Of these, Among Of the total antihypertensive drugs prescribed, Average number of drugs prescribed per encounter in our study was 2.
Drug utilisation study in the treatment of hypertension in a tertiary care hospital. Based Med. DOI: Amol Chandrakant Deshmukh, the known morbidity. Hypertension is E-mail: amoldeshmukh02 gmail. Monotherapy for hypertension is As per the WHO recommendations on conducting drug desirable because of better patient compliance, lower cost utilisation study, at least prescriptions has to be included and fewer adverse effects.
However, it is observed that most in study. Hence, we included patients in study. New cases and old cases of hypertension. Patients willing to give written informed consent to rationale for polypharmacy in hypertension is that most participate in the study. Patients not willing to give written informed consent to Vigilant use of antihypertensive drugs is need of time participate in the study.
Hypertension in pregnancy. Patients who were advised admission. Patients with antihypertensive medication for reasons use of drugs in a society with special emphasis on the other than hypertension, for e. Analysis was done by calculating core different parameters of health systems and building the indicators recommended by WHO.
The core indicators used were as follows- As polypharmacy increases with coexisting diseases, so a. Average number of drugs prescribed per encounter. Average number of antihypertensive drugs prescribed to be maintained for the prescribed drugs and their effects. Therefore, it is need of the hour to carry out such drug c. Percentage of antihypertensive drugs prescribed by utilisation studies from time to time, so that all people generic name.
Percentage of antihypertensive drugs prescribed from their fallacies, its impact on healthcare, so that it can rectify NEML National List of Essential Medicines. But, this study is performed in Thus, the present study was carried out to evaluate the outpatient settings and most of the persons requiring pattern, extent, rationality and frequency of the use of injectable antihypertensive drugs are admitted in wards.
Hence, this indicator was not used in our study. Hence, in addition to the above indicators, prescription pattern of monotherapy and fixed-dose combinations used to treat hypertension was also studied. Monotherapy Prescription 60 and above. Considering gender distribution Out of Of the In our study, 72 Various three drug combinations used Figure 1.
Among patients, Analgesics Hypertension Average number of drugs prescribed per encounter in our study was 2. It could be due to lack of awareness J. This study implies that it was found that antidiabetic drugs were the most if hypertension is addressed at a younger age, then mortality commonly prescribed.
These concomitant medications play and morbidity due to hypertension can be reduced to a great an important role in the actions of various antihypertensive extent.
These may affect different These findings are similar their side effects. Shah et al16 and Arief M et al. Prescriptions with generic drugs should be Though, diuretics are generally recommended as first promoted. This will lead to uniformity in prescriptions; line therapy for treatment of hypertension JNC V and VII , patients will get standard treatment at low costs, which will CCBs were the most common drugs used as first line lead to increased patient compliance and will help in curbing treatment in our study.
Similar results were found by Sharma mal practices in healthcare. Similar results were found by Mirza Atif Beg et al30 the deleterious effects of diuretics on glucose homeostasis Use of FDCs is on rise due two-drug therapy.
It is in accordance with the study done by to increased use of combination therapy as well as due to Kasi JM et al21 and Dileep et al. But, strict besides offering greater control rates by increasing the vigilance should be maintained on the sale of FDCs as it efficacy of antihypertensive drugs by synergistic effects, also becomes difficult to monitor or adjust the doses of individual minimises adverse effects.
Similar results were seen by Sharma AK individual requirements. Similar results were found by Mirza Atif Beg et al. The practice of prescribing drugs from NEML blockers Similar It was found that the average number of drugs results were found in the study done by Etuk E et al26 and prescribed per prescription were 2. So, it can be seen from the above data that the number while drugs interfering with RAS conserve potassium. This leads to polypharmacy, was used most frequently, which is similar as shown by increasing cost and chances of ADRs.
Similar results were Dileep et al. Several large clinical trials WM et al36 and Sandozi T et al. While analysing concomitant medications with JNC 7 has mentioned that most patients who are antihypertensive drugs, we found that vitamins were most hypertensive will require two or more antihypertensive commonly prescribed.
The reason maybe that they were medications to achieve their BP goals. In our study, we freely and abundantly available in the government setup.
While JNC 7 has recommended factors in rural population of Bangalore rural district. Certain combination with one of the other classes. This may have modifiable risk factors in essential hypertension: a been result of availability of drug in hospital setup physician case-control study. National Journal of Community preferences for other group of drugs. JNC 8 has recommended that initial treatment shall [3] Park K.
In Bhanot Publishers Supplement to JAPI monotherapy follow these recommendations. Hypertensive vascular disease. In: training and feedback need to be done and followed up. Effect of Case-control study diuretic-based antihypertensive treatment on Historical control cardiovascular disease risk in older diabetic patients Epidemiologic study with isolated systolic hypertension. JAMA ; D Anecdotal evidence 8. In vitro or animal study Effects of calcium-channel blockade in older patients Adapted from Siwek J, et al.
How to write an evidence-based clinical with diabetes and systolic hypertension. Systolic review article. Am Fam Physician ; Hypertension in Europe Trial Investigators. N Engl J Med ; BMJ ; References Effects of intensive blood pressure control in evidence-based guideline for the management of type 2 diabetes mellitus.
N Engl J Med high blood pressure in adults. Management of Committee JNC 8. JAMA Dec International Society on Hypertension in Blacks 2. Clinical consensus statement. Hypertension ; practice guidelines for the management of International Society of Hypertension. J Clin March Hypertens Greenwich Dec Treatment failure: a report of the American College of of hypertension in patients 80 years of age or older.
Task Force on Practice Guidelines. Circulation ;ee February South African hypertension practice guideline : review article By Yackoob Seedat. Hipertension ahm By jonathan Sanchez.
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