Drug utilization study of psychotropic drugs in outdoor patients in a tertiary care hospital attached with a medical college

Chintan Madhusudan Doshi; Rutvij Hedamba; Nishita H. Darji; Bansari Patel; Hiren R. Trivedi; Deepak Tiwari

doi:10.18203/2319-2003.ijbcp20151362

Authors

Chintan Madhusudan Doshi Department of Pharmacology, M P Shah Government Medical College, Jamnagar, Gujarat, India
Rutvij Hedamba Department of Pharmacology, M P Shah Government Medical College, Jamnagar, Gujarat, India
Nishita H. Darji Department of Pharmacology, M P Shah Government Medical College, Jamnagar, Gujarat, India
Bansari Patel Department of Pharmacology, M P Shah Government Medical College, Jamnagar, Gujarat, India
Hiren R. Trivedi Department of Pharmacology, M P Shah Government Medical College, Jamnagar, Gujarat, India
Deepak Tiwari Department of Psychiatry, Guru Gobind Singh Government Hospital, New Delhi, India

DOI:

https://doi.org/10.18203/2319-2003.ijbcp20151362

Keywords:

Drug utilization, Prescribed daily dose, Psychotropic drugs, Prescribing pattern

Abstract

Background: Psychotropic drugs have a great importance in psychiatric practice. Today many newer drug like selective serotonin reuptake inhibitors and atypical antipsychotic drugs has changed treatment protocol. Hence, the study was carried out to find morbidity pattern of psychiatric illness and prescribing pattern of psychiatric illness.

Methods: A prospective cross-sectional study was carried out for 12 months. Patients of all ages and both sexes were included in the study while inpatients and referred patients were excluded. The prescribing pattern was analyzed by using World Health Organization (WHO) basic drug indicators.

Results: Among 600 patients, male patient were 291 (48.50%) and female patient were 309 (51.50%). The most common disorder was depression 208 (34.66%) followed by schizophrenia 192 (32.00%). The numbers of psychotropic drugs prescribed a patient were 2.51. 39.39% drugs were prescribed from the WHO essential medicines list. Total 89.18% drugs were prescribed by generic name. Benzodiazepines were the most common prescribed drugs. Atypical antipsychotic drugs were commonly used than typical antipsychotic drugs. Central anticholinergic drug was used in 43.15% patients receiving antipsychotic drugs.

Conclusion: Overall, the drugs were prescribed rationally. Benzodiazepine should be prescribed only for short-term duration. Use of central acting anticholinergic drugs with all antipsychotic drugs was not justified.

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