EVALUATION OF PRESCRIBING PATTERN OF FIXED DOSE COMBINATIONS OF ANTIHYPERTENSIVES AND ANTIDIABETIC AGENTS

Authors

  • Niyati D Vyas Department of Pharmacy, Ramanbhai Patel College of Pharmacy, Charotar University of Science and Technology Campus-Changa, Gujarat,India.
  • Alpa P Gor Department of Pharmacology, Pramukhswami Medical College, Karamsad, Gujarat, India.
  • Jalpa V Suthar Department of Clinical Pharmacy, Ramanbhai Patel College of Pharmacy, Charotar University of Science and Technology Campus-Changa, Gujarat, India.

DOI:

https://doi.org/10.22159/ajpcr.2017.v10i9.18966

Keywords:

Fixed dose combinations, Antihypertensives, Antidiabetics

Abstract

 

 Objective: The objective of this research was to evaluate prescribing pattern of fixed dose combinations (FDCs) of antihypertensives and antidiabetic agents among patients of private hospitals.

Methods: An observational study was carried out in the outpatient department of two hospitals. Data of patients being diagnosed with the symptoms of hypertension and diabetes were enrolled which mainly included information related to prescribe FDCs, i.e., antihypertensives and antidiabetics, respectively. Descriptive analysis of collected information was done which involved representation of demographical data, number of comorbidities, number of FDCs prescribed, and type of FDCs consequently.

Results: Combination drug therapy was prescribed in maximum patients, which was enumerated as 93% among hypertensive patients and about 91% in diabetics. Average age of patients suffering more from hypertension was 64.5±18 years and that in case of diabetes sufferers was 54.5±18 years. The most frequent combination prescribed in hypertensive patients was of angiotensin receptor blocker (ARB) and calcium channel blocker (CCB) which were about 53%, and in diabetic patients, it was of biguanides and sulfonylureas about 63%. Comorbidity too was notified, and its estimation was 61% in hypertensive patients and 72% in diabetic patients, respectively.

Conclusion: The study here demonstrates that the most often prescribed antihypertensive combination is of ARB and CCB, and subsequently for diabetes, the oral hypoglycemic combination is of biguanides and sulfonylureas. Most of FDCs contained medications of these two classes. Positive results were also observed in levels of blood pressure and glucose within the normal range.

Downloads

Download data is not yet available.

References

James PA, Oparil S, Carter BL, Cushman WC, Dennison-Himmelfarb C, Handler J, et al. Evidence-based guideline for the management of high blood pressure in adults report from the panel members appointed to the eighth joint national committee (JNC 8). JAMA. Doi: 10.1001/ jama.2013.284427.

Ramachandran G, Rohith V, Topno I. Evaluation of prescribing pattern of anti-diabetic drugs using WHO prescribing indicators in a tertiary care hospital in Pondicherry: A cross-sectional study. Int J Clin Pharmacol Thyer 2015;4(5):76-80.

Shahir AQ, Kauser S, Dharmendra G, Ahmad AN. Prescribing patterns of anti-diabetic medications in tertiary care teaching hospital, Bareilly, UP, India. J Pharm Sci Innov 2013;2(1):41-6.

Sridevi SA, Ganesh M. Study on the Prescription Pattern of Oral Hypoglycemic Agents in Type 2 Diabetes Mellitus in the Outpatient Department of a Tertiary Care Hospital in Chennai. Vol. 6. March; 2016.

Murthy S, Jambulingappa KL, Gokul, Ramakrishna S, Acharya A, Adake P. Prescribing patterns of anti-hypertensive combinations in a tertiary care setting, Karnataka, India. Drug Invent Today 2011;3(11):265-9.

Kale A, Maniyar YA. Prescribing patterns of antihypertensive drugs in a tertiary care hospital, Karnataka, India. Acd J Pharm 2013;2(5):416-8.

Moradi M, Mousavi S. Drug use evaluation of diabetes mellitus in non-hospitalized patients. Int J Pharm Pharm Sci 2016;8(8):337-41.

Yuen YH, Chang S, Chong CK, Lee SC, Critchlev JA, Chan JC. Drug utilization in a hospital general medical outpatient clinic with particular reference to antihypertensive and ant diabetic drugs. J Clin Pharm Ther 1998;23:287-94.

Suheela SH, Narendranth S, Somashekhar HS, Reshma SR, Keerthi SJ, Ramachandra K. Prescriptive pattern of antihypertensive in a tertiary care hospital using DU-90%. Int J Pharm Res Dev 2011;4(1):107-13.

Sikidar P, Chakravarty P, Purkayastha A, Tigga R. A Study on prescribing pattern of antihypertensive in adult patients attending in a tertiary care hospital of Assam, India. Int J Basic Clin Pharmacol 2016;5(3):975-8.

Bajaj JK, Sood M, Singh SJ, Jerath P. Prescription patterns of antihypertensive drugs and adherence to JNC VII guidelines in a tertiary care hospital in North India. Int J Med Clin Res 2012;3(2):118-20.

Jhaj R, Goel NK, Gautam CS, Hota D, Sangeeta B, Sood A, et al. Prescribing patterns and cost of antihypertensive drugs in an internal medicine clinic. Indian Heart J 2001;53(3):323-7.

Nachiya RA, Parimalakrishnan S, Rao MR. Cost analysis of antihypertensive agents in rural population: A prospective study. Int J Pharm Pharm Sci 2016;8(3):225-30.

Mancia G, Grassi G. Antihypertensive treatment: Past, present and future. J Hypertens Suppl 1998;16(1):S1-7.

Carré A. Pharmacologic importance of the combination atenolol/ nifedipine in hypertensive patients. Drugs 1998;56 Suppl 2:23-30.

Prisant LM, Beall SP, Nicholads GE, Feldman EB, Carr AA, Feldman DS, et al. Biochemical, endocrine, and mineral effects of indapamide in black women. J Clin Pharmacol 1990;30:121-6.

Tiwari H, Kumar A, Kulkarni SK. Prescription monitoring of anti-hypertensive drug utilisation at the Panjab university health centre in India. Singapore Med J 2004;45(3):117-20.

Rajan SK, Sivakumar R, Arunaprakash J. The study of plasma glycosylated hemoglobin and fibrinogen levels in patients with Type 2 diabetes mellitus and its complication. Asian J Diabetol 2005;7:9-12.

Upadhyay DK, Palaian S, Shanker PR, Mishra P, Sah AK. Prescribing pattern in diabetic outpatients in a tertiary care teaching hospital in Nepal. J Clin Diagn Res 2007;3:248-55.

Flier JS, Maratos-Flier E. Obesity. In: Kasper DL, Braunwald E, Fauci AS, Hauser SL, Longo DL, Jameson JL, editors. Harrison’s Principles of Internal Medicine. 16th ed., Vol. 1. New York: Medical Publishing Division, McGraw-Hill; 2005. p. 422-9.

UKPDS 28: A randomized trial of efficacy of early addition of metformin in sulfonylurea-treated Type 2 diabetes. U.K. Prospective diabetes study group. Diabetes Care 1998;21(1):87-92.

Bukhsh A, Liaqat I, Javaid S, Bashir M, Khan B, Yaseen H, et al. Prescription analysis of ambulatory patients of diabetes mellitus in Lahore Pakistan. Adv Pharm Ethnopharmacol Med 2014;2(2):21-5.

Laakso M, Letho S. Epidemiology of macrovascular disease in diabetes. Diabet Rev 1997;5:294-315.

Published

01-09-2017

How to Cite

Vyas, N. D., A. P. Gor, and J. V. Suthar. “EVALUATION OF PRESCRIBING PATTERN OF FIXED DOSE COMBINATIONS OF ANTIHYPERTENSIVES AND ANTIDIABETIC AGENTS”. Asian Journal of Pharmaceutical and Clinical Research, vol. 10, no. 9, Sept. 2017, pp. 164-8, doi:10.22159/ajpcr.2017.v10i9.18966.

Issue

Section

Original Article(s)