Pattern of prescribing psychotropics in the outpatient department of a tertiary psychiatric hospital

  • Mohammad Tariqul Alam Assistant Professor, Department of Geriatric and Organic Psychiatry, National Institute of Mental Health (NIMH), Sher-E-Bangla Nagar, Dhaka
  • Mohammad Muntasir Maruf Assistant Professor, Department of Psychiatry, Shaheed M Monsur Ali Medical College, Sirajganj
  • Mekhala Sarkar Assistant Professor, Department of Forensic Psychiatry, NIMH, Dhaka
  • Helal Uddin Ahmed Assistant Professor, Department of Child, Adolescent and Family Psychiatry, NIMH, Dhaka
  • Mahfuza Akhter Senior Consultant (Skin &Vd) Shaheed Suhrawardy Medical College Hospital, Sher-E-Bangla Nagar, Dhaka

Abstract

Pattern of prescriptions for psychiatric patients varies which is influenced by patient variation, types of disorders, cultural and environmental influences, socioeconomic status, availability of drugs and psychiatrists own preference. The aim of this study was to determine the patterns of prescribing psychotropic drugs in psychiatry Outpatient Department (OPD) in a tertiary care hospital. The cross-sectional study was conducted in the OPD of National Institute of Mental Health (NIMH), Dhaka from January to June, 2016. In the study, the prescriptions prescribed by psychiatrists were considered as study population. Using convenient sampling method, data were collected by observation using checklist from selected 604 latest prescriptions prescribed by psychiatrists in OPD of NIMH for the patients coming there for treatment. The data on the psychotropic drugs collected for the study were antipsychotics, antidepressants, mood stabilizers and sedative-hypnotics. Results showed that a total of 1802 psychotropic drugs were prescribed with an average of 2.98 psychotropics per prescription. The most common drug group prescribed was antipsychotics (44.8%). Majority (49.7%) of the prescriptions contained 3 psychotropics simultaneously. Most common (27.8%) combination was that of antipsychotics and sedativehypnotics. Dosage regimen was twice/day for the majority (55.6%). There was a combination of oral and parenteral drugs in 48.3% of prescriptions. All the drugs were prescribed by brand names. There was no diagnosis written in 60.9% of the prescriptions. The prescription pattern was not rational and this should be intervened by educating prescribers about rational prescribing in psychiatry.

Bang J Psychiatry June 2015; 29(1): 10-13

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Author Biography

Mohammad Tariqul Alam, Assistant Professor, Department of Geriatric and Organic Psychiatry, National Institute of Mental Health (NIMH), Sher-E-Bangla Nagar, Dhaka


Published
2017-06-07
How to Cite
Alam, M. T., Maruf, M. M., Sarkar, M., Ahmed, H., & Akhter, M. (2017). Pattern of prescribing psychotropics in the outpatient department of a tertiary psychiatric hospital. Bangladesh Journal of Psychiatry, 29(1), 10-13. https://doi.org/10.3329/bjpsy.v29i1.32745
Section
Original Articles