scholarly journals The Prescribing Pattern of Methyldopa in the Outpatient Setting

Author(s):  
Nehad J. Ahmed

Aim: This study aimed to describe the prescribing pattern of methyldopa in a public hospital in Alkharj. Methodology: This is a retrospective study that was conducted to know the prescribing pattern of methyldopa. The data were collected from the outpatient electronic prescriptions in a public hospital in Alkharj in 2017 and 2018. Results: Only 27 patients in the outpatient setting received methyldopa in 2017 and 23 patients in 2018. all of the patients who received methyldopa were females. Most of the prescribers were residents (82.61%) and only 17.39% were consultants. About 82.61 % of the prescriptions were written by obstetrics and gynecology department. Conclusion: The prescribing of methyldopa is infrequent in the outpatient setting. Although it is generally safe, it may cause numerous side-effects as well as it can interact with other medications, so it is important to monitor its prescribing trends to ensure that it is prescribed appropriately.

Author(s):  
Nehad J. Ahmed ◽  
Menshawy A. Menshawy ◽  
Mohd. Faiyaz Khan

Aim: The present study aimed to describe the prescribing pattern of topical betamethasone in the outpatient setting in Alkharj. Methodology: This retrospective study that included collecting data from the electronic prescriptions in a public hospital in Alkharj in 2018. Results: During the study period from Jan to Dec 2018 only 46 patients received topical betamethasone. Most of the patients were female (63.04%). About 71.74% of the prescribed betamethasone was in ointment form and 28.26% in lotion form. Most of the prescribers were residents (97.83%). Most of the prescriptions were written by dermatology department (58.70%). Conclusion: The use of topical betamethasone was uncommon and this could be due to the availability of other topical corticosteroids and other alternatives. It is important to increase the knowledge of health care workers and the patients regarding the use of topical corticosteroids.


Author(s):  
Nehad J. Ahmed ◽  
Gamal A. Gabr ◽  
Abeer A. El-Sherbiny

Aim: This study was conducted to demonstrate the prescribing pattern of norethisterone in Al-Kharj. Methodology: This is a retrospective study includes evaluating outpatient prescribing of norethisterone from 1st of January 2018 to 30th of June 2018 in a public hospital in Alkharj. Results: The age of about 31.03% of the patients who used norethisterone was between 40 and 49 years, the age of 24.14% of them was between 30 and 39, and the age of 24.14% of them were between 20 and 29 years. About 31.03% of the patients used norethisterone for 3 weeks and 17.24% of them used norethisterone for 10 days. Most of the prescriptions that contained norethisterone were prescribed by obstetrics and gynecology department (68.97%). Conclusion: The prescribing of norethisterone was uncommon in the outpatient setting due to the availability of several alternative drugs. Further studies are needed to investigate the prescribing of norethisterone and its alternatives by the different settings.


Author(s):  
Nehad J. Ahmed ◽  
Menshawy A. Menshawy

Aim: This study aimed to describe the prescribing pattern of calamine lotion in a public hospital in Alkharj. Methodology: This retrospective study included the electronic prescriptions of outpatients in a public hospital in Al-kharj and aimed to describe the prescribing pattern of calamine lotion. The collected data included the personal data of the patients, the number of calamine lotion prescriptions in different months, the duration of calamine lotion, the level of prescribers, and the prescribing’ departments. Results: Most of the patients who used calamine lotion were male patients (62.12%) and most of them were less than 10 years old (72.73%). Most of the patients used calamine for 7 days (63.64%) and about15.15% of them used it for 5 days. All of the prescribers were residents (100.00%). Most of the calamine prescriptions were prescribed by emergency department (98.48%). Conclusion: Calamine lotion prescribing was uncommon in the outpatient setting in Al-kharj. More studies are needed to explore the frequency of prescribing of calamine lotion in other setting, and to explore the frequency of prescribing other alternative agents.


Author(s):  
Nehad J. Ahmed

Aim: The study of prescribing pattern is essential since it gives an idea to physicians about the process of monitoring and assessment of the drugs and endorses the required modifications. This study aimed to assess the outpatient prescribing pattern of ranitidine in a public hospital in Alkharj. Methodology: This is a retrospective study was conducted at the outpatient setting in a public hospital in Alkharj. The outpatient electronic prescriptions were reviewed to evaluate the prescription patterns of ranitidine drug by the help of pharmacy department in the hospital. Results: Throughout the study, 697 patients received ranitidine. About 51.65 % of the patients were females. Most of the patients who were included in the study were in the age level between 20-49 (61.68%). Moreover, most of the prescriptions were prescribed by emergency department (70.30%). Conclusion: Prescribing of ranitidine drug is indeed popular among outpatients in the study. This study investigated the frequency of ranitidine use but further studies are warranted to investigate the appropriateness of its prescriptions.


Author(s):  
Nehad J. Ahmed ◽  
Mohammad Javed Ansari

Aim: The present study aimed to describe the prescribing pattern of topical lidocaine in the outpatient setting in Al Seih. Methodology: This is a retrospective study that includes reviewing the electronic prescriptions that contained topical lidocaine among outpatients in a public hospital in Al Seih. Results: More than 52% of the patients who received topical lidocaine were males and the age of 36.84% of them was between 30 and 39 years.  Most of the patients who received topical lidocaine for 7 days (64.47%). Topical lidocaine prescriptions were written mainly by residents (96.05%). More than 55% of the topical lidocaine prescriptions were prescribed by the emergency department and 38.16% of the prescriptions were prescribed by general surgery department. Conclusion: The present study showed that the prescribing of topical lidocaine was uncommon in Al Seih. Further studies are required to investigate the pattern and the frequency of topical lidocaine and other topical anesthetics in the outpatients setting and in other settings.


Author(s):  
Nehad J. Ahmed

Introduction: Several previous studies reported a high prescribing rate of cephalosporin antibiotics such as cefuroxime. The inappropriate outpatients prescribing of cefuroximeleads to the development of bacterial resistance. Aim: This study was conducted to demonstrate the prescribing pattern of cefuroxime in the outpatient setting in Alkharj. Methodology: This retrospective study was conducted to know the prescribing pattern of cefuroxime. The data were collected from electronic prescriptions in a public hospital in Alkharj in 2018. The data were collected and analyzed using Excel software and represented as frequencies and percentages. Results: In 2018, there were 316 prescriptions containing cefuroxime. The majority of the patient was males (56.01%). The majority of cefuroxime prescriptions include tablet dosage form (81.96%). About 62.03% of the outpatient prescriptions were prescribed by the emergency department. Conclusion: Cephalosporin group (including cefuroxime) was one of the most commonly prescribed antibiotic groups to treat several infections. A high percentage of antibiotic prescriptions were prescribed inappropriately. It is important to increase the awareness about the wise use of antibiotics and to start the implementation of antimicrobial stewardship programs.


Author(s):  
Nehad J. Ahmed ◽  
Menshawy A. Menshawy

Objective: The aim of this study was to determine digoxin prescribing pattern in the outpatient setting in Alkharj. Methods: This retrospective study included a review of outpatient records between in 2017 and 2018. It included the entire outpatient who received digoxin during the study period. Results: Only 38 patients received digoxin during 2017 and in 2018, 31 patients received digoxin. More than half of the patients receiving digoxin in 2018 were males (58.06%) and about 54.84% of them aged more than 59 years. Most of the prescribers were residents (77.42%). More than 61 % of the prescriptions were written by cardiology department followed by emergency department (22.58%). Conclusion: The use of digoxin is uncommon in the outpatient department in Alkharj nonetheless it has a narrow therapeutic window and it should be prescribed carefully because of its adverse events. It is also important to increase the awareness of healthcare providers and patients about digoxin use.


Author(s):  
Nehad J. Ahmed ◽  
Menshawy A. Menshawy

Objective: The present study aims to explore the prescribing trends of aluminum hydroxide - magnesium hydroxide in the outpatient setting. Methods: This is a cross-sectional study that was conducted in a public hospital in Al Saih. Prescription data was collected retrospectively from electronic patients records in the outpatient section of the hospital. Results: A total of 146 outpatients received aluminum hydroxide - magnesium hydroxide antacid between 1st of July till the end of December 2018. Most of the patients were female (61.64%). Out of the 146 prescriptions, 145 were written by residents (99.32%) and only 1 prescription was written by a specialist (0.68%). Most of the prescriptions were written by emergency department (91.79%). Conclusion: The use of aluminum hydroxide - magnesium hydroxide was uncommon but it should be prescribed carefully and a continuous assessment of its prescribing is required to prevent its adverse events and drug interactions.


Author(s):  
Nehad J. Ahmed ◽  
Menshawy A. Menshawy

Aim: This study was conducted to demonstrate the prescribing pattern of bromhexine in a public hospital in Alkharj. Methodology: This is a retrospective study that included evaluating outpatient antibiotic prescriptions from 1st of January/2018 to 30th of June/2018 in a public hospital Al-kharj. The collected data were the personal data of the patients, the prescribing’ departments, the duration of bromhexine use, and the level of the prescribers. Results: Most of the patients were in the age group of 20-29 (32.35%) followed by 10-19 (20.59%). About 73.53% of the prescriptions were written by the emergency department, followed by the chest department (20.59%). All of the prescriptions were written by residents. Most of the patients used bromhexine for 5 days (76.47%) followed by 1 week (20.59%). Conclusion: The present study showed that bromhexine use in the outpatient setting was uncommon. More studies are needed to explore the frequency of prescribing other mucolytic agents.


Author(s):  
Nehad J. Ahmed ◽  
Menshawy A. Menshawy

Aim: This study aimed to describe the prescribing pattern of budesonide nebulizer and budesonide nasal spray in a public hospital in Alkharj. Methodology: This retrospective study was conducted in a public hospital in Alkharj city. The outpatient prescriptions were reviewed to describe the use of budesonide in the period between 01-01- 2018 and 31-06-2018.  The study included budesonide forms that are delivered directly to the respiratory system, so budesonide nebulizer and budesonide nasal spray were included in the study and other dosage forms were excluded. Results: About 53.12% of the prescribed budesonide was in the form of nebulizer and 46.88% was in the form of nasal spray. Most of them were males (62.50%) and about 43.75% of them were less than 10 years. More than 53% of the prescriptions were written by residents and 40.62% were written by consultants. The most commonly prescribed department was pediatrics department (43.75%) followed by Ear-Nose-Throat (E.N.T) department (18.75%) and emergency (18.75%). Conclusion: The present study showed that the use of budesonide was uncommon in the outpatient setting. More studies are needed to explore the frequency of prescribing other dosage forms of budesonide and to explore the frequency of prescribing other alternative agents.


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