PRESCRIBING PATTERN OF PSYCHOTROPIC AGENTS IN RURAL TERTIARY CARE TEACHING HOSPITAL

Rajesh Venkataraman; Madan Rayamajhi; Shahinur Islam; Nanjunda N

doi:10.22159/ajpcr.2018.v11i3.23063

Authors

Rajesh Venkataraman Department of Clinical Pharmacy, Sri Adichunchanagiri College of Pharmacy, B.G Nagara, Karnataka, India.
Madan Rayamajhi Department of Clinical Pharmacy, Sri Adichunchanagiri College of Pharmacy, B.G Nagara, Karnataka, India.
Shahinur Islam Department of Clinical Pharmacy, Sri Adichunchanagiri College of Pharmacy, B.G Nagara, Karnataka, India.
Nanjunda N Department of Clinical Pharmacy, Sri Adichunchanagiri College of Pharmacy, B.G Nagara, Karnataka, India.

DOI:

https://doi.org/10.22159/ajpcr.2018.v11i3.23063

Keywords:

Psychotropic agents, Prescription patterns, WHO guidelines

Abstract

Â Objectives: The objectives of the study were to study the prescribing pattern on psychotropic agents at psychiatric department at rural tertiary care teaching hospital, B.G. Nagara.

Methods: A prospective and observational study was conducted among psychiatric department (either sex) after considering inclusion and exclusion criteria for the period of 6 months and a total of 300 prescriptions were analyzed.

Results: A total of 300 psychiatric patients were enrolled, male 170 (56.67%) patients predominated over females 130 (43.33%) patients. Majority of participants were under age group of 31â€“40 years (28.6%), illiterate (75%), unemployed (52%), and married (84%). Prevalence of mood disorder 109 (36.33%) was high followed by substance used and addictive disorder 53 (17.67%), schizophrenia 46 (15.33%), and psychosomatic medicine 22 (7.33%). Antidepressant (28.59%) was the commonly prescribed group followed by benzodiazepines (14.81%), anticholinergic (7.18%), and anticonvulsants (7.18%). Tricyclic antidepressants drugs amitriptyline (53.44%) was most frequently prescribed an antidepressant. An average number of drugs per prescription was 2.32 out of which 16.91% of drugs were prescribed by their generic name.

Conclusion: Selective serotonin reuptake inhibitors (SSRIs) were the most common group, and escitalopram was the most common medication used among the SSRIs. Majority of the drugs were prescribed from essential drug list. This study advocated an overall rational utilization of psychotropic drugs with fewer deviations due to the socioeconomic status of patients and prescription practices of healthcare providers and need to improve prescribing habits to ensure rational use.

Downloads

Download data is not yet available.

References

Welcome MO. The Nigerian health care system: Need for integrating adequate medical intelligence and surveillance systems. J Pharm Bioallied Sci 2011;3:470-8.

Kar SS, Pradhan HS, Mohanta GP. The concept of essential medicines and rational use in public health. Indian J Community Med 2010;35:10 3.

Prakash B, Nadig P, Nayak A. Rational prescription for a dermatologist. Indian J Dermatol 2016;61:32-8.

Ilyaz M, Baig MM, Ramakrishna R, Quadir MA, Fathima M, Khan SA. Drug utilization study of antipsychotics and its common ADRâ€™s in the psychiatry OPD of OHRC. Int J Pharm Pharm Sci 2014;6:162 5.

Paul PK, Konwar M, Das S. To study the prescribing pattern of antipsychotic drugs in a tertiary care hospital of Assam. Int J Pharm Pharm Sci 2014;6:435-7.

Nagaraja PS, Shreenivas P, Vedavathi H, Chidanand KN, Murray JL, Manjunath H. A study on prescription analysis and utilization of antibiotics in geriatric in-patients admitted in Shimoga institute of medical sciences tertiary care hospital, Shimoga, Karnataka, India. Int J Basic Clin Pharmacol 2016;5:904-9.

Babar HS, Hussain S, Maqsood Z, Dad HA, Khan M, Rahman AA, et al. Adherence to prescription format and compliance with who core prescribing indicators. Pharm Sci Res. 2014;6(4):195-9.

Gopalakrishnan S, Ganeshkumar P, Katta A. Assessment of prescribing practices among urban and rural general practitioners in Tamil Nadu. Indian J Pharmacol 2013;45:252-7.

Kessler RC, Aguilar-Gaxiola S, Alonso J, Chatterji S, Lee S, Ormel J, et al. The global burden of mental disorders: An update from the WHO world mental health (WMH) surveys. Epidemiol Psichiatr Soc 2009;18:23-33.

Mudhaliar MR, Ghouse ISM, Sadubugga P, Narala SR, Chinnakotla V, Yendluri P. Psychotropic drug utilization in psychiatric outpatient department of a tertiary care teaching hospital in India. Int J Res Med Sci. 2017;5(4):1612-16.

Grover S, Kumar V, Avasthi A, Kulhara P. An audit of the first prescription of new patients attending a psychiatry walk-in-clinic in north India. Indian J Pharmacol 2012;44:319-25.

Thakkar BK, Mangal JM, Gauri B, Abhijit J, Khobragade A. A drug utilization study of psychotropic drugs prescribed in the psychiatry outpatient department of a tertiary care hospital. J Clin Diag Res 2013;7:2759-64.

Swamy MK, Wagle L, Giri V. Drug utilisation pattern of psychotropic drugs in psychiatric outpatient department of rural tertiary care teaching hospital. Int J Pharm Sci Res 2016;7:3497-8.

Banerjee I, Roy B, Sathian B, Banerjee I, Chakraborty PK, Saha A. Socio-demographic profile and utilization pattern of antipsychotic drugs among schizophrenic inpatients: A cross-sectional study from western region of Nepal. BMC Psychiatry 2013;13:1-10.

Mishra S, Swain T, Mohanty T. Patterns of prescription and efficacy evaluation of antidepressants in a tertiary care teaching hospital in Eastern India. Asian J Pharm Clin Res 2012;5:193-6.

Roopadevi HS, Ramesh KS, Nagabushan H. Pattern of psychotropic prescription in a tertiary care teaching hospital: A critical analysis. Asian J Pharm Clin Res 2015;8:252-55.

Ghosh S, Roychaudhury S. Prescribing pattern of antidepressant drugs in a tertiary care hospital of eastern India. J Chem Pharm Res 2014;6:2593-7.