Assessment of Prescription Patterns in Hypertensive and Diabetic Patients Visiting Private Tertiary Care Hospital of Dharan Municipality, Nepal

  • Prasanna Dahal Department of Pharmacy, Sunsari Technical College, Tribhuvan University, Dharan
  • Laxman Maharjan Department of Pharmacy, Sunsari Technical College, Tribhuvan University, Dharan
  • Bibek Dahal Department of Pharmacy, Sunsari Technical College, Tribhuvan University, Dharan
  • Kissan Gupta Department of Pharmacy, Sunsari Technical College, Tribhuvan University, Dharan
Keywords: Drug utilization, prescribing pattern, Antihypertensive, Anti-diabetics

Abstract

This study was conducted to assess the drug prescribing trend of anti-hypertensive and hypoglycemic agents in hypertensive and diabetic patients in tertiary care private Hospital. The study was prospective, cross-sectional and observational study. A total of 100 prescriptions were recorded. 56% were males as compared to 44% females. The age group of the patients varied from 30 to 90 years with majority individual above 50 years of age. 59% patients were hypertensive; 26% patients were diabetic and 15% had both the diseases. For the treatment of HTN, both mono-therapy and combination therapy were followed. In mono-therapy, amlodipine was most commonly prescribed followed by losartan. In combination therapy, a two-drug combination consisting of calcium channel blockers (amlodipine) and diuretics (furosemide /hydrochlorothiazide) were given to the majority of patients, followed by Diuretics and Angiotensin receptor blocker combination. Among diabetic hypertensive, 66.67% of patients were treated with single anti-hypertensive drug and 33.35% of patients were treated with anti-hypertensive drug combinations with oral hypoglycemics. This study showed that calcium channel blockers were the most prescribed antihypertensive agents while biguanides were the mostly prescribed among anti-diabetic agents. Combination therapy was observed in a high percentage of prescriptions in hypertensive patients. Prescribing pattern among antihypertensive showed some dubitable adherences to existing evidence-based JNC guidelines.

Sunsari Technical College Journal 2015, 2(1):44-47

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Abstract
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Published
2016-04-28
How to Cite
Dahal, P., Maharjan, L., Dahal, B., & Gupta, K. (2016). Assessment of Prescription Patterns in Hypertensive and Diabetic Patients Visiting Private Tertiary Care Hospital of Dharan Municipality, Nepal. Sunsari Technical College Journal, 2(1), 44-47. https://doi.org/10.3126/stcj.v2i1.14798
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Original Articles