Prescribing pattern

ABSTRACTSelection of glucocorticoids along with its dose and duration are the important aspects which should be considered while prescribing to the critically ill hospitalized patients. The purpose of this study was to assess the prescription pattern of glucocorticoids and promote appropriate use of it. A prospective observational study, conducted for a period of six months from September 2019 to February 2020 in Navodaya Medical College, Hospital & Research Centre (NMCH&RC) Raichur. Current study was performed in patients of age 18 or above and either sex who were prescribed with Glucocorticoid. All the new cases with drug prescription were included in the study.  Patients who were below 18, ICU patient, lactating and pregnant women were excluded from the study. All the collected data were analyzed with the help of standard guidelines. In the present study, the prescribing of glucocorticoids is found to be appropriate about 84.40 %. However, to ensure safe, effective and well-balanced therapeutic management with glucocorticoids, both patients and prescribers should be more aware of the appropriate dose, dosage regimen, route of administration, duration of therapy and overall guidelines for glucocorticoids prescribing. Hence the involvement of clinical pharmacists in clinical practice helps to increase proper usage of glucocorticoids and optimum outcome. Our study concludes that standard treatment guidelines should be developed at hospital for prescribing of glucocorticoids taking into consideration the patient specific parameters which will improve therapeutic outcomes. Keywords: Prescribing pattern, glucocorticoids, corticosteroids, appropriateness, inappropriateness.

ABSTRACTPrescribing pattern monitoring studies are a tool for assessing the prescribing, dispensing and distribution of medicines. The main aim of this study is to facilitate rational use of medicines. Diabetes is a metabolic disorder characterized by the existence of hyperglycaemia due to malfunctioning insulin secretion, insulin action or both. The main aim of this study is to study the prescribing pattern of anti-diabetic drugs in a Type-II diabetes mellitus in a tertiary care teaching hospital. This Prospective observational study performed for a period of 6 months in general medicine department Rajiv Gandhi Institute of Medical sciences. A total 320(100%) patients were recruited under inclusion criteria upon taking of ICF based on inclusion and exclusion criteria. In this study we found a higher incidence in age group of 45-65 years. Mean age of patients came out to be 57.36 ± 8.80 years. Average number of drugs per prescription was 3.99 because of polypharmacy practice in diabetic patients. Biguanides and Sulfonylureas are the most commonly prescribed antidiabetic drugs that were in line with other studies. Among biguanides metformin was most commonly prescribed drug. Maintaining better glycemic control is a therapeutic goal for Type 2 DM patients, which can reduce the frequency of complications and thereby improves quality of life. A strong conclusion of this study highlights the necessity for patient education and counselling on usage of antidiabetic and associated drugs, regular checkups of blood glucose and glycosylated haemoglobin (HbA1c) levels, dietary changes with low calorie food, and rectification of diabetic problems. Keywords: Prescribing pattern, diabetes mellitus, rational use of drugs, better patient care.