PRESCRIBING PATTERN OF DRUGS FOR DIABETIC PATIENTS IN A TERTIARY CARE PRIVATE SECTOR HOSPITAL, PESHAWAR, PAKISTAN

Adnan Ali, Abid Ullah, Shafiq Ur Rahman, Shujaat Ahmad, Haya Hussain, Asaf Khan

Abstract


ABSTRACT

OBJECTIVE:

to determine the prescription pattern of drug for hospitalized patients with diabetes mellitus (DM) attending a tertiary care private sector hospital, Peshawar, Pakistan.

METHODS:

This retrospective study was conducted from January 2015 to February 2015. in the department of endocrinology of tertiary care private sector hospital, Peshawar, Pakistan. During 2 months study period, 254 prescriptions were collected and analyzed. Prescriptions written for all DM patients of any gender, socio-economic status, religion specificity and ethnicity were included.

RESULTS

The study revealed that 254 prescriptions includes 59 % (n=150) female and 41 % (n=104) male patients, majority age group was 60-69 years. Most common concurrent disease with DM was hypertension (31.63%). The maximum time spent by DM patients in hospitals was 3-days (27.15%). The most prescribed drugs to the male and female DM patients were cardiovascular drugs (26.11%) and (21.80%) respectively followed by antibiotic (17.04%) and (16.02%) respectively. The most common prescribed dosage form was tablet for female DM  patients (46.19%) and injection for male DM  patients (45.84%). The most frequently prescribed anti-diabetic drug was insulin (48.57%). Most frequently prescribed anti-diabetic two-drug combination was sitagliptin+metformin (40%). Among highly prescribed anti-diabetic three-drugs and four-drug combinations were insulin+sitagliptin+metformin (39.13%) and insulin+vildagliptin+pioglitazone (42.85%) respectively. The most frequently antibiotic prescribed for the management of diabetic foot was ceftriaxone (14.45%).

CONCLUSION:

Insulin was highly prescribed antihyperglycemic drug for hospitalized diabetic patients followed by metformin and glimepiride. The most commonly drugs prescribed apart from antidiabetic were cardiovascular drugs followed by antibiotics.

KEY WORDS:

Comorbidity (MeSH), Diabetes mellitus type 2 (MeSH), Dosage forms (MeSH), Injectables (Non-MeSH), Prescription pattern (Non-MeSH).


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KHYBER MEDICAL UNIVERSITY (KMU) PESHAWAR

KMU INSTITUTE OF MEDICAL SCIENCES (KIMS), KOHAT, KHYBER PAKHTUNKHWA, PAKISTAN- 2012

 

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