Prescribing pattern of anti diabetic drugs in patients suffering from type 2 diabetes mellitus with co-existing hypertension in a tertiary care teaching hospital

Authors

  • Jay Kumar Sharma Regional Medical Advisor, Novo nordisk India Pvt Ltd, EPIP Area, Whitefield, Bangalore, Karnataka, India
  • Shailesh P. Parmar Department of Pharmacology, M.P. Shah Govt. Medical College, Jamnagar, Gujarat, India

DOI:

https://doi.org/10.18203/2319-2003.ijbcp20181183

Keywords:

Anti diabetic drugs, Diabetes mellitus, Hypertension, Prescribing pattern

Abstract

Background: Diabetes mellitus and hypertension frequently co-exist in a patient. In such patients, the risk of complications, morbidity and mortality increases. One should be careful in management and choosing drugs. Authors undertook this study to understand the prescribing pattern of the physicians in diabetic hypertensive patients.

Methods: This cross sectional, observational study was conducted in type 2 diabetic outdoor patients with co-existing hypertension, for duration of one year. We used descriptive statistics to analyze data of 615 patients to determine prescribing pattern of drugs.

Results: 93.17% of patients were more than 40 years of age. Ratio of female to male patients was 1.30. Mean duration of diabetes was 5.81 years. Multi drug anti diabetic regimes (54.47%) were common than monotherapy (43.90%). Commonly prescribed anti diabetic drug groups were biguanides (89.27%), Sulfonylureas (43.90%) and insulin (15.28%). Metformin (89.27%), glibenclamide (29.11%) and insulin (15.28%) were commonly prescribed anti diabetic drugs. Metformin was the most common monotherapy drug and biguanide + sulfonylurea was the most common two drug combination. Commonly prescribed drugs for co-morbid conditions were enalapril (83.41%), aspirin (30.41%), amlodipine (29.76%) atorvastatin (27.32%) and famotidine (26.34%). Average number of drugs prescribed in a prescription was 4.65. Prescriptions with injections were 15.93% and with brand names were 13.15%.

Conclusions: Prescribing pattern of drugs was as per current practices and recommendations of guidelines. Still, there is room for improvement in choice of drug, prescribing drug with generic name and choosing drug from essential medicine list.

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Published

2018-03-23

How to Cite

Sharma, J. K., & Parmar, S. P. (2018). Prescribing pattern of anti diabetic drugs in patients suffering from type 2 diabetes mellitus with co-existing hypertension in a tertiary care teaching hospital. International Journal of Basic & Clinical Pharmacology, 7(4), 761–766. https://doi.org/10.18203/2319-2003.ijbcp20181183

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Section

Original Research Articles