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Related Experiment Videos

Prescribing patterns in medical outpatients.

P Ravi Shankar1, P Partha, S Nagesh

  • 1Department of Pharmacology, Manipal College of Medical Sciences, Pokhara, Nepal.

International Journal of Clinical Practice
|September 26, 2002
PubMed
Summary

Drug prescribing in Nepal shows frequent use of brand names and limited adherence to the World Health Organization

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Area of Science:

  • Pharmacology
  • Public Health
  • Health Services Research

Background:

  • Drug utilization reviews (DUR) are crucial for assessing prescribing patterns in healthcare settings.
  • Understanding drug use in tertiary care hospitals is essential for optimizing pharmaceutical management.
  • Previous studies highlight variations in drug prescribing practices globally, necessitating local context-specific analyses.

Purpose of the Study:

  • To conduct a drug utilization review in a tertiary care hospital in Nepal.
  • To determine the prescribing frequency of commonly used drugs and analyze prescription data.
  • To identify areas for improving prescriber education and drug prescribing practices.

Main Methods:

  • A drug utilization review was performed at Manipal Teaching Hospital, Pokhara, Nepal.
  • Analysis of 530 prescriptions from the medical outpatient department.
  • Prescription data were correlated with patient age and sex where possible.

Main Results:

  • The mean number of drugs per prescription was 2.15 ± 1.71.
  • 67.4% of drugs were prescribed by brand name, and only 39.56% were from the WHO Essential Drug List.
  • Top prescribed drug classes included antiulcer drugs (24.15%), antibiotics (23.96%), and antiasthma drugs (20.56%).

Conclusions:

  • Significant opportunities exist to enhance prescriber education regarding rational drug use.
  • Prescribing practices in this Nepalese tertiary care hospital show room for improvement in terms of generic prescribing and essential drug list adherence.
  • Further interventions focusing on prescriber education are recommended to optimize drug utilization.

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