Title: Prescription Pattern in Patients of Acute Coronary Syndrome in a Rural Tertiary Care Centre of Maharashtra

Authors: Dr S P Narwane, Dr A P Marawar, Ms. Shah J, Dr Sayed Asif Umar

 DOI:  https://dx.doi.org/10.18535/jmscr/v5i10.167

Abstract

In the present study prescribing pattern of various drugs prescribed in Acute Coronary Syndromes (ACS) was studied. It was a retrospective, observational study in the Department of Pharmacology and Medicine from June to May 2017. The data from Record Department from 2011 to 2015. Prescribing patterns of various drugs prescribed in ACS were analyzed. 600 complete records of patients admitted for ACS were included in the study, of which 483 (80.5%) were of male patients and 117 (19.5%) were of female patients. Hypertension (39%) and diabetes (6.8%) were the most common co-morbid conditions associated with ACS. The most commonly prescribed drug classes for main indications in Acute Coronary Syndrome were anti-platelet drugs 600 (100%) followed by antihypertensives (96.16%) and antihyperlipidemics (91.16%). Extensive polypharmacy (9.68 drugs per prescription) was noticed in the prescriptions. The prescribing pattern can be improved by reducing the number of drugs per prescription. Many drugs were prescribed by generic name (61%). The economic burden of the patients can be reduced by prescribing more generic drugs.

Keywords: Prescription pattern, Acute coronary syndrome, Observational Study, Polypharmacy.

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