Drug Prescribing Pattern with Cost Analysis and Monitoring of Adverse Drug Reactions in Dermatology
Journal Title: INTERNATIONAL JOURNAL OF SCIENTIFIC STUDY - Year 2018, Vol 6, Issue 8
Abstract
Introduction: Medication problem is tragic and costly for patients and professionals alike. Rational use of the drug is defined by the WHO as “patients receive medicines appropriate to their clinical needs in doses that meet their individual requirements for an adequate period, at the lowest cost to them and their community.” Aim: This study aims to determine the prescribing pattern of drugs, their cost, and adverse reactions in the outpatient department of dermatology of a tertiary care hospital. Materials and Methods: This prospective observation conducted at the outpatient clinic of the department of dermatology. Once the consultation by the physician is over, details in the prescriptions issued to patients were recorded in case record form. The demographic data of the patient, presenting complaints and drug reactions, were recorded. Results: Highest number of dermatological conditions attended to was eczema. Three drug prescriptions were the most commonly prescribed pattern. Antifungals were the most commonly prescribed class of drugs among 171 prescriptions. An average number of prescriptions per encounter was 2.78, which was within the WHO standard. 48.84% of drugs were from essential drug list, which was lesser than the WHO standard (80–100%). Maximum adverse drug reaction (ADR) was possible (50%) as per the WHO causality assessment scale. Conclusion: This study enlightened on various aspects of prescription such as number of drugs, class of drugs, cost analysis, and emphasis was also laid on monitoring of ADR for the prescription being prescribed.
Authors and Affiliations
A S Suhaina, G Reneega
Keywords
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