A study on drug prescribing pattern in psychiatry out-patient department from a tertiary care teaching hospital

Rode, Sonali; Ajagallay, Rajesh Kumar; Salankar, Harsh V.; Sinha, Umesh

doi:10.5455/2319-2003.ijbcp20140620

Cited by 23 publications

(57 citation statements)

References 17 publications

(22 reference statements)

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“…11,12 Our average drug per prescription was slightly higher than study conducted by Karan B Thakkar et.al which showed 1.7 drugs per prescription. 13 Drugs per prescription in our study is slightly higher than the optimal value according to Atif et.al.…”

Section: Drug Therapycontrasting

confidence: 51%

“…Similar observations were made by Rode SB et.al., where 65.34% patients received atypical antipsychotics and olanzapine (45.13%) was the most common antipsychotic prescribed. 12 Paul et.al study also showed that olanzapine (51.04%) was most commonly prescribed followed by risperidone (17.14%). 47.33% patients received antipsychotics which were in the National list of essential medicines (NLEM) 2015 which is better than Banerjee et.al.…”

Section: Observed Drug Use Pattern Of Antipsychoticsmentioning

confidence: 86%

“…7 Several observational studies nationally and internationally have analysed the pattern of psychotropic drugs prescribed in hospital inpatient or outpatient settings. Trends towards prescribing multiple, new costly drugs, prescribing in children, women, old (low dose) and off label use are increasing.…”

Section: Discussionmentioning

confidence: 99%

“…study also showed only 20% use of FDCs. 12 Fluoxetine might have been prescribed in combination with olanzapine in order to counteract the co-morbid depression. Trihexyphenidyl in combination with risperidone prevents extrapyramidal side effects.…”

Section: Observed Drug Use Pattern Of Antipsychoticsmentioning

confidence: 99%

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Antipsychotics in schizophrenia: a retrospective study of drug utilization pattern in outpatient department of psychiatry at a tertiary care hospital

Patted

Hema

Nagaraj

2017

Int J Basic Clin Pharmacol

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Background: Psychiatric disorders are one of the major causes of morbidity and the burden of illness is enormous and remains grossly under represented. Psychotropic drugs have had a remarkable impact in psychiatric practice. Currently a large number of atypical antipsychotics available in the market are endorsed as better options for treating schizophrenia than the typical antipsychotics. The main objective of the study was to find the commonly prescribed antipsychotics in schizophrenia patients in a tertiary care center.Methods: After Institutional Ethics Committee approval, a retrospective cross-sectional drug utilization study of 400 prescriptions was under taken from 1st July 2015 to 30th July 2016 in the outpatient department of psychiatry of a tertiary care hospital. The prescribing pattern of antipsychotics in schizophrenia patients (N=107) was measured.Results: Out of 400 cases in the outpatient department, schizophrenia cases were predominant (N=107 i.e. 27%) out of which 42.1% were females and 57.9% were males. This was followed by mood disorders and neurotic & somatoform disorders. The most common antipsychotic used was olanzapine followed by risperidone. Least commonly used antipsychotic was haloperidol. Most of the patients who received risperidone also received an anticholinergic trihexyphenidyl (91.8%).Conclusions: Olanzapine and risperidone are the most commonly used antipsychotics. Anticholinergics should be used only in selected patients on antipsychotics as tolerance develops to extrapyramidal side effects. Anticholinergics are unnecessary after 3-6 months in all except 10% of patients. Moreover, it has its own side effects and adversely interacts with antipsychotics.

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Section: Drug Therapycontrasting

confidence: 51%

Section: Observed Drug Use Pattern Of Antipsychoticsmentioning

confidence: 86%

Section: Discussionmentioning

confidence: 99%

Section: Observed Drug Use Pattern Of Antipsychoticsmentioning

confidence: 99%

See 2 more Smart Citations

Antipsychotics in schizophrenia: a retrospective study of drug utilization pattern in outpatient department of psychiatry at a tertiary care hospital

Patted

Hema

Nagaraj

2017

Int J Basic Clin Pharmacol

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“…1,2 The expanding and challenging field of psychopharmacology is constantly seeking new and improved psychotropic drugs to treat psychiatric disorders. 3 Psychiatrists are continuously exposed to newly introduced drugs that are claimed to be safe and more efficacious. Newer drugs are however known to be expensive and unaffordable to the majority of patients, especially in developing countries.…”

Section: Introductionmentioning

confidence: 99%

Recent scenario on psychotropic drug usage pattern among patients attending psychiatric outpatient department of a tertiary care teaching hospital in Nepal

Kaul

Beg²,

Dutta³

et al. 2016

Int J Basic Clin Pharmacol

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Drug utilization patterns in the global context: A systematic review

Atif

Scahill

Azeem

et al. 2017

Health Policy and Technology

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This systematic review found that:  Average number of drugs per prescription met optimal levels for all World Bank regions except Latin America and the Caribbean.  Improvement needed in percentage of antibiotics prescribed per prescription in all regions of the world.  There is no country where the percentage of drugs prescribed by generic name is at optimal levels.  Average consultation time of physicians was below the optimal value (≥10 minutes) except for Europe and Latin America.

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A study on drug prescribing pattern in psychiatry out-patient department from a tertiary care teaching hospital

Cited by 23 publications

References 17 publications

Antipsychotics in schizophrenia: a retrospective study of drug utilization pattern in outpatient department of psychiatry at a tertiary care hospital

Antipsychotics in schizophrenia: a retrospective study of drug utilization pattern in outpatient department of psychiatry at a tertiary care hospital

Recent scenario on psychotropic drug usage pattern among patients attending psychiatric outpatient department of a tertiary care teaching hospital in Nepal

Drug utilization patterns in the global context: A systematic review

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