The analysis of azole-derivatives antifungal pharmaceuticals products used in the Republic of Moldova
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2024-01-15 18:39
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DRUMEA, Maria, VALICA, Vladimir, MAKAEV, Fliur. The analysis of azole-derivatives antifungal pharmaceuticals products used in the Republic of Moldova. In: Perspectives of the Balkan medicine in the post COVID-19 era: The 37th Balkan Medical Week. The 8th congress on urology, dialysis and kidney transplant from the Republic of Moldova “New Horizons in Urology”, Ed. 37, 7-9 iunie 2023, Chişinău. București: Balkan Medical Union, 2023, Ediția 37, p. 279. ISSN Print: ISSN 1584-9244 ISSN-L 1584-9244 Online: ISSN 2558-815X.
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Perspectives of the Balkan medicine in the post COVID-19 era
Ediția 37, 2023
Congresul "Perspectives of the Balkan medicine in the post COVID-19 era"
37, Chişinău, Moldova, 7-9 iunie 2023

The analysis of azole-derivatives antifungal pharmaceuticals products used in the Republic of Moldova


Pag. 279-279

Drumea Maria1, Valica Vladimir1, Makaev Fliur12
 
1 ”Nicolae Testemițanu” State University of Medicine and Pharmacy,
2 Institute of Chemistry, MSU
 
 
Disponibil în IBN: 6 ianuarie 2024


Rezumat

Introduction. Over the past 25 years, the incidence of fungal infection has increased at an alarming rate across the world, due to a significant growth in the prevalence of resistance to antifungal agents. Azole derivatives are of increased interest in the development of new antifungal products with the ability to overcome drug resistance, reduce toxicity and improve pharmacokinetic profiles. Material and methods. According to the State Nomenclature of Medicinal Products registered in the Republic of Moldova and the National Price Catalogue of Medicinal Products Manufacturers, we selected and analyzed by ATC code azole-derived medicinal products in the Republic of Moldova. Results. According to ATC, azole derivatives are included in group D01AC (imidazole and triazole derivatives) – 19 TN and J02AC (triazole derivatives) – 65 TN. The market leader in Moldova is Fluconazole 58 (69%), followed by Ketoconazole 8 (10%), Clotrimazole 5 (6%), Itraconazole 5 (6%), Bifonazole 2 (3%), Fenticonazole, Isoconazole, Sertaconazole, Voriconazole, Posaconasole 1 each (1%). 18 TN (21%) are autochthonous (Fluconazole 15, Clotrimazole, Ketoconazole, Sertaconazole each 1). The leading DRC holder is SC Balkan Pharmaceuticals SRL with 10 TN. Importing countries with a high rate are: India (24%), Turkey (12%), Romania (11%). By pharmaceutical form the most prevalent are Capsules (44%), Tablets (18%), Cream (16%). Conclusions. There are 84 Trade Names registered in the Republic of Moldova. The leader is Fluconazole by 58, but many strains are resistant to it, so new antifungal agents with fewer adverse effects are needed, which reduce resistance, toxicity, improve bioavailability and antifungal spectrum.