC CC BNG
DANH MC CC HNH
T VN .................................................................................................. 1
Chng 1. TNG QUAN ............................................................................... 2
1.1. Tng quan v bnh i tho ng ...................................................... 2
1.1.1. nh ngha bnh i tho ng ................................................... 2
1.1.2. Phn loi i tho ng............................................................... 2
1.1.3. Tnh hnh i tho ng ti Vit Nam v trn th gii ................ 2
1.2. Tng quan v thuc v iu tr i tho ng .................................... 3
1.2.1. Cc nhm thuc iu tr i tho ng ....................................... 3
1.2.2. iu tr i tho ng .................................................................. 4
1.3. Tng quan v th trng thuc nhp khu v thuc iu tr i tho ....
ng Vit Nam............................................................................................. 8
1.3.1. Vai tr ca thuc nhp khu .......................................................... 8
1.3.2. V tr thuc iu tr i tho ng trong th trng thuc nhp ...
khu Vit Nam. ............................................................................................ 9
1.4. Tng quan v nghin cu nh lng s dng thuc ......................... 10
1.4.1. Nghin cu chi ph ....................................................................... 10
1.4.2. Nghin cu da trn s lng n v ng gi ........................... 11
1.4.3. Nghin cu da trn n thuc.................................................... 11
1.4.4. Nghin cu da trn liu trung bnh s dng hng ngy ............ 12
1.5. Cc nghin cu tng t ti Vit Nam v trn th gii ..................... 12
1.5.1. Cc nghin cu v s dng/ tiu th thuc iu tr i tho ng
trn th gii ............................................................................................... 13
1.5.2. Cc nghin cu tng t ti Vit Nam ........................................ 13
ADA
DDD
i tho ng
EASD
Ins
Insulin
IDF
KNNK
Met
Metformin
NK
Nhp khu
Pio
Pioglitazon
TLS
Thay i li sng
TZD
Thiazolidinedion
SK
S ng k
Sul
WHO
T chc y t Th Gii
DANH MC CC BNG
Bng 1.1. T trng thuc trong nc v nhp khu ......................................... 9
Bng 1.2. Gi tr v t trng gi tr mt s nhm thuc nhp khu ti Vit.......
Nam ................................................................................................ 10
Bng 2.1. Danh mc cc hot cht iu tr i tho ng trong nghin cu 17
Bng 3.1. Gi tr kim ngch nhp khu v t trng gi tr kim ngch nhp .......
khu thuc iu tr i tho ng (2006-2011) ........................... 19
Bng 3.2. S lng s ng k cc thuc iu tr i tho ng nhp khu....
(2006-2011) .................................................................................... 19
Bng 3.3. Gi tr kim ngch nhp khu ca mt s bit dc iu tr i tho..
ng c xut x t Php. ............................................................. 32
DANH MC CC HNH
Hnh 1.1. Phc iu tr T ca Hip hi i tho ng M v hip hi ..
nghin cu i tho ng Chu u nm 2009 .............................. 8
Hnh 3.1 Gi tr v t trng kim ngch nhp khu cc nhm thuc iu tr i.
tho ng...................................................................................... 21
Hnh 3.2 S lng s ng k ca cc nhm thuc iu tr i tho ng ......
(2006-2011) .................................................................................... 22
Hnh 3.3. Tng s liu v t trng tng s liu DDD ca cc nhm thuc ......
iu tr i tho ng (2006 2011) ........................................... 23
Hnh 3.4. Gi tr kim ngch nhp khu ca cc hot cht iu tr i tho ........
ng v t trng (2006-2011) ...................................................... 26
Hnh 3.5. S lng s ng k ca cc hot cht iu tr i tho ng nhp.
khu ................................................................................................ 27
Hnh 3.6. Tng s liu DDD v t trng tng s liu DDD ca cc hot cht...
iu tr i tho ng ................................................................... 28
Hnh 3.7. Gi tr v t trng gi tr kim ngch nhp khu theo xut x ca cc
thuc iu tr i tho ng ......................................................... 31
Hnh 3.8. S lng s ng k t cc quc gia c thuc iu tr i tho .........
ng Vit Nam giai on 2006-2011 ....................................... 33
T VN
Cng vi s pht trin v kinh t, cht lng cuc sng c nng cao
khin cho cc bnh mn tnh ni chung v bnh i tho ng ni ring ngy
cng tr nn ph bin. Theo c tnh ca T chc y t th gii, vi tc gia
tng s lng bnh nhn hin nay, khong 4,4% dn s th gii s mc bnh
i tho ng vo nm 2030 [23]. Mc d l mt quc gia ang pht trin,
cc thng k dch t hc cho thy ti Vit Nam vo nm 2010, c kho ng
3% dn s mc bnh ny [24].
Tc pht trin bnh nhanh nh vy l mt thch thc ln vi ngnh
Y t cng nh ngnh Dc Vit Nam. thc hin tt mc tiu cung ng y
c v s lng v cht lng cc thuc iu tr i tho ng, ngnh
Dc khng nhng phi pht trin v quy m v danh mc thuc sn xut
trong nc m cn phi nhp khu thuc.
Mc d vai tr thuc nhp khu trong iu tr i tho ng l rt
quan trng, tuy nhin hin nay, cha c mt kho st no nh gi c cu v
xu hng nhp khu thuc iu tr i tho ng. Trn c s , chng ti
thc hin ti Kho st c cu v xu hng nhp khu thuc iu tr
i tho ng giai on 2006-2011 vi hai mc tiu:
1. Kho st c cu nhp khu thuc iu tr i tho ng vo Vit
Nam giai on 2006-2011.
2. Kho st xu hng nhp khu thuc iu tr vo Vit Nam giai on
2006-2011.
TLS
+Met+Sul
Chn on T: Thay
i li sng (TLS) +
Met
TLS+ Met+
Insulin nn
Ghi ch:
TLS: Thay i li
sng,
Met: metformin,
Sul: Sulfonamid/dn
xut ure,
Pio: Pioglitazone,
Ins: Insulin.
BC 1
TLS +
Met+ Ins tch
cc
BC 2
TLS
+ Met+
Pio+
Sul
TLS +
Met+
Ins nn
BC 3
Tng gi tr tin
thuc
(Triu USD)
2006
2007
2008
2009
2010
956,353
1136,350
1425,660
1686,140
1913,660
Thuc trong nc
Gi tr
(Triu USD)
475,400
600,630
715,440
831,210
919,040
T trng
%
49,71
52,86
50,18
49,01
48,03
T trng
%
548,200
597,082
759,752
859,763
994,529
50,29
47,14
49,82
50,99
51,97
10
1.4.
Nm 2006
Gi tr
T
(Triu
trng
USD)
%
Nm 2007
Gi tr
T
(Triu
trng
USD)
%
Nm 2008
Gi tr
T
(Triu
trng
USD)
%
93,5
18,2
138,0
20,0
148,7
18,1
129,1
48,5
25,1
9,4
148,7
60,9
21,4
8,8
206,3
77,7
24,8
9,4
513,7
100,0
690,5
100,0
829,5
100,0
11
12
trn th gii kho st thc trng nhp khu thuc iu tr T cng nh phn
tch vai tr ca thuc iu tr T nhp khu. Tuy nhin, c mt s nghin
cu v tiu th v s dng thuc iu tr T c thc hin. C th l:
13
14
15
i tng nghin cu
i tng nghin cu ca ti l ton b cc thuc thnh phm iu
Thit k nghin cu
Thit k nghin cu m t.
2.4.
Ni dung nghin cu
Cc ch s nghin cu
16
Sng lc d liu v
thuc thnh phm
Sng lc d liu v
thuc iu tr T
D liu ban u v
thuc iu tr T
D liu thuc iu tr
T hon thin
Gn m ATC, liu
DDD v SK cho cc
thuc nghin cu
17
M ATC
Tn hot cht
M ATC
Acarbose
Benfluorex
Chlorpropamid
Glibenclamid
Glibenclamid v Metformin
Gliclazid
Gliclazid v Metformin
Glimepirid
A10BF01
A10BX06
A10BB02
A10BB01
A10BD02
A10BB09
A10BD02
A10BB12
Insulin
Metformin
Pioglitazon
Repaglind
Rosiglitazon
Rosiglitazon v Metformin
Glimepirid v Metformin
Pioglitazon v Metformin
A10A
A10BA02
A10BG03
A10BX02
A10BG02
A10BD03
A10BD02
A10BD05
18
X l s liu
Cc s liu nghin cu c nhp v x l trn phn mm Microsoft
Excel 2007.
2.8.
Trnh by v bo co kt qu
Cc kt qu nghin cu c trnh by trn phn mm Microsoft Word
19
3.1.
Chng 3. KT QU NGHIN CU
Gi tr KNNK v s lng SK cc thuc iu tr T nhp khu
vo Vit Nam (2006-2011)
2007
2008
2009
2010
2011
15,05
18,41
25,44
27,84
35,43
40,98
513,68
690,52
829,52
1051,04
1162,44
1328,21
2,93
2,67
3,07
2,65
3,05
3,09
2006
2007
2008
2009
2010
2011
126
141
151
155
182
186
20
21
Triu USD
60.0%
Biguanid
16
50.0%
14
12
Sulfonamid/dn
xut ure
40.0%
10
30.0%
8
6
20.0%
Thuc T
ng ung
dng kt hp
Cht c ch
alpha
glucosidase
Thiazolidindion
4
10.0%
2
0
0.0%
Cc cht h
ng huyt
khc tr insulin
Insulin
22
70
60
Biguanid
50
Sulfonamid v dn xut
ure
40
Thuc T ng ung
dng kt hp
30
Thiazolidindion
20
Cc cht h ng huyt
khc tr insulin
Cht c ch alpha
glucosidase
Insulin
10
0
Nm
2006
Nm
2007
Nm
2008
Nm
2009
Nm
2010
Nm
2011
23
Triu liu
80.00%
Biguanid
160
140
70.00%
60.00%
Sulfonamid/dn
xut ure
120
50.00%
100
40.00%
80
60
40
30.00%
20.00%
20
10.00%
0.00%
Thuc T
ng ung
dng kt hp
Cht c ch
alpha
glucosidase
Thiazolidindion
Cc cht h
ng huyt
khc tr insulin
Insulin
Hnh 3.3. Tng s liu v t trng tng s liu DDD ca cc nhm thuc
iu tr T (2006 2011)
T hnh 3.3, v s liu chi tit ti ph lc 4, ph lc 5, ta thy:
Bn nhm thuc c t trng tng s liu DDD ln nht l:
sulfonamid/dn xut ure (57,07-76,06%), biguanid (11,42-31,93%), insulin
(5,27-8,33%) v thiazolidinedion (1,93-4,09%). Tip tc phn tch su hn
bn nhm cht ny:
24
25
Triu USD
26
12
40.00%
acarbose
35.00%
benfluorex
10
chlorpropamid
30.00%
glibenclamid
8
25.00%
glibenclamid v
metformin
gliclazid
20.00%
gliclazid v
metformin
glimepirid
15.00%
4
insulin
metformin
10.00%
pioglitazon
repaglind
2
5.00%
rosiglitazon
rosiglitazon v
metformin
0.00%
glimepirid v
metformin
pioglitazon v
metformin
27
50
acarbose
45
benfluorex
chlorpropamid
40
glibenclamid
35
glibenclamid v metformin
30
gliclazid
gliclazid v metformin
25
glimepirid
20
insulin
15
metformin
pioglitazon
10
repaglind
rosiglitazon
rosiglitazon v metformin
Nm
2006
Nm
2007
Nm
2008
Nm
2009
Nm
2010
Nm
2011
glimepirid v metformin
pioglitazon v metformin
28
Triu liu
3.6 di y.
90
50.00%
acarbose
80
45.00%
benfluorex
chlorpropamid
70
60
40.00%
glibenclamid
35.00%
30.00%
50
25.00%
gliclazide v
metformin
glimepirid
20.00%
insulin
15.00%
metformin
40
30
20
glibenclamide v
metformin
gliclazid
pioglitazon
10.00%
repaglind
10
5.00%
rosiglitazon
0.00%
rosiglitazon v
metformin
glimepirid v
metformin
pioglitazon v
metformin
29
30
Triu USD
31
20
60.0%
Argentina
Bangladesh
18
Canada
50.0%
16
Trung Quc
Cyprus
an Mch
14
40.0%
12
Php
c
n
Indonesia
10
30.0%
Hn Quc
Malaysia
20.0%
Pakistan
Ba Lan
Singapo
10.0%
Ty Ban Nha
a Loan
Th nh k
0.0%
Anh
M
Israel
c
32
2006
2007
2008
2009
2010
2011
3,04
5,57
6,51
8,15
8,84
9,67
41,9
63,4
58,2
60,9
57,8
56,0
2,85
2,04
3,28
3,54
4,70
5,75
39,3
23,2
29,3
26,4
30,7
33,3
0,64
0,76
0,95
1,23
1,40
1,85
8,8
8,6
8,5
9,2
9,2
10,7
7,25
8,79
11,19
13,39
15,29
17,27
33
Argentina
Bangladesh
Canada
80
Trung Quc
Cyprus
70
an Mch
Php
c
60
n
Indonesia
50
Hn Quc
40
Malaysia
Pakistan
30
Ba Lan
Singapo
Ty Ban Nha
20
a Loan
Th nh k
10
Anh
M
Israel
Nm 2006 Nm 2007 Nm 2008 Nm 2009 Nm 2010 Nm 2011
34
Chng 4. BN LUN
4.1.
Bn lun v kt qu nghin cu
35
36
Tm hiu cc thng tin lin quan ti hot cht ny, chng ti nhn thy
c s lin quan gia vic NK ca benfluorex v cc thng tin y hc, c th l:
- Vic gim nh gi tr KNNK ca benfluorex lin quan ti quyt nh
thu hi Mediator ca C quan qun l thuc Chu u (European Medicines
Agency) do nghi ng v nguy c gy b nh van tim ca benfluorex trn bnh
nhn T typ 2 [19],[21].
- Vic ngng nhp khu benfluorex lin quan n quyt nh s 260/QQLD v vic rt s ng k i vi bit dc Mediator ti Vit Nam.
b. Rosiglitazon.
Rosiglitazon l mt trong hai hot cht thuc nhm thiazolidinedion
c nhp khu vo Vit Nam (hot cht cn li l Pioglitazon). Nm 2010,
rosiglitazon nhp khu vo Vit Nam vi cc bit dc l Avandia, Rogelin,
Rosiglen, Rapzole. Ngoi ra, Vit Nam cn c Avandamet l bit dc ca
hot cht rosiglitazon kt hp vi metformin.
Kho st gi tr KNNK ca hot cht rosiglitazon ta thy:
- Trong giai on 2006 2007, gi tr KNNK gim 6,3 ln t 1,1 triu
USD xung cn 173.000 USD.
- Trong giai on 2009 2010, gi tr KNNK gim khong 5,8 ln t
475.000 USD xung cn 82.000 USD. Trong khi , hot cht cng nhm l
pioglitazon li c s gia tng ng k v gi tr KNNK (tng 2,3 ln t
589.000USD n 1,35 triu USD).
- Nm 2010, rosiglitazon khng cn c nhp khu vo Vit Nam.
Trong khi t trng KNNK ca pioglitazon li ng th ba trong s cc
hot cht c gi tr KNNK cao nht.
Tm hiu cc thng tin lin quan ti hot cht ny, chng ti nhn thy
c s lin quan gia vic NK rosiglitazon v cc thng tin y hc, c th:
37
38
Hn ch ca ti
39
40
41
2.
3.
4.
5.
Chu Quc Thnh (2009), Phn tch c cu thuc thnh phm nhp
khu giai on 2006-2008, Lun vn thc s, i hc Dc H Ni,
H Ni.
6.
7.
8.
9.
L Th Phng Hoa (2011), Phn tch thc trng nhp khu cc thuc
khng khun trong giai on 2006-2010, Lun vn thc s, i hc
Dc H Ni, H Ni.
TING ANH:
10.
11.
12.
13.
14.
15.
16.
17.
18.
19.
20.
WEBSITES:
21..http://www.ema.europa.eu/ema/index.jsp?curl=pages/news_and_events
/news/2010/01/news_detail_000977.jsp&mid=WC0b01ac058004d5c1.
Truy cp ngy 20/5/2013.
22.
23.
http://www.who.int/features/factfiles/diabetes/en/index.html. Truy cp
ngy 20/5/2013.
24.
http://www.who.int/nmh/countries/vnm_en.pdf.
20/5/2013.
Truy
cp
ngy
PH LC
Ph lc 1. T trng gi tr KNNK cc nhm thuc iu tr T (2006-2011)
Ph lc 2. Gi tr KNNK cc nhm thuc iu tr T (2006-2011)
Ph lc 3. S lng SK cc nhm thuc iu tr T NK (2006-2011)
Ph lc 4. T trng tng s liu DDD cc nhm thuc T NK (2006-2011)
Ph lc 5. Tng s lng liu DDD cc thuc iu tr T NK (2006- 2011)
Ph lc 6. T trng gi tr KNNK cc thuc iu tr T (2006-2011)
Ph lc 7.Gi tr KNNK ca cc hot cht iu tr T (2006-2011)
Ph lc 8. S lng SK ca hot cht iu tr T NK (2006-2011)
Ph lc 9. T trng tng s liu DDD ca cc hot cht iu tr T NK giai
on (2006-2011)
Ph lc 10. Tng s liu DDD ca cc hot cht iu tr T NK (20062011)
Ph lc 11. T trng gi tr KNNK thuc iu tr T ca cc quc gia xut
x giai on (2006-2011)
Ph lc 12. Gi tr KNNK thuc iu tr T ca cc quc gia xut x giai
on (2006-2011)
Ph lc 13. S lng SK cc thuc iu tr T t cc quc gia xut x
giai on (2006 - 2011)
Nm
2006
24,2
Nm
2007
17,8
Nm
2008
18,3
Nm
2009
18,9
Nm
2010
22,9
Nm
2011
21,2
37,0
46,1
48,4
45,2
40,9
40,7
5,6
6,3
5,3
7,2
8,5
7,5
4,1
3,3
3,3
3,5
3,8
3,9
10,5
4,9
5,9
3,8
4,0
2,0
2,5
2,5
1,9
1,7
0,2
0,1
16,2
100,0
19,3
100,0
16,9
100,0
19,6
100,0
19,5
100,0
24,7
100,0
Nm
2006
Nm
2007
Nm
2008
Nm
2009
Nm
2010
Nm
2011
3.640
3.270
4.658
5.272
8.127
8.706
5.564
8.488
12.302
12.593
14.496
16.663
843
1.151
1.342
2.006
3.023
3.078
613
603
847
984
1.361
1.584
1.583
898
1.508
1.063
1.433
816
373
454
486
459
69
30
2.432
15.048
3.544
18.408
4.297
25.441
5.462
27.839
6.921
35.429
10.104
40.981
Nhm thuc
Biguanid
Sulfonamid
v dn xut ure
Thuc T ng
ung dng kt hp
Cht c ch alpha
glucosidase
Thiazolidindion
Cc cht h ng
huyt khc tr insulin
Insulin
Tng
S lng SK
Nm
Nm
2008
2009
30
38
Nm
2006
29
Nm
2007
31
Nm
2010
39
Nm
2011
43
47
55
62
59
66
76
15
19
13
22
27
27
17
26
17
18
126
17
141
21
151
21
155
27
182
34
186
Nm
2007
31,93
Nm
2008
11,42
Nm
2009
16,01
Nm
2010
19,62
Nm
2011
16,59
57,07
58,20
76,06
71,83
66,50
72,29
0,72
0,52
0,59
0,78
0,98
0,84
Thiazolidindione
Cc cht h ng huyt
khc tr insulin
3,46
2,95
3,28
2,85
4,09
1,93
1,29
1,15
0,99
0,93
0,06
0,02
Insulin
5,79
5,27
7,66
7,59
8,74
8,33
100,00
100,00
100,00
100,00
100,00
100,00
Nhm thuc
Biguanid
Sulfonamid
v dn xut ure
Cht c ch
alpha glucosidase
Tng
Nm
2007
Nm
2008
Nm
2009
Nm
2010
Nm
2011
Biguanid
34.555
48.607
21.269
25.935
34.057
38.373
Sulfonamid
v dn xut ure
62.273
88.607
141.714
116.338
115.436
167.187
784
787
1.106
1.259
1.702
1.941
3.780
4.487
6.105
4.619
7.106
4.469
1.412
1.743
1.845
1.513
109
45
6.321
109.126
8.018
152.250
14.278
186.317
12.290
161.953
15.175
173.587
19.266
231.281
Nhm thuc
Cht c ch
alpha glucosidase
Thiazolidindion
Cc cht h ng
huyt khc tr
insulin
Insulin
Tng
Nm
2007
3,27
2,26
0,48
2,60
Nm
2008
3,33
1,79
0,28
2,22
Nm
2009
3,53
1,48
0,31
1,22
Nm
2010
3,84
0,00
0,15
0,77
Nm
2011
3,87
0,00
0,12
1,40
4,62
4,53
4,74
5,55
4,61
5,63
Gliclazid
22,64
34,53
30,92
33,44
28,32
27,04
Gliclazid,
metformin
0,11
0,08
0,13
0,30
0,86
1,10
Glimepirid
Insulin
Metformin
Pioglitazon
Repaglind
Rosiglitazon
11,14
16,16
24,19
3,26
0,25
7,26
8,51
19,25
17,77
3,94
0,20
0,94
14,93
16,89
18,31
3,65
0,13
2,28
10,26
19,62
18,94
2,11
0,17
1,71
11,68
19,53
22,94
3,81
0,19
0,23
12,10
24,66
21,24
1,99
0,07
0,00
Rosiglitazon,
metformin
0,88
1,64
0,41
1,14
1,69
0,00
Glimepirid,
metformin
0,00
0,00
0,00
0,21
0,51
0,28
Pioglitazon,
metformin
0,00
0,00
0,00
0,00
0,86
0,50
100,00
100,00
100,00
100,00
100,00
100,00
Tn hot cht
Acarbose
Benfluorex
Chlorpropamid
Glibenclamid
Glibenclamid,
metformin
Tng
Nm
2006
Nm
2007
Nm
2008
Nm
2009
Nm
2010
Nm
2011
Acarbose
Benfluorex
Chlorpropamid
Glibenclamid
613
335
96
386
603
416
88
478
847
454
71
566
984
413
87
339
1.361
1.584
52
272
47
574
Glibenclamid,
metformin
695
834
1.207
1.545
1.635
2.308
3.406
6.356
7.867
9.309
10.035
11.083
16
15
32
83
304
452
Glimepirid
Insulin
Metformin
Pioglitazon
Repaglind
Rosiglitazon
1.676
2.432
3.640
490
38
1.093
1.566
3.544
3.271
725
38
173
3.798
4.297
4.658
928
32
580
2.858
5.462
5.272
589
47
475
4.136
6.921
8.127
1.352
69
82
4.958
10.104
8.706
816
30
Rosiglitazon,
metformin
132
302
103
318
600
59
179
114
305
205
35.429
40.981
Gliclazid
Gliclazid,
metformin
Glimepirid,
metformin
Pioglitazon,
metformin
Tng
15.048
18.408
25.441
27.839
Nm
2006
Nm
2007
S lng SK
Nm
Nm
2008
2009
2
2
1
1
2
2
9
6
2
1
2
12
2
1
2
8
16
24
Nm
2010
Nm
2011
3
0
1
8
2
0
1
7
22
22
24
22
17
18
29
14
1
8
21
17
31
19
1
8
29
21
30
21
1
6
29
21
38
11
2
6
33
27
39
22
2
4
46
34
43
17
1
0
182
186
126
141
151
155
Nm
2006
0,72
1,25
2,88
11,93
29,05
13,20
5,79
31,67
2,37
0,04
1,10
100,00
Nm
2007
0,52
1,12
1,67
11,07
37,42
8,04
5,27
31,93
2,45
0,03
0,50
100,00
Nm
2008
0,59
0,97
3,82
9,46
40,54
22,25
7,66
11,42
2,60
0,02
0,67
100,00
Nm
2009
0,78
0,89
1,87
5,35
45,59
19,02
7,59
16,01
1,67
0,05
1,18
100,00
Nm
2010
0,98
0,00
1,02
3,96
40,02
21,51
8,74
19,62
3,74
0,06
0,35
100,00
Nm
2011
0,84
0,00
0,64
7,82
34,44
29,38
8,33
16,59
1,93
0,02
0,00
100,00
Nm
2006
Nm
2007
Nm
2008
Nm
2009
Nm
2010
Nm
2011
Acarbose
Benfluorex
Chlorpropamid
Glibenclamid
Gliclazid
Glimepirid
Insulin
Metformin
Pioglitazon
Repaglind
Rosiglitazon
Tng
784
1.367
3.146
13.016
31.703
14.408
6.321
34.555
2.581
45
1.199
109.126
787
1.698
2.540
16.859
56.973
12.235
8.018
48.607
3.723
45
764
152.249
1.106
1.800
7.117
17.624
75.525
41.448
14.278
21.269
4.850
45
1.254
186.317
1.259
1.440
3.031
8.670
73.840
30.797
12.290
25.935
2.709
73
1.910
161.953
1.702
0
1.767
6.868
69.461
37.341
15.175
34.057
6.500
110
606
173.587
1.941
0
1.489
18.094
79.648
67.957
19.266
38.373
4.469
45
0
231.281
Nm
2007
0,0
Nm
2008
0,1
Nm
2009
0,1
Nm
2010
0,1
Nm
2011
0,0
Bangladesh
0,0
0,0
0,0
0,3
0,4
0,3
Canada
1,6
1,7
1,1
0,4
0,7
0,4
Trung Quc
0,0
0,0
1,0
0,0
0,0
0,1
Cyprus
0,7
2,0
1,0
0,5
0,7
0,3
an Mch
10,4
14,2
8,5
12,2
10,0
16,3
Php
48,2
47,8
44,0
48,1
43,1
42,1
7,8
6,5
6,6
7,0
6,5
9,0
7,3
9,7
8,2
7,4
12,2
13,4
Indonesia
0,8
0,4
1,1
1,1
0,4
0,3
8,5
6,5
11,7
6,0
7,1
7,6
Hn Quc
1,7
2,3
2,4
3,2
3,5
3,9
Malaysia
0,4
0,5
0,3
0,5
0,0
0,2
Pakistan
1,6
0,4
1,2
1,1
2,5
0,9
Ba Lan
3,4
4,5
7,1
6,6
4,9
2,7
Singapo
Ty Ban
Nha
0,0
0,0
0,0
0,1
0,1
0,0
1,6
1,7
3,3
1,9
1,4
0,0
a Loan
0,0
0,7
1,5
1,3
1,1
0,9
Th nh k
0,0
0,2
0,1
0,6
0,4
0,5
Anh
0,0
0,0
0,0
0,5
0,1
0,0
6,0
1,0
0,8
1,3
1,1
0,8
Israel
0,0
0,0
0,0
0,0
3,7
0,0
0,0
0,0
0,0
0,0
0,0
0,4
100,0
100,0
100,0
100,0
100,0
100,0
Tn quc
gia
Argentina
Tng
Hn Quc
Malaysia
Pakistan
Ba Lan
Singapo
Ty Ban
Nha
a Loan
Th nh k
Anh
M
Israel
c
Tng
Nm
2006
Nm
2007
Nm
2008
18
Nm
2009
20
71
100
Nm
2010
30
136
254
141
3.386
13.388
1.954
2.061
299
1.661
898
140
295
1.825
35
257
3.554
15.285
2.318
4.320
139
2.515
1.227
10
896
1.733
22
235
314
107
1.560
7.254
1.175
1.093
120
1.279
259
63
235
515
370
2.613
8.790
1.202
1.779
67
1.192
426
95
81
827
287
260
263
2.150
11.188
1.674
2.090
284
2.974
607
81
309
1.800
248
306
827
535
484
126
36
372
33
10
214
364
168
139
360
395
138
23
397
1.294
896
15.048
176
18.408
25.441
27.839
35.429
Nm
2011
20
129
161
34
125
6.690
17.273
3.677
5.477
112
3.124
1.591
63
352
1.089
11
357
198
320
179
40.981
Hn Quc
Malaysia
Pakistan
Ba Lan
Singapo
Ty Ban
Nha
a Loan
Th nh k
Anh
M
Israel
c
Tng
Nm
2006
Nm
2007
S lng SK
Nm
Nm
2008
2009
2
1
4
6
3
Nm
2010
Nm
2011
3
9
14
12
41
4
3
10
4
7
5
3
8
12
11
56
2
4
13
4
4
8
4
8
9
12
53
6
3
16
2
7
10
3
8
10
11
55
5
3
17
3
3
10
1
2
10
13
11
77
7
3
16
1
9
5
1
2
1
3
1
2
3
4
1
5
6
4
1
4
4
1
126
141
151
155
1
7
3
182
1
5
3
1
5
9
10
13
78
4
2
20
2
13
9
1
3
1
4
2
186