Prescribing pattern of non-steroidal anti-inflammatory drugs at outpatient departments of teaching hospitals
The prescribing pattern of non-steroidal anti-inflammatory drugs (NSAIDs) in prescriptions prescribed by the qualified medical personnel in the outpatient departments of three selected teaching hospitals in Dhaka city were studied. A total of 600 prescriptions containing NSAIDs were collected. The clinical conditions for which NSAIDs prescribed were identical in all the three hospitals, although there were wide variations in the prescribing pattern with respect to pharmacological sub-classes of NSAIDs. Analgesics with no or minimal anti-inflammatory effects were the most commonly prescribed NSAIDs in the medical outpatient departments of Dhaka Medical College Hospital (DMCH) and Bangabandhu Sheikh Mujib Medical University Hospital (BSMMUH) whereas analgesics with potent anti-inflammatory effects were the most commonly prescribed NSAIDs in a private teaching hospital (PH). Moreover, the prescribers in PH had to prescribe additional drugs than those of the prescribers of DMCH and BSMMUH to counter the adverse effects of NSAIDs. Proton pump inhibitors were mainly used in medical outpatient departments whereas H2 blockers were in surgical outpatient departments. Consequently, the cost of prescribed NSAIDs per prescription and ultimately the cost of total drugs per prescription became more expensive in PH compared to DMCH and BSMMUH. In conclusion, it may be said that the overall prescribing pattern of NSAIDs among three hospitals is rational.
Ali L, Chowdhury SAR. Study of drug utilization pattern at a teaching hospital. Bangladesh J Physiol Pharmacol. 1993; 9: 27-28.
Anwar, AKMN. Editorial: Role of medical colleges in promoting rational use of drugs. Bangladesh J Physiol Pharmacol. 1994; 10: 1-2.
Ara F, Chowdhury SAR. Pattern of drug use for under-five children in acute respiratory infections in three selected teaching hospitals in Dhaka city. Bangladesh J Physiol Pharmacol. 2001; 17: 33-36.
Bangladesh National Health Accounts, 1996-1997. Health Economic Units, Ministry of Health and Family Welfare, Bangladesh.
Bennett PN, Brown MJ. Inflammation, arthritis and nonsteroidal anti-inflammatory drugs. In: Clinical pharmacology. 9th ed. New York, Churchill Livingstone, 2004, pp 279-98.
Bennett PN, Brown MJ. Pain and analgesics. In: Clinical pharmacology. 9th ed. New York, Churchill Livingstone, 2004, pp 319-43.
Chowdhury SAR. Prescribing a rational drug. Bangladesh J Physiol Pharmacol. 1991; 17: 1.
Hogerzeil HV. Promoting Rational Prescribing: an International Perspective. In: International experience in rational use of drugs. Chowdhury RR. Bangkok, College of Public Health, 1988, pp 1-2.
Rahman MS, Begum M, Khan IA. A baseline survey on use of drugs at private practitioner level in Bangladesh. Bangladesh J Physiol Pharmacol. 1998; 14: 47-50.
Truter I. Patterns of analgesic prescribing in a South African primary care setting. J Clin Pharm Ther. 1997; 22: 33-37.
WHO Report. Cyprus holds second workshop on rational drug use. Essential Drugs Monitor 1993; 16: 6.
WHO Report. Tanzania: Workshop promotes essential drug concept. Essential Drugs Monitor 1995; 20: 15.
WHO. Health situation in the South East Asia region, 1998-2000.
WHO/DAP. How to investigate drug use in health facilities. 1993, pp 25-31.
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