ASSESSMENT OF CURRENT PRESCRIBING PATTERN AND COST ANALYSIS OF ORAL ANTI-DIABETIC DRUGS IN ELDERLY POPULATION FROM PUNGANUR REGION OF ANDHRA PRADESH
The main aim of the study is to analyze the prescribing patterns in diabetic patients who are taking oral antidiabetic drugs and to analyze cost of monotherapy, combination therapy, assess the awareness of patients about diabetes, its medication and lifestyle modification. A prospective study was carried out over a period of 12 months in region of Punganur Andhra Pradesh. Type 2 diabetic patients who were on oral anti-diabetic drugs were enrolled in the study. A suitable data collection form was prepared and used to collect the required data. The demographic data, disease data and the utilization of various oral anti-diabetic agents were analyzed. About 800 patients were enrolled for the study from rural and urban areas in Punganur. Among the study population 63% (504) were males and 37% (296) were females in age group of 55 years and above. The majority of patients were from urban areas 70% (560) and 30% (240) were from rural areas. About 78 % of the patients have a history of diabetes more than 10 years and 22% were more than 5 years and less than 10 years. Glibenclamide, Metformin, Glipizide and Glimepiride were the most common drugs used among the various oral antidiabetics prescribed. Currently newer drug DPPi 4 inhibitors like Sitagliptin, Vildagliptin and Teneligliptinare used as single and combination with metformin were increased in prescription. The present study found that type 2diabetes was prevalent more in males than females. Results show 2 anti-diabetic drugs per prescription was more than the single anti-diabetic drug, prescription having single drug and fixed dose combination drug might have showed good in effective control of diabetic. Among the various oral antidiabetics prescribed, the cost of 2 drugs per prescription might have economical influence. So the present study cost analysis of marketed anti-diabetic drug might be helpful for the professional to prescribe low cost medication.
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