Patterns of prescription dispensation and over-the-counter medication sales in Sweden during the COVID-19 pandemic. 2021

Pär Karlsson, and Aya Olivia Nakitanda, and Lukas Löfling, and Carolyn E Cesta
Centre for Pharmacoepidemiology, Karolinska Institutet, Stockholm, Sweden.

On February 26th 2020, a high alert was issued in Sweden in response to the diagnosis of the first few coronavirus disease 2019 (COVID-19) cases in the country. Subsequently, a decreased supply of essential goods, including medical products, was anticipated. We aimed to explore the weekly patterns of prescription dispensing and over-the-counter (OTC) medication sales in Sweden in 2020 compared with previous years, to assess the influence of the government restrictions on medication sales, and to assess whether there is evidence of medication stockpiling in the population. Aggregated data on the weekly volume of defined daily doses (DDDs) of prescription medication dispensed and OTC sales from 2015 to 2020 were examined. From 2015-2019 data, the predicted weekly volume of DDDs for 2020 was estimated and compared to the observed volume for each ATC anatomical main group and therapeutic subgroup. From mid-February to mid-March 2020, there were increases in the weekly volumes of dispensed medication, peaking in the second week of March with a 46% increase in the observed versus predicted number of DDDs dispensed (16,440 vs 11,260 DDDs per 1000 inhabitants). A similar pattern was found in all age groups, in both sexes, and across metropolitan and non-metropolitan regions. In the same week in March, there was a 96% increase in the volume of OTC sold (2,504 vs 1,277 DDDs per 1000 inhabitants), specifically in ATC therapeutic subgroups including vitamins, antipyretics, painkillers, and nasal, throat, cough and cold preparations. Beginning in mid-February 2020, there were significant changes in the volume of prescription medication dispensed and OTC drugs sold. The weekly volume of DDDs quickly decreased following recommendations from public authorities. Overall, our findings suggest stockpiling behavior over a surge in new users of medication.

UI MeSH Term Description Entries
D011790 Quarantine Limited freedom of movement of individuals to reduce the risk of spread of communicable disease by those who have been exposed to infectious or communicable disease in order to prevent its spread; a period of detention of vessels, vehicles, or travelers coming from infected or suspected places; and detention or isolation on account of suspected contagion. It includes government regulations on travel restrictions, border security measures to mitigate spread of a contagion and the detention of animals at frontiers or ports of entrance for the prevention of infectious disease. (From Black's Veterinary Dictionary, 17th ed) Border Closing, Health-Related,Border Travel Restrictions, Health-Related,Cordon Sanitaire,Health-Related Border Travel Restrictions,Health-Related Travel Restriction,Health-Related Travel Restrictions,Lockdown, Health,Self-Quarantine,Stay at Home Orders,Travel Restriction, Health,Travel Restrictions, Health-Related,Border Closing, Health Related,Border Closings, Health-Related,Border Travel Restrictions, Health Related,Health Lockdown,Health Lockdowns,Health Related Border Travel Restrictions,Health Related Travel Restriction,Health Related Travel Restrictions,Health Travel Restriction,Health Travel Restrictions,Health-Related Border Closing,Health-Related Border Closings,Quarantines,Self Quarantine,Travel Restriction, Health-Related,Travel Restrictions, Health,Travel Restrictions, Health Related
D003132 Commerce The interchange of goods or commodities, especially on a large scale, between different countries or between populations within the same country. It includes trade (the buying, selling, or exchanging of commodities, whether wholesale or retail) and business (the purchase and sale of goods to make a profit). (From Random House Unabridged Dictionary, 2d ed, p411, p2005 & p283) Business,Commercial Sector,Prices,Sales,Vendors,Businesses,Commerces,Commercial Sectors,Price,Sale,Sector, Commercial,Sectors, Commercial,Vendor
D003258 Consumer Behavior Behavior associated with the procurement of goods, services, or experiences. Consumer Preference,Consumer Satisfaction,Behavior, Consumer,Behaviors, Consumer,Consumer Behaviors,Consumer Preferences,Preference, Consumer,Preferences, Consumer,Satisfaction, Consumer
D004363 Drug Utilization The utilization of drugs as reported in individual hospital studies, FDA studies, marketing, or consumption, etc. This includes drug stockpiling, and patient drug profiles. Utilization, Drug,Drug Utilizations,Utilizations, Drug
D004366 Nonprescription Drugs Medicines that can be sold legally without a DRUG PRESCRIPTION. Drugs, Non-Prescription,Non-Prescription Drug,Nonprescription Drug,OTC Drug,OTC Drugs,Over-the-Counter Drug,Over-the-Counter Drugs,Patent Medicine,Patent Medicines,Drugs, Nonprescription,Medicines, Patent,Non-Prescription Drugs,Drug, Non-Prescription,Drug, Nonprescription,Drug, OTC,Drug, Over-the-Counter,Drugs, Non Prescription,Drugs, OTC,Drugs, Over-the-Counter,Medicine, Patent,Non Prescription Drug,Non Prescription Drugs,Over the Counter Drug,Over the Counter Drugs
D006801 Humans Members of the species Homo sapiens. Homo sapiens,Man (Taxonomy),Human,Man, Modern,Modern Man
D000086382 COVID-19 A viral disorder generally characterized by high FEVER; COUGH; DYSPNEA; CHILLS; PERSISTENT TREMOR; MUSCLE PAIN; HEADACHE; SORE THROAT; a new loss of taste and/or smell (see AGEUSIA and ANOSMIA) and other symptoms of a VIRAL PNEUMONIA. In severe cases, a myriad of coagulopathy associated symptoms often correlating with COVID-19 severity is seen (e.g., BLOOD COAGULATION; THROMBOSIS; ACUTE RESPIRATORY DISTRESS SYNDROME; SEIZURES; HEART ATTACK; STROKE; multiple CEREBRAL INFARCTIONS; KIDNEY FAILURE; catastrophic ANTIPHOSPHOLIPID ANTIBODY SYNDROME and/or DISSEMINATED INTRAVASCULAR COAGULATION). In younger patients, rare inflammatory syndromes are sometimes associated with COVID-19 (e.g., atypical KAWASAKI SYNDROME; TOXIC SHOCK SYNDROME; pediatric multisystem inflammatory disease; and CYTOKINE STORM SYNDROME). A coronavirus, SARS-CoV-2, in the genus BETACORONAVIRUS is the causative agent. 2019 Novel Coronavirus Disease,2019 Novel Coronavirus Infection,2019-nCoV Disease,2019-nCoV Infection,COVID-19 Pandemic,COVID-19 Pandemics,COVID-19 Virus Disease,COVID-19 Virus Infection,Coronavirus Disease 2019,Coronavirus Disease-19,SARS Coronavirus 2 Infection,SARS-CoV-2 Infection,Severe Acute Respiratory Syndrome Coronavirus 2 Infection,COVID19,2019 nCoV Disease,2019 nCoV Infection,2019-nCoV Diseases,2019-nCoV Infections,COVID 19,COVID 19 Pandemic,COVID 19 Virus Disease,COVID 19 Virus Infection,COVID-19 Virus Diseases,COVID-19 Virus Infections,Coronavirus Disease 19,Disease 2019, Coronavirus,Disease, 2019-nCoV,Disease, COVID-19 Virus,Infection, 2019-nCoV,Infection, COVID-19 Virus,Infection, SARS-CoV-2,Pandemic, COVID-19,SARS CoV 2 Infection,SARS-CoV-2 Infections,Virus Disease, COVID-19,Virus Infection, COVID-19
D013548 Sweden Country in northern Europe, bordering the Baltic Sea, between Finland and Norway. The capital is Stockholm.
D055553 Prescription Drugs Drugs that cannot be sold legally without a prescription. Prescription Drug,Drug, Prescription

Related Publications

Pär Karlsson, and Aya Olivia Nakitanda, and Lukas Löfling, and Carolyn E Cesta
December 2014, Pharmacoepidemiology and drug safety,
Pär Karlsson, and Aya Olivia Nakitanda, and Lukas Löfling, and Carolyn E Cesta
January 2022, Substance abuse : research and treatment,
Pär Karlsson, and Aya Olivia Nakitanda, and Lukas Löfling, and Carolyn E Cesta
January 1987, European journal of clinical pharmacology,
Pär Karlsson, and Aya Olivia Nakitanda, and Lukas Löfling, and Carolyn E Cesta
June 2022, Annals of medicine and surgery (2012),
Pär Karlsson, and Aya Olivia Nakitanda, and Lukas Löfling, and Carolyn E Cesta
October 2021, Pain medicine (Malden, Mass.),
Pär Karlsson, and Aya Olivia Nakitanda, and Lukas Löfling, and Carolyn E Cesta
March 2024, BMC psychiatry,
Pär Karlsson, and Aya Olivia Nakitanda, and Lukas Löfling, and Carolyn E Cesta
December 2023, Research in social & administrative pharmacy : RSAP,
Pär Karlsson, and Aya Olivia Nakitanda, and Lukas Löfling, and Carolyn E Cesta
August 2021, Pain medicine (Malden, Mass.),
Pär Karlsson, and Aya Olivia Nakitanda, and Lukas Löfling, and Carolyn E Cesta
October 2022, Healthcare (Basel, Switzerland),
Pär Karlsson, and Aya Olivia Nakitanda, and Lukas Löfling, and Carolyn E Cesta
February 2022, Scandinavian journal of public health,
Copied contents to your clipboard!