Prevalence and Correlates of Polypharmacy, and Drug Utilization Pattern in a Semi-urban Population: Results from the Pars Cohort Study

Akbari, Mohammad Reza; Kamalipour, Alireza; Pakroo, Mahsa; Mesgarpour, Bita; Mohammadi, Zahra; Gandomkar, Abdullah; Vardanjani, Hossein Molavi

doi:10.34172/aim.2023.24

Cited by 2 publications

(1 citation statement)

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“…Even though polypharmacy is considered a major predictor of irrational drug use, several glaucoma patients require more than one drug, especially with increasing duration and severity of disease. 7 , 8 This affects all aspects of glaucoma management: quality of life, side effects, compliance, and economics.…”

Section: Introductionmentioning

confidence: 99%

Glaucoma Drug Prescription Pattern in North India: Public vs Private Sector Hospitals

Kumar,

Bhartiya,

Ichhpujani

et al. 2024

Journal of Current Glaucoma Practice

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Background Glaucoma is an optic neuropathy associated with characteristic structural damage to the optic nerve and associated visual dysfunction that may be caused by various pathological processes. A number of pharmacological agents are used to reduce the intraocular pressure (IOP), involving the usage of two or three medications concurrently. Literature is sparse regarding prescription patterns of antiglaucoma drugs, especially regarding variability in public sector vs private sector hospitals. Drug utilization studies can add insight for crafting rational, affordable, and ocular surface friendly prescriptions. Aim This study assessed the prescription pattern in glaucoma patients of a public sector, tertiary care hospital vs a private sector tertiary care hospital. Materials and methods In this retrospective study, pertinent data of diagnosed and labeled glaucoma patients were reviewed. Data collected included demographic details, type of glaucoma, number and nature of drugs prescribed, whether innovator or generic drugs were prescribed, if fixed-drug combinations (FDCs) and preservative-free formulations were prescribed. The prescription patterns between the two sectors were compared, as were the prescription patterns between primary open-angle glaucoma (POAG) and primary angle-closure disease (PACD). Results A total of 336 prescriptions were evaluated (216 from public sector, group I; 120 from private sector, group II). Travoprost 0.004% was the most prescribed antiglaucoma medication in both group I (30.09%) and group II (38.33%). Brimonidine and brinzolamide (14.17%) was the most prescribed combination in group II, while Brimonidine with Timolol (7.87%) in group I. In group I, Timolol and Travoprost were the most prescribed medications for both PACD and POAG. Conclusion This study showed that both public sector as well as private sector tertiary care centers prescribe antiglaucoma medications in tune with current principles of rational drug use. Preservative-free drugs were preferred in both the groups for better adherence. How to cite this article Bhartiya S, Ichhpujani P, Parmar UPS, et al. Glaucoma Drug Prescription Pattern in North India: Public vs Private Sector Hospitals . J Curr Glaucoma Pract 2024;18(1):16–22.

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Section: Introductionmentioning

confidence: 99%