Analysis of prescription pattern of antihypertensive medication and adherence to Beers criteria in geriatric department of a tertiary care hospital in Mysuru

C. A. Priyanka; Jayanthi M. K.; Pratibha Periera; Ranjith Raj

doi:10.18203/2319-2003.ijbcp20195275

Authors

C. A. Priyanka Department of Pharmacology, JSS Medical College, Mysuru, Karnataka, India
Jayanthi M. K. Department of Pharmacology, JSS Medical College, Mysuru, Karnataka, India
Pratibha Periera Department of Geriatrics, JSS Medical College, Mysuru, Karnataka, India
Ranjith Raj Department of Pharmacology, JSS Medical College, Mysuru, Karnataka, India

DOI:

https://doi.org/10.18203/2319-2003.ijbcp20195275

Keywords:

Hypertension, Anti-hypertensive treatment, Prescription pattern, Adherence, Geriatrics, Beers criteria

Abstract

Background: The objective of the present study was to evaluate the prescription pattern of anti-hypertensive drugs and adherence to Beers’ criteria in geriatric department of JSS Hospital, Mysuru.

Methods: An observational, prospective, cross-sectional study was carried out in geriatric department. The basic demographic information and prescriptions of geriatric patients were studied. Descriptive analysis was used to present the results, prescriptions were analysed and checked for adherence to Beers’ criteria.

Results: Out of 485 patients, 82.68% received monotherapy, 15.87% received 2-drug combination therapy and 1.4% received 3-drug combination therapy. Among patients receiving monotherapy, angiotensin receptor blockers (49.06%) was the commonest antihypertensive class of drug prescribed. Telmisartan (38.96%) was the commonest drug prescribed. Among 2-drug combination therapy angiotensin converting enzyme inhibitor and Calcium channel blockers were combined commonly. In 3-drug combination therapy angiotensin converting enzyme inhibitor, beta blockers and diuretics were combined commonly. 99.3% of prescriptions were adhered to 2015 American Geriatrics Society Beers criteria.

Conclusions: Almost 82% of the patients were treated with monotherapy. The trends in prescribing of anti-hypertensives were in favor of conventional ones such as Angiotensin receptor blockers, calcium channel blockers, angiotensin converting enzyme inhibitors, diuretics, beta blockers and centrally acting alpha agonists. 99.3% of prescriptions were in accordance with the American Geriatrics Society 2015 Updated Beers criteria.

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