Prescription Pattern and Potential Drug-Drug Interactions of Antihypertensive Drugs in a General Hospital, South Ethiopia

Purpose: Selection and use of anti-hypertensive agents are not usually compliant with international guidelines. A prescription based survey is the most effective method to assess and evaluate the prescribing pattern of physicians and dispensing practice of pharmacists; hence, the aim of this study w...

Full description

Bibliographic Details
Main Authors: Fanta Gashe Fufa, Dereje Mirkano, Ramenjiredi Tipathi
Format: Article
Language:English
Published: Cukurova University 2015-12-01
Series:Çukurova Üniversitesi Tıp Fakültesi Dergisi
Subjects:
Online Access:http://www.scopemed.org/fulltextpdf.php?mno=181491
_version_ 1828022578133860352
author Fanta Gashe Fufa
Dereje Mirkano
Ramenjiredi Tipathi
author_facet Fanta Gashe Fufa
Dereje Mirkano
Ramenjiredi Tipathi
author_sort Fanta Gashe Fufa
collection DOAJ
description Purpose: Selection and use of anti-hypertensive agents are not usually compliant with international guidelines. A prescription based survey is the most effective method to assess and evaluate the prescribing pattern of physicians and dispensing practice of pharmacists; hence, the aim of this study was to assess the prescription pattern of anti-hypertensive drugs in Durame General Hospital. Material and Methods: A retrospective study was carried out from January to February, 2013 on one year patient cards. Records of 250 patients were selected by simple random sampling technique. However, since some of prescriptions are illegible and incomplete, 205 patient records were included in the study. Results: Out of 205 patients, 46 (22.44%) of them were on mono-therapy and 159 (77.56%) on combination therapy. Among patients on combination therapy, 120 (75.5%) and 39(24.5%) were on two and three drugs combination, respectively. Diuretic was the most frequently prescribed drug both as a single agent (65.22%) and as combination therapy (86.8%). Combination therapy significantly reduced blood pressure as compared to mono-therapy. The majority of co-prescribed drugs which have a potential drug interaction with anti-hypertensive agents were NSAIDs (98.21%). Conclusion: Combination therapy was the most prescribed pattern to treat hypertensive patients which is in line with international guidelines. However, majority of patients in pre-hypertensive stage were treated by combination therapy which is not recommended. Hence, physicians should consider when the combination drugs are to be prescribed for hypertensive patients. [Cukurova Med J 2015; 40(4.000): 698-706]
first_indexed 2024-04-10T12:11:08Z
format Article
id doaj.art-3d7657c07dcf47f1baa3894faeca8c9e
institution Directory Open Access Journal
issn 0250-5150
language English
last_indexed 2024-04-10T12:11:08Z
publishDate 2015-12-01
publisher Cukurova University
record_format Article
series Çukurova Üniversitesi Tıp Fakültesi Dergisi
spelling doaj.art-3d7657c07dcf47f1baa3894faeca8c9e2023-02-15T16:15:58ZengCukurova UniversityÇukurova Üniversitesi Tıp Fakültesi Dergisi0250-51502015-12-01404698706181491Prescription Pattern and Potential Drug-Drug Interactions of Antihypertensive Drugs in a General Hospital, South EthiopiaFanta Gashe Fufa0Dereje Mirkano1Ramenjiredi Tipathi2PHARMACY DEPARTMENT, JIMMA UNIVERSITY,JIMMA, ETHIOPIA PHARMACY DEPARTMENT, JIMMA UNIVERSITY, ETHIOPIA DEPARTMENT OF PHARMACY, JIMMA UNIVERSITY, ETHIOPIAPurpose: Selection and use of anti-hypertensive agents are not usually compliant with international guidelines. A prescription based survey is the most effective method to assess and evaluate the prescribing pattern of physicians and dispensing practice of pharmacists; hence, the aim of this study was to assess the prescription pattern of anti-hypertensive drugs in Durame General Hospital. Material and Methods: A retrospective study was carried out from January to February, 2013 on one year patient cards. Records of 250 patients were selected by simple random sampling technique. However, since some of prescriptions are illegible and incomplete, 205 patient records were included in the study. Results: Out of 205 patients, 46 (22.44%) of them were on mono-therapy and 159 (77.56%) on combination therapy. Among patients on combination therapy, 120 (75.5%) and 39(24.5%) were on two and three drugs combination, respectively. Diuretic was the most frequently prescribed drug both as a single agent (65.22%) and as combination therapy (86.8%). Combination therapy significantly reduced blood pressure as compared to mono-therapy. The majority of co-prescribed drugs which have a potential drug interaction with anti-hypertensive agents were NSAIDs (98.21%). Conclusion: Combination therapy was the most prescribed pattern to treat hypertensive patients which is in line with international guidelines. However, majority of patients in pre-hypertensive stage were treated by combination therapy which is not recommended. Hence, physicians should consider when the combination drugs are to be prescribed for hypertensive patients. [Cukurova Med J 2015; 40(4.000): 698-706]http://www.scopemed.org/fulltextpdf.php?mno=181491antihypertensive drugsmono therapycombination therapyprescription patterndrug-drug interactions
spellingShingle Fanta Gashe Fufa
Dereje Mirkano
Ramenjiredi Tipathi
Prescription Pattern and Potential Drug-Drug Interactions of Antihypertensive Drugs in a General Hospital, South Ethiopia
Çukurova Üniversitesi Tıp Fakültesi Dergisi
antihypertensive drugs
mono therapy
combination therapy
prescription pattern
drug-drug interactions
title Prescription Pattern and Potential Drug-Drug Interactions of Antihypertensive Drugs in a General Hospital, South Ethiopia
title_full Prescription Pattern and Potential Drug-Drug Interactions of Antihypertensive Drugs in a General Hospital, South Ethiopia
title_fullStr Prescription Pattern and Potential Drug-Drug Interactions of Antihypertensive Drugs in a General Hospital, South Ethiopia
title_full_unstemmed Prescription Pattern and Potential Drug-Drug Interactions of Antihypertensive Drugs in a General Hospital, South Ethiopia
title_short Prescription Pattern and Potential Drug-Drug Interactions of Antihypertensive Drugs in a General Hospital, South Ethiopia
title_sort prescription pattern and potential drug drug interactions of antihypertensive drugs in a general hospital south ethiopia
topic antihypertensive drugs
mono therapy
combination therapy
prescription pattern
drug-drug interactions
url http://www.scopemed.org/fulltextpdf.php?mno=181491
work_keys_str_mv AT fantagashefufa prescriptionpatternandpotentialdrugdruginteractionsofantihypertensivedrugsinageneralhospitalsouthethiopia
AT derejemirkano prescriptionpatternandpotentialdrugdruginteractionsofantihypertensivedrugsinageneralhospitalsouthethiopia
AT ramenjireditipathi prescriptionpatternandpotentialdrugdruginteractionsofantihypertensivedrugsinageneralhospitalsouthethiopia