Volume 8, Issue 3 (Summer 2020)                   Iran J Health Sci 2020, 8(3): 1-9 | Back to browse issues page


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Deshmukh A A, Dabhade S S, Ghongane B B. A Study of Psychotropic Drugs Being Prescribed to the Patients Attending the Psychiatric Outpatient Department in a Tertiary Care Hospital. Iran J Health Sci 2020; 8 (3) :1-9
URL: http://jhs.mazums.ac.ir/article-1-726-en.html
Department of Pharmacology, B. J. Government Medical College and Sassoon General Hospital , sangeetadr99@gmail.com
Abstract:   (2056 Views)
BACKGROUND & PURPOSE: Drug utilization research evaluates the appropriateness of the prescriptions which is important in clinical practice. Psychotropic polypharmacy is a major problem in psychiatric practice, which can lead to the development of adverse effects of those drugs in patients. Therefore, this study was carried out to evaluate the utilization of psychotropic drugs being prescribed for various psychiatric illnesses.
 MATERIALS & METHODS: A prospective, cross sectional, observational study was carried out in patients visiting the Psychiatric Out-Patient Department of B J Government Medical College and Sassoon General Hospital, Pune, INDIA; from December 2016 to May 2018. A total of 500 prescriptions were analysed using WHO Drug Use indicators and some other indicators.
 RESULTS: Average number of drugs per prescription was 3.14 ± 1.18; while average number of Psychotropic drugs per prescription was 2.27 ± 0.90. 84.35% of the total drugs prescribed by Generic name. 43.89% and 41.67% of the total drugs were prescribed from National List of Essential Medicines 2015 and WHO Model List of Essential Medicines 2017, respectively. Antipsychotics was the most commonly prescribed group of Psychotropic drugs, while Olanzapine was the most commonly prescribed Psychotropic drug. 64.25% of the total drugs were prescribed from the hospital drugstore.
 CONCLUSION: In the present study, drugs were prescribed rationally and judiciously. But there was a need to increase the prescription of drugs from essential drug lists. Apart from that, there was found a need to increase the availability of the commonly prescribed Psychotropic drugs in the hospital drugstore of the study institution. 
  
 
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Type of Study: Original Article | Subject: Health

References
1. WHO International Working Group for Drug Statistics Methodology. Introduction to Drug Utilization Research [Internet]. Oslo, Norway: WHO Collaborating Centre for Drug Utilization Research and Clinical Pharmacological Services; 2003. Available from: http://apps.who.int/medicinedocs/pdf/s4876e/s4876e.pdf (cited 4th August 2016).
2. Deshmukh SA, Ismail TSES. Evaluation of Psychotropic Drugs Use Pattern among Out Patients Attending Psychiatry Department at Government Medical College and Hospital, Nagpur: A Cross Sectional Study. International Journal of Pharma and Bio Sciences. 2012 July; 3(3): 428-36.
3. Wubetu M, Derebe D, Mulaw T, Yimer T, Hailu G. Assessment of Drug Prescription Pattern in Two District Hospitals, Northwest Ethiopia. Journal of Health Education Research & Development. 2018; 6(1): 1-4. [DOI:10.4172/2380-5439.1000246]
4. Thakkar KB, Jain MM, Billa G, Joshi A, Khobragade AA. A Drug Utilization Study of Psychotropic Drugs Prescribed in the Psychiatry Outpatient Department of a Tertiary Care Hospital. Journal of Clinical and Diagnostic Research. 2013 Dec; 7(12): 2759-64. [DOI:10.7860/JCDR/2013/6760.3885] [PMID] [PMCID]
5. Perumal VM, Bouddh SK, Nirmal SR, Deshpande A, Singh J, Prabhu N. Drug utilization study and prescribing patterns in psychiatry patients at a tertiary care hospital. International Journal of Basic & Clinical Pharmacology. 2018; 7: 774-7. [DOI:10.18203/2319-2003.ijbcp20181185]
6. Grover S, Kumar V, Avasthi A, Kulhara P. An audit of first prescription of new patients attending a psychiatry walk-in-clinic in north India. Indian Journal of Pharmacology. 2012 June; 44(3): 319-25. [DOI:10.4103/0253-7613.96302] [PMID] [PMCID]
7. Monteiro NM. Addressing Mental Illness in Africa: Global Health Challenges and Local Opportunities. Community Psychology in Global Perspective. 2015 Jan; 1(2): 78-95.
8. Tripathi KD. Essentials of Medical Pharmacology. 8th Edition. New Delhi: Jaypee Brothers; 2019. Chapter 32, Drugs Used in Mental Illness: Antipsychotic and Antimanic Drugs; p.462-80.
9. Abebaw D, Haile K, Kassaw C, Belete A, Fanta T, Azale T, et al. Pattern of Rational use of Psychotropic Drugs for People with Severe Mental Illness in a Mental Specialized Hospital in Addis Ababa, Ethiopia: A Mixed Method Study. Journal of Family Medicine. 2016; 3(11): 1099.
10. World Health Organization. How to investigate drug use in health facilities: Selected drug use indicators WHO/ DAP/ 93.1 Geneva; 1993. [Online] Available from: http://apps.who.int/medicinedocs/pdf/s2289e/s2289e.pdf (Cited 4th August 2016).
11. National List of Essential Medicines 2015. Available from: http://cdsco.nic.in/WriteReadData/NLEM-2015/NLEM,%202015.pdf (Cited 5th August 2016).
12. WHO Model List of Essential Medicines 20th List (March 2017) (Amended August 2017). Available from: http://apps.who.int/iris/bitstream/handle/10665/273826/EML-20-eng.pdf?ua=1 (Cited 12th April 2018).
13. Mudhaliar MR, Ishrar SMG, Sadubugga P, Narala SR, Chinnakotla V, Yendluri P. Psychotropic drug utilization in psychiatric outpatient department of a tertiary care teaching hospital in India. International Journal of Research in Medical Sciences. 2017; 5: 1612-6. [DOI:10.18203/2320-6012.ijrms20171274]
14. Mukherjee S, Sen S, Chatterjee SS, Biswas A, Sinha S, Ghosal M, et al. Prescribing Pattern of Psychotropic Medications in Psychiatry Outpatients at a Tertiary Care Teaching Hospital in India: A Prospective Cross-sectional Study. International Journal of Hospital Research. 2014; 3(3): 113-22.
15. Gurung A, Jaju JB, Pawar GR, Dharmadhikari SC, Solunke RR. Study of drug utilization pattern and adverse drug reactions of psychotropic drugs in psychiatric inpatient department of tertiary care hospital. International Journal of Basic & Clinical Pharmacology. 2018; 7: 259-65. [DOI:10.18203/2319-2003.ijbcp20180095]
16. Chawla S, Agarwal M, Sharma S, Jiloha RC. Drug Utilization Study of Psychotropic Drugs among Psychiatric Outpatients in a Tertiary Care Hospital. Indian Journal of Pharmaceutical Sciences. 2017; 79(6): 1008-13. [DOI:10.4172/pharmaceutical-sciences.1000319]

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