Impact of Narcotics Information Management System on Inappropriate
Benzodiazepine Receptor Agonist Prescriptions: A Quasi-Experimental
Analysis in South Korea
Abstract
Background: The South Korean government implemented the Narcotics
Information Management System (NIMS) on 18 May 2018 to manage
benzodiazepine receptor agonists (BzRAs) and narcotics effectively and
establish a reporting mechanism for these drugs. This study assessed the
effects of NIMS on inappropriate use of BzRAs. Methods: Using National
Patient Sample data from 2016 to 2020, we analysed adult outpatients who
were prescribed oral BzRAs. We conducted a time series and segmented
regression analysis using selected indicators to analyse the monthly
variations related to the inappropriate use of these medications.
Results: The study revealed no significant changes in the indicators of
inappropriate BzRA use following the NIMS implementation. Contrary to
expectations, there was a significant increase in the proportion of
patients exceeding Defined Daily Dose (DDD) and in those receiving
concurrent prescriptions of multiple BzRAs, following the implementation
of NIMS. The immediate impact of the COVID-19 pandemic was an increase
in DDD exceedance; however, overall, this did not significantly affect
BzRA use. Conclusion: The introduction of NIMS did not significantly
enhance the management of BzRA misuse. Additional measures, including
continuous monitoring, system improvements, and comprehensive education
for prescribers and patients, are recommended to ensure the appropriate
use of psychotropic medications.