Drug Utilization Study of Psychotropic Drugs Prescribed in Psychiatry Opd of L. N. Medical College Associated J. K. Hospital, Bhopal District, Madhya Pradesh

Abstract

BACKGROUNDUtilization pattern of drugs varies from place to place and is influenced by differing patient characteristics, type of disea se prevalent, cultural and environmental influences, socioeconomic states, availability of newer drugs and prescribing habit of physicians. Psychiatric disorders are one of the major causes of morbidity. Development of newer drugs like SSRIs and atypical antipsychotics has altered the treatment paradigms. Various factors like cost of drugs, local paradigms, etc. play a role in the selection of drug therapy and hence affect the outcome. Keeping this in mind, we conducted a study to delineate the various drugs used in psychiatric disorders. Psychotropic drugs have had a remarkable impact in psychiatric practice. However, their utilization in actual clinical practice, effectiveness and safety in real life situation needs continuous studies. So our aim to study the prevalence of psychiatric morbidity and analyse drug prescribing pattern in various psychiatric illnesses.

Consumption of psychotropic medicines at a referral hospital Namibia: findings and implications

“…On the other hand, Tricyclic antidepressants are designated as the second choice drugs in Namibia and should be prescribed only under strict psychiatric supervision. 34,35 Our findings are contrary to the recommendations of the Namibia treatment guidelines, and to other studies where low cost generic SS-RIs are preferred in treatment of depressive illnesses 35 where SSRI were being consumed more than TCAs and it is therefore safe to say this is an indication of good clinical prescribing practices. Imipramine is not only indicated for depression but also schizophrenia affective disorder associated with depression, and premature ejaculation 7 and this would account for its possible high DDD consumption.…”

Efficacy evaluation of antidepressant drugs utilized at tertiary care centre in North Karnataka in psychiatric outpatient department

“…Polytherapy includes combination of SSRI, TCA and newer group of antidepressants. 18 Our study findings are similar with previous studies done by Chaturvedi et al 18 Majority of patients were prescribed antidepressant drugs from 3 different categories or different compounds from same category. Other studies too consistently found polypharmacy like our study where polypharmacy is about 28%.…”