Prescribing trends in the department of orthopedics of a tertiary care teaching hospital
Journal Title: International Journal of Research in Pharmacology & Pharmacotherapeutics (IJRPP) - Year 2017, Vol 6, Issue 3
Abstract
Background Drug utilization studies are necessary to monitor the prescriptions and promote rational drug prescribing among clinicians. Orthopedics department use a wide range of drugs from varied classes to meet the needs of their patients. This tends to result in drug interactions, adverse drug effects and prescription errors leading to increase in hospital cost and decrease in therapeutic compliance of the patients. Aim The present study was conducted to analyze the prescribing trends in the Department of Orthopedics of Dr. B R Ambedkar Medical College, Bengaluru. Methods A cross sectional prospective observational study was conducted over a period of three months. The prescriptions of patients attending orthopedics departments from both OPD and IPD were collected and analyzed. Results A total of 703 prescriptions having 2288 drugs were analyzed with number of drugs per prescription varying from 1 to 5 with average of 3.25. The commonest diagnosis in patients attending the orthopedics department was fractures (38%) followed by lumbago (30%), osteoarthritis (19%), dislocations (6%), bursitis (3%), and synovitis and neuropathies with 1% each. NSAIDS (49%) were the most commonly prescribed drugs followed by antiulcerants (16%), antimicrobials (13%), opioid analgesics (12%), nutraceuticals like calcium and vitamin D3 supplements (4.8%), skeletal muscle relaxants (3.3%), followed by anti inflammatory enzymes and drugs for neuropathy at 1% each. 8% of drugs were prescribed by generics and 35% of prescriptions had Fixed dose combination (FDC). 69% of drugs were from the National List of Essential Medicines (NLEM) India with approximately 20% of the formulations being injections Conclusion Lacunas like less numbers of prescriptions by generic drugs, polypharmacy and incomplete prescriptions were noted. Thus regular sensitization programmes regarding rational prescribing, and use of generics will help in promotion of rational prescribing among clinicians.
Authors and Affiliations
Abishek Srihari
Keywords
Related Articles
- EP ID EP413018
- DOI -
- Views 134
- Downloads 0
Effect of verapamil and nimodipine in reversing the ethanol withdrawal induced anxiety in rats
BACKGROUND AND OBJECTIVE Anxiety that occurs during alcohol withdrawal may be the precipitating factor for relapse of alcoholism. Earlier studies have demonstrated calcium channel activity peaks during alcohol withdrawa...
To study the knowledge, attitude and practice of health care providers on H.I.V post-exposure prophylaxis in a teritiary care hospital, Guntur
Introduction Post exposure prophylaxis (PEP) of HIV is only way to reduce the risk of HIV after potential exposure. This study was conducted to assess the knowledge, attitude and practice regarding PEP of HIV among medi...
GC-MS Analysis and antimicrobial activity of essential oil of Nepeta coerulescens
The chemical composition of the essential oil obtained from the leaves of Nepeta coerulescens collected from the Zanskar sub district of Kashmir, was analyzed by GC-MS. The major constituent terpene hydrocarbon was foun...
A comparative study of efficacy and safety of topical travoprost 0.004% versus latanoprost 0.005% in the treatment of primary open angle glaucoma at a tertiary care hospital
Introduction Glaucoma, “silent thief of sight” is a chronic, progressive optic neuropathy leading to optic nerve damage and visual field loss. Lowering intraocular pressure (IOP) in patients with primary open-angle glau...
Evaluation of anti-arthritic activity of aqueous extract of leaves of chloroxylon swetenia in adjuvant induced arthritis in rats
OBJECTIVE The aim of this study was to evaluate anti-arthritic activity of ethanolic extract of Chloroxylon swietenia leaves in Male Wister Albino rats using in-vitro and in-vivo methods. METHODS Animals were divided in...