Use of driving-impairing medicines by a Spanish population: a population-based registry study

Abstract

Objective: To assess the use of driving-impairing medicines (DIM) in the general population with special reference to length of use and concomitant use.

Design: Population-based registry study.

Setting: The year 2015 granted medicines consumption data recorded in the Castile and León (Spain) medicine dispensation registry was consulted.

Participants: Medicines and DIM consumers from a Spanish population (Castile and León: 2.4 million inhabitants).

Exposure: Medicines and DIM consumption. Patterns of use by age and gender based on the length of use (acute: 1-7 days, subacute: 8-29 days and chronic use: ≥30 days) were of interest. Estimations regarding the distribution of licensed drivers by age and gender were employed to determine the patterns of use of DIM.

Results: DIM were consumed by 34.4% (95% CI 34.3% to 34.5%) of the general population in 2015, more commonly with regularity (chronic use: 22.5% vs acute use: 5.3%) and more frequently by the elderly. On average, 2.3 DIM per person were dispensed, particularly to chronic users (2.8 DIM per person). Age and gender distribution differences were observed between the Castile and León medicine dispensation registry data and the drivers' license census data. Of all DIM dispensed, 83.8% were in the Anatomical Therapeutic Chemical code group nervous system medicines (N), which were prescribed to 29.2% of the population.

Conclusions: The use of DIM was frequent in the general population. Chronic use was common, but acute and subacute use should also be considered. This finding highlights the need to make patients, health professionals, health providers, medicine regulatory agencies and policy-makers at large aware of the role DIM play in traffic safety.

Keywords: accident, traffic; automobile driving; driving-impairing medicines; drug prescription; drug utilization; risk assessment.