Prescription Monitoring of drugs used for asthma and COPD: A retrospective, before-after study
Journal Title: International Journal of Pharmaceutical and Medicinal Reserach - Year 2014, Vol 2, Issue 2
Abstract
Background: Nowadays there is increase in the incidence of chronic diseases such as bronchial asthma and chronic obstructive pulmonary disease. As these diseases require long-term treatment, irrational use of drugs may be possible that might lead to certain consequences. Drug utilisation evaluation is an essential part of pharmaco-epidemiological studies by which understanding of drug use according to the guidelines can be assessed. Aim: The aim of this study was to find out the difference between the drug utilisation patterns in subsequent visits of patients to the outpatient department. Methods and materials: In this before-after retrospective study, 104 asthma and chronic obstructive pulmonary disease patients attending the out-patient department of Pulmonary Medicine of a medical college hospital in Hyderabad, India were recruited for the study. At two different visits patient’s prescriptions were assessed and data was collected. Comparisons were made between the two visits for the drugs prescribed. Results: The results revealed that montelukast was the most prescribed drug in both first (56.7%) and second (54.8%) visits, either alone or in combination and the most preferred inhaler device was pressurised metered dose inhaler with spacer (56.73%) and the drug used through inhalational route was formoterol in both visits (15.3% and 14.4%) as monotherapy followed by fluticasone+formoterol as combination therapy (24% and 21.1%). Conclusion: montelukast and formoterol was most prescribed drugs in this study. Apart from physicians, pharmacists can also play a role in correct prescribing practice and standard treatment guidelines by providing feedback of patient understanding, medication adherence and drug response to the treating physician.
Authors and Affiliations
Mohammed Maazuddin, Mohd. Nasir Mohiuddin, Mohd. Javeedullah, Sana Afreen
Keywords
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