scholarly journals A STUDY OF PRESCRIPTION PATTERN OF NON STEROIDAL ANTI-INFLAMMATORY DRUGS IN MEDICINE OUT-PATIENT CLINIC OF A RURAL TEACHING HOSPITAL

2013 ◽  
Vol 2 (32) ◽  
pp. 6089-6096 ◽  
Author(s):  
Kulkarni Dhananjay ◽  
Guruprasad N.B ◽  
Anand Acharya
Keyword(s):  
Teaching Hospital ◽  
Prescription Pattern ◽  
Inflammatory Drugs ◽  
Anti Inflammatory ◽  
Rural Teaching

scholarly journals Defined Daily Dose and Appropriateness of Clinical Application: The Coxibs and Traditional Nonsteroidal Anti-Inflammatory Drugs for Postoperative Orthopaedics Pain Control in a Private Hospital in Malaysia

Pharmacy ◽  
2020 ◽  
Vol 8 (4) ◽  
pp. 235
Author(s):  
Faizah Safina Bakrin ◽  
Mohd Makmor-Bakry ◽  
Wan Hazmy Che Hon ◽  
Shafeeq Mohd Faizal ◽  
Mohamed Mansor Manan ◽  
...  
Keyword(s):  
Drug Utilization ◽  
Teaching Hospital ◽  
Pain Control ◽  
Orthopaedic Surgery ◽  
Prescribing Patterns ◽  
World Health ◽  
Defined Daily Dose ◽  
Daily Dose ◽  
Inflammatory Drugs ◽  
Anti Inflammatory

Introduction: Drug utilization of analgesics in a private healthcare setting is useful to examine their prescribing patterns, especially the newer injectable cyclooxygenase (COX)-2 inhibitors (coxibs). Objectives: To evaluate the utilization of coxibs and traditional nonsteroidal anti-inflammatory drugs (tNSAIDs) indicated for postoperative orthopaedic pain control using defined daily dose (DDD) and ratio of use density to use rate (UD/UR). Method: A retrospective drug utilization review (DUR) of nonsteroidal anti-inflammatory drugs (NSAIDs) at an inpatient department of a private teaching hospital in Seremban, Malaysia was conducted. Patients’ demographic characteristics, medications prescribed, clinical lab results, visual analogue scale (VAS) pain scores and length of hospital stay were documented. Orthopaedic surgeries, namely arthroscopy, reconstructive, and fracture fixation, were included. Stratified random sampling was used to select patients. Data were collected through patients’ medical records. The DDD per 100 admissions and the indicator UD/UR were calculated with the World Health Organization’s DDD as a benchmark. The inclusion criteria were patients undergoing orthopaedic surgery prescribed with coxibs (celecoxib capsules, etoricoxib tablets, parecoxib injections) and tNSAIDs (dexketoprofen injections, diclofenac sodium tablets). Data were analysed descriptively. This research was approved by the academic institution and the hospital research ethics committee. Result: A total of 195 records of patients who received NSAIDs were randomly selected among 1169 cases. In term of the types of orthopaedic surgery, the ratio of included records for arthroscopy:fracture fixation:reconstructive surgery was 55.4:35.9:8.7. Most of the inpatients had low rates of common comorbidities such as cardiovascular disease as supported by their baseline parameters. The majority were not prescribed with other concomitant prescriptions that could cause drug interaction (74.9%), or gastroprotective agents (77.4%). Overall, DDDs per 100 admissions for all NSAIDs were less than 100, except for parecoxib injections (389.23). The UD/UR for all NSAIDs were less than 100, except for etoricoxib tablets (105.75) and parecoxib injections (108.00). Discussion: As per guidelines, the majority (96.9%) received other analgesics to ensure a multimodal approach was carried out to control pain. From the UD/UR results, the arthroscopy surgery was probably the most appropriate in terms of NSAID utilization. Conclusion: The prescribing pattern of NSAIDs except parecoxib was appropriate based on adverse effect and concurrent medication profile. The findings of this DUR provide insight for a low-risk patient population at a private specialized teaching hospital on the recommended use of NSAIDs for postoperative orthopaedic pain control.

scholarly journals Prescription pattern analysis of nonsteroidal anti-inflammatory drugs in the northeastern iranian population

2017 ◽  
Vol 6 (4) ◽  
pp. 206
Author(s):  
Zhila Taherzadeh ◽  
Majid Zeinali ◽  
Jamshid Tabeshpour ◽  
SeyedVahid Maziar ◽  
MohammadReza Zirak ◽  
...  
Keyword(s):  
Pattern Analysis ◽  
Iranian Population ◽  
Prescription Pattern ◽  
Inflammatory Drugs ◽  
Anti Inflammatory

scholarly journals USO DE ANALGÉSICOS Y ANTIINFLAMATORIOS EN UN SERVICIO DE CIRUGÍA BUCAL EN MEDELLÍN, 2013-2015

2019 ◽  
Vol 30 (2) ◽  
Author(s):  
Stefanía Hernández Viana ◽  
Natalia Silva Gómez ◽  
David Andrés Gálvis Pareja ◽  
María Cecilia Martínez Pabón
Keyword(s):  
Oral Surgery ◽  
Descriptive Study ◽  
Third Molars ◽  
Prescription Pattern ◽  
Drug Of Choice ◽  
Dental Practitioners ◽  
Inflammatory Drugs ◽  
Anti Inflammatory ◽  
School Of Dentistry ◽  
Clinical Records

Introduction: dental surgical procedures trigger an inflammatory response, for which dental practitioners prescribe analgesic and anti-inflammatory medications using pharmacological guidelines that require knowledge on the use of medicines in a given environment. The aim of the present study was to identify the analgesics and anti-inflammatory drugs most commonly prescribed at the oral surgery service of the Universidad de Antioquia School of Dentistry. Methods: this retrospective descriptive study reviewed the clinical records of the oral surgery service in the period January 2013-August 2015. A total of 1,177 records were reviewed, and 709 were selected for analysis. Results: 53.1% of the drugs prescribed were non-selective Nonsteroidal Anti-Inflammatory Drugs (NSAIDs). Ibuprofen was formulated in 26.7% of all cases, followed by nimesulide with 24.1% and the combination of acetaminophen plus meloxicam with 10.2%. This same prescription pattern was observed in patients reporting no additional relevant medical history. In the case of gastric history, nimesulide was the drug of choice. 84% of all procedures were surgical extractions of third molars, with ibuprofen 600 mg postoperative for three days as the main therapeutic scheme. Conclusion: ibuprofen, nimesulide, and the combination acetaminophen plus meloxicam were the main analgesics and anti-inflammatory drugs prescribed in this study, according to medical and surgical records.

scholarly journals The Prescription Pattern of Acetaminophen and Non-Steroidal Anti-Inflammatory Drugs in Patients with Liver Cirrhosis

2016 ◽  
Vol 31 (10) ◽  
pp. 1604 ◽  
Author(s):  
Young Mi Hong ◽  
Ki Tae Yoon ◽  
Jeong Heo ◽  
Hyun Young Woo ◽  
Won Lim ◽  
...  
Keyword(s):  
Liver Cirrhosis ◽  
Prescription Pattern ◽  
Inflammatory Drugs ◽  
Anti Inflammatory

scholarly journals A Study of Prescribing Patterns for Non-Steroidal Anti-Inflammatory Drugs in a Tertiary Care Teaching Hospital

2021 ◽  
Author(s):  
GEETHA KANDASAMY ◽  
DALIA ALMAGHASLAH ◽  
MONA ALMANASEF ◽  
RAJALAKSHIMI VASUDEVAN ◽  
ALI ALQAHTANI ◽  
...  
Keyword(s):  
Teaching Hospital ◽  
Tertiary Care ◽  
Prescribing Patterns ◽  
Tertiary Care Teaching Hospital ◽  
Care Teaching ◽  
Inflammatory Drugs ◽  
Anti Inflammatory

scholarly journals Prescription pattern of NSAIDS and the prevalence of NSAID-induced gastrointestinal risk factors of orthopaedic patients

2017 ◽  
Vol 5 (03) ◽  
pp. 17-25 ◽  
Author(s):  
Anita P. Antappan ◽  
Bibin Punnoose Micheal ◽  
Merin Anto Thelappilly ◽  
Thazneem Bagum T.D. ◽  
Leo Mathew ◽  
...  
Keyword(s):  
Risk Factors ◽  
High Risk ◽  
Risk Groups ◽  
Study Groups ◽  
Study Cohort ◽  
Prescription Pattern ◽  
Orthopaedic Patients ◽  
Life Threatening ◽  
Inflammatory Drugs ◽  
Anti Inflammatory

Background: Nonsteroidal anti-inflammatory drugs (NSAIDs) are one of the most commonly used medications in the world. NSAID-induced adverse reactions involve upper gastrointestinal (GI) tract complications, which can be life-threatening. Objectives: The study was conducted to explore the current prescription pattern of non-steroidal anti-inflammatory drugs (NSAIDs) and the prevalence of NSAID-induced gastrointestinal(GI) risk factors of orthopedic adult inpatient.Materials and methods: A prospective observational NSAIDs induced GI risk related study was conducted over a period of 6 months by clinical pharmacist. Study cohort included 105 orthopaedic inpatients who are taking or will be taking NSAIDs for more than a week. A self-administered questionnaire was completed by each patient. A simplified risk scoring scale (the Standardized Calculator of Risk for Events; SCORE) was used to measure patients‟ risk for GI complications. The pattern of NSAIDs prescription was identified from medical recordings.Results: The study groups were stratified into four risk groups according to GI SCORE tool, 27.6% of the patients belonged to high risk or very high risk groups for GI complications. Analysis of prescription pattern revealed that 11.4% of the patients aged over 65 yr, 19% with co morbid disease were prescribed with COX-2 selective inhibitor. Conclusion: In this study assessment of prescription pattern and GI risk factors for NSAIDs were evaluated and in conclusion, physician‟s considerate prescription of NSAIDs with well-understanding of each patient‟s GI risk factors is strongly encouraged to prevent serious GI complications

scholarly journals A STUDY OF PRESCRIPTION PATTERN OF ANTIMICROBIAL USAGE IN EAR, NOSE AND THROAT INFECTIONS OF A RURAL TEACHING HOSPITAL

2014 ◽  
Vol 3 (60) ◽  
pp. 13407-13414
Author(s):  
Guru Prasad N. B ◽  
Kulkarni Dhananjay ◽  
Rajasekhar C. H ◽  
Rajesh D ◽  
Raghavendra A. Y ◽  
...  
Keyword(s):  
Teaching Hospital ◽  
Prescription Pattern ◽  
Antimicrobial Usage ◽  
Rural Teaching ◽  
Nose And Throat

scholarly journals Evaluation the pattern of adverse drug reactions by non-steroidal anti-inflammatory drugs at the outpatient orthopedics department of a university teaching hospital in north India

2018 ◽  
Vol 7 (10) ◽  
pp. 1974
Author(s):  
Harpreet Singh Sidhu ◽  
Akshay Sadhotra
Keyword(s):  
Adverse Drug Reactions ◽  
Teaching Hospital ◽  
Tertiary Care ◽  
University Teaching ◽  
North India ◽  
Care Hospital ◽  
Drug Reactions ◽  
Inflammatory Drugs ◽  
Anti Inflammatory ◽  
Orthopedic Patients

Background: The study was conducted with an aim to evaluate the pattern of occurrence of adverse drug reactions (ADRs) of Non-steroidal anti-inflammatory drugs (NSAIDs) in orthopedic patients in a tertiary care teaching hospital of North India.Methods: An observational study was carried out in the orthopedic outpatient department at the tertiary care hospital for the period of six months. All patients diagnosed with acute pain and receiving NSAIDs were included. The documented ADRs were assessed for causality, severity and preventability using Naranjo’s algorithm and WHO-UMC scale, modified Hartwig and Seigel Scale and modified Schumock and Thornton scale, respectively.Results: A total of 84 ADRs were reported from 51 patients. The most common ADRs observed were from gastrointestinal (38%) followed by skin (18%) and autonomic nervous system (12%). Maximum number of ADRs were reported in patients on diclofenac (47%) followed by piroxicam (44%). Upon causality assessment, majority of the reactions were possible (61.5% with WHO-UMC scale, and 57.1% with Naranjo’s algorithm). The association of results between the two scales was statistically significant (p<0.001). Majority of ADRs (73.4%) were assessed as mild and 66.7% of the ADRs were probably preventable.Conclusions: Authors conclude that incidence of ADRs can be decreased and compliance can be improved by early detection and management.

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