A PROSPECTIVE STUDY ON GERIATRIC PRESCRIBING PATTERN AND MEDICATION ADHERENCE IN A TERTIARY CARE HOSPITAL


Seema Anjum M, Chinchu Jacob, Chinchu Jacob, Akhil Benchamin, Akhil Benchamin, Prudence A Rodrigues, Prudence A Rodrigues

Abstract


 

 Objectives: To identify potentially inappropriate medications (PIMs) using Beers criteria 2015 and to recommend safer alternative medication for the above. To assess the medication adherence in geriatric patients and to categorize according to their adherence.

Methods: This is prospective, interventional study. A total of 90 patients aged 65 years and above were involved in the study. Data were collected and recorded. The prescriptions were analyzed for appropriateness using updated Beers criteria 2015 and assess medication adherence using 8-item Morisky questionnaire.

Results: Majority of the patients were in the age group of 65-74 years. Males (53%) showed predominance than females. The highest rate of (53%) polypharmacy was found in general medicine department than other departments. Out of 147 disease conditions observed, chronic renal failure (21.1%) was the most common condition. A total of 66 patients had comorbid conditions. Most frequently prescribed medications belonged to cardiovascular drugs (56; 14.62%). A total of 46 patients received PIMs; majority belonged to Category 1 - amitriptyline. Commonly prescribed medication in PIMs belonged to central nervous system medications (20%). Majority of patients were low adherent (51.11%) in which female patients showed preponderance in low adherence.

Conclusion: Study showed prevalence of disease pattern, medication use, polypharmacy, PIMs, and medication adherence. It is important for pharmacists to stay updated and prescribers need to be educated and encouraged about Beers criteria for rational prescription for better pharmaceutical care and increased medication adherence.


Keywords


Potentially inappropriate medication, Geriatrics, Polypharmacy, Beer’s criteria, Morisky 8 item scale, Medication adherence.

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References


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About this article

Title

A PROSPECTIVE STUDY ON GERIATRIC PRESCRIBING PATTERN AND MEDICATION ADHERENCE IN A TERTIARY CARE HOSPITAL

Topics

GERIATRICS, PATIENT CARE, PHARMACEUTICAL CARE SERVICES,

Keywords

Potentially inappropriate medication, Geriatrics, Polypharmacy, Beer’s criteria, Morisky 8 item scale, Medication adherence.

DOI

10.22159/ajpcr.2017.v10i12.20460

Date

01-12-2017

Additional Links

Manuscript Submission

Journal

Asian Journal of Pharmaceutical and Clinical Research
Vol 10 Issue 12 December 2017 Page: 220-225

Print ISSN

0974-2441

Online ISSN

2455-3891

Statistics

18 Views | 33 Downloads

Authors & Affiliations

Seema Anjum M
Department of Pharmacy Practice, PSG College of Pharmacy, Coimbatore, Tamil Nadu India.
India

Chinchu Jacob
Department of Pharmacy Practice, PSG College of Pharmacy, Coimbatore, Tamil Nadu India.
India

Chinchu Jacob
Department of Pharmacy Practice, PSG College of Pharmacy, Coimbatore, Tamil Nadu India.
India

Akhil Benchamin
Department of Pharmacy Practice, PSG College of Pharmacy, Coimbatore, Tamil Nadu India.
India

Akhil Benchamin
Department of Pharmacy Practice, PSG College of Pharmacy, Coimbatore, Tamil Nadu India.
India

Prudence A Rodrigues
Department of Pharmacy Practice, PSG College of Pharmacy, Coimbatore, Tamil Nadu India.
India

Prudence A Rodrigues
Department of Pharmacy Practice, PSG College of Pharmacy, Coimbatore, Tamil Nadu India.
India


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