Psychotropic drug prescription practice in psychiatric out-patients in a tertiary care hospital
Journal Title: Medpulse International Journal of Pharmacology - Year 2018, Vol 8, Issue 1
Abstract
Background: Psychotropic drugs play pivotal role in psychiatric care. Prescription patterns explain the extent and profile of drug use, trends, quality of drugs and compliance with regional, usage of drugs from essential medicine list. Aim: To analyze the psychotropic drug prescription practice in psychiatric out-patients of a tertiary care teaching hospital. Material and Methods: A total of 700 prescriptions of psychiatric outpatients which fulfilled the inclusion criteria were evaluated. Prescription was collected by an independent person by clicking its picture with mobile phone outside the OPD without the knowledge of prescriber to avoid any bias. Basic indicators referred to as core indicators were used as measure of performance in three general areas related to rational use of drugs. Results: In 700 prescriptions studied, 1752 (95.2%) psychotropic drugs were prescribed, frequency ranging from 26.7% to 0.06%. Olanzapine was prescribed maximum number of times (26.7%), followed by lorazepam (13.4%) and amisulpride (10.2%). Anti-psychotic class of drugs were most commonly prescribed (41.7%), followed by anti-anxiety (27.6%), mood stabilizer (12%), anti-depressant (10.8%). 387 (22%)psychotropic drugs were prescribed from essential drugs list. Conclusion: The most common group of psychotropic drug prescribed was antipsychotic with prescription trends towards atypical antipsychotics. Olanzapine, an atypical antipsychotic was the most common drug prescribed for schizophrenia.
Authors and Affiliations
Rashmi Sharma, Brij Mohan Gupta, Rakesh Banal
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