Abstract

DRUG UTILIZATION PATTERNS OF DRUGS USED IN OPHTHALMOLOGY OUT- PATIENTS DEPARTMENT AT TERTIARY CARE HOSPITAL

Rajesh Kumar Suman*, Varshav S. Gore, Ipseeta Ray Mohanty, Neeraj Israni, Y A Deshmukh1

Abstract

Background: Drug Utilization Provides Prescribing Behaviors of Prescriber. Rational Prescribing plays a crucial role in reducing the Ocular disease burden in Ophthalmogy Practices. Aim: The Study aim was to analyze the patterns of drugs Prescribed Ophthalmology OPD patients. Methods: The study was an observational study completed over a period of 9 months, from March 2014 to Nov 2014.The Study was conducted in Department of Ophthalmology, MGM Medical College & Hospital Navi Mumbai. A questionnaire was specifically designed factoring patients’ demographical profile, diagnosis of disease, Drug regimen. Results: A total 246 prescriptions of patients were analyzed who visited Ophthalmology OPD Department.The total 495 drugs were prescribed. Average number of drug prescribed was 2.01. Maximum Patients were diagnosed with Cataract (25.03%) followed by Conjunctivitis (10.49%), Meibomitis (7.88%), Glaucoma (10.03%), Allergic eye (15.12%), Blephritis (7.85%), Foreign body in eye (4.91%), Dry Eye (15.09%) and Uveitis diagnosed in 3.60% of Ophthalmology OPD. Among total 495 drugs prescribed, the combination of Antibiotic plus Steroid (23.95%) was prescribed maximum followed by Antibiotic (18.11%), Analgesic (3.64%), Steroid (17.79%), B-blocker (4.87%), Prostaglandin Analogue (3.04%), Mydriatic (5.03%), Antihistamine (7.08%), Artificial Tear (10.10%) and other drugs (4.38).Most commonly prescribed drug was Loteprednol, Moxifloxacin and Prednisolone. Most Common FDC prescribed was Tobramycin +Loteprednol. 64% of drugs were prescribed from essential drug list. Among 246 prescription, One drug prescribed in 10.17% prescription, two drugs, three drug and Four Drug prescribed in 49.19%, 35.52% and 12.19% respectively. Maximum no of drugs were found in the form eye drops (64%).Conclusion: The study found lower incidence of antibiotic prescription but Prescription of drugs were very low in their generic is matter of concern.

Keywords: Drug Utilization, Ophthalmology, Out-Patients.