A STUDY ON PRESCRIBING PATTERN IN GERIATRIC PATIENTS

  • NATARAJ GR Department of Pharmacology, SJM College of Pharmacy, Chitradurga, Karnataka, India.
  • BHARATHI DR Department of Pharmacology, SJM College of Pharmacy, Chitradurga, Karnataka, India.

Abstract

Objective: The objective of this study was to study the prescribing pattern in geriatric patients.


Methods: A prospective study was carried out for a period of 4 years with one of the objectives to study the prescribing pattern in geriatric patients (≥65 years). The information was collected, from patients admitted to various departments of tertiary care hospital and old-age home at Chitradurga. Sociodemographic, economic, and clinical diagnosis and medication details were collected from medical records in a pre-structured case record form. The medications were classified based on Anatomical Therapeutic Chemical classification system.


Results: A total number of 526 geriatric patients were enrolled during the study period. Young older patients (75.29%) and male subjects (55.89%) were predominant. Multiple morbidity conditions were more in the present study. Among the diseases diagnosed, circulatory system (I00-I99) affecting was more 41.83%. Prescriptions found with a sum total of 3228 formulations with 357 active drugs. About 56.27% of patients received ≥6 medications (polymedication) and an average of 6.14 drugs per prescription. Usage of parenterals (53.06%) was more among dosage forms. Prescriptions with alimentary tract, metabolism (A) (26.96%), and general anti-infective (J) (19.08%) class of drugs were common. Among individual drugs, pantoprazole (A02BC02), paracetamol (N02BE01), and ceftriaxone (J01DD04) were found more frequent in prescriptions.


Conclusion: The study concludes the need of intellect prescribing practice, to install more rational therapy among geriatric patients.

Keywords: Prescribing pattern, Geriatrics, Anatomical Therapeutic Chemical classification, Prescription

Author Biography

NATARAJ GR, Department of Pharmacology, SJM College of Pharmacy, Chitradurga, Karnataka, India.

Department of Pharmacology

References

1. Bressler R, Bahl JJ. Principles of drug therapy for the elderly patient. Mayo Clin Proc 2003;78:1564-77.
2. Helena G. Drug utilization studies. Arq Med 2008;22:69-74.
3. World Health Organization. Introduction to Drug Utilization Research. Geneva: World Health Organization; 2003.
4. United Nations Population Division (UN). World Population Prospects: The 2010 revision. New York: United Nations; 2011.
5. McLean AJ, Le Couteur DG. Aging biology and geriatric clinical pharmacology. Pharmacol Rev 2004;56:163-84.
6. Singh T, Sharma S, Nagesh S. Socio-economic status scales updated for 2017. Int J Res Med Sci 2017;5:3264-7.
7. WHO. International Statistical Classification of Diseases and Related Health Problems. 10th revision: WHO; 2014.
8. WHO Collaborating Centre for Drug Statistics Methodology. Guidelines for ATC classification and DDD assignment.16th ed. Oslo: WHO; 2012, 2013.
9. Anjum MS, Jacob C, Benchamin A, Rodrigues PA. A prospective study on geriatric prescribing pattern and medication adherence in a tertiary care hospital. Asian J Pharm Clin Res 2017;10:220-5.
10. Singh NG. To assess the drug utilization pattern and to analyze pharmacoeconomics for geriatrics in-patient in medicine department of tertiary care teaching hospital. Int J Pharm Pharm Sci 2017;09:276-82.
11. Jhaveri BN, Patel TK, Barvaliya MJ, Tripathi CB. Drug utilization pattern and pharmacoeconomic analysis in geriatric medical in-patients of a tertiary care hospital of India. J Pharmacol Pharmacother 2014;5:15-20.
12. Nayaka SR, Rajeshwari B, Venkatadri TV. Drug utilization pattern in geriatric inpatients of medicine department in a tertiary care teaching hospital. Int J Basic Clin Pharmacol 2015;4:568-73.
13. Sultan H, Sayegh K, Mohammad A, Hussain S, Sumaily J, Agarwal M, et al. Prescribing pattern of drugs in the geriatric patients in Jazan province, KSA. Pharm Pharmacol Int J 2015;2:00013.
14. Prakash G, Yalavarthi K, Sharan EJ, Justin J, Krishna MS. A prospective study on medication prescribing pattern for geriatric patients in a tertiary care teaching hospital. Asian J Biomed Pharm Sci 2016;6:23-7.
15. Chowta MN, Adhikari PM, Raj S, Laxman M, Kariappa A, George J, et al. Evaluation of appropriateness of prescription and poly pharmacy in the geriatric population: A cross-sectional study at a comprehensive geriatric clinic in a tertiary care hospital. Int J Pharm Pharm Sci 2016;08:119-23.
16. Shah RB, Gajjar BM, Desai SV. Drug utilization pattern among geriatric patients assessed with the anatomical therapeutic chemical classification defined daily dose system in a rural tertiary care teaching hospital. Int J Nutr Pharmacol Neurol Dis 2012;02:258-65.
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NATARAJ GR, and BHARATHI DR. “A STUDY ON PRESCRIBING PATTERN IN GERIATRIC PATIENTS”. Asian Journal of Pharmaceutical and Clinical Research, Vol. 12, no. 9, July 2019, pp. 120-3, https://innovareacademics.in/journals/index.php/ajpcr/article/view/33378.
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