scholarly journals Trends in the Outpatient Prescribing of Clopidogrel

Author(s):  
Nehad J. Ahmed

Aim: This study aims to evaluate the trends in outpatient prescribing of clopidogrel in order to guide the physicians to appropriate clopidogrel prescribing practice in Alkharj. Methodology: This is a retrospective study that was conducted in a public hospital in Alkharj city. The outpatient prescriptions were reviewed to evaluate the prescription patterns of clopidogrel in the period between 01-01- 2018 and 31-12-2018. The data were collected and analyzed using Excel software; the descriptive data were represented by frequencies and percentages. Results: The majority of the patients who received clopidogrel were in the ages between 50 to 69. The majority of the prescribing physicians were residents followed by specialists. Cardiology (50.00%) followed by Internal Medicine (23.71%) were the departments that prescribed the majority of Clopidogrel. Conclusion: Clopidogrel was used frequently and mainly alone without combination. It is prescribed primarily by resident prescribers who are usually with less experience than specialists and consultants. It is important to prescribe it appropriately and it is the responsibility of pharmacists to check for the appropriateness of its dispensing and to check for drug-drug interactions before dispensing it.

Author(s):  
Nehad J. Ahmed

Aims: This study aims to demonstrate the use of enoxaparin in obstetrics and gynecology department in Alkharj. Methodology: This is a retrospective study was conducted in a public hospital in Alkharj city. The outpatient prescriptions were reviewed to evaluate the prescription patterns of enoxaparin. The data were collected and analyzed using Excel software, the descriptive data were represented by frequencies and percentages. Results: About 86.32% of the prescriptions contain enoxaparin syringe were prescribed for female patients. The majority of enoxaparin prescriptions were from obstetrics & gynecology department (79.48%).Moreover, the majority of enoxaparin prescriptions were prescribed by consultants (62.39%). Conclusion: The result of this study show that enoxaparin was prescribed commonly in the obstetrics and gynecology department for female patients because of its efficacy and safety profile. Enoxaparin is safer than other anticoagulants but still could cause many adverse effects so it is important to increase the health care professional awareness about its use.


Author(s):  
Nehad J. Ahmed

Aim: This study aimed to describe the prescribing pattern of medications in the cardiology outpatient department of a public hospital. Methodology: This is a retrospective study included collecting data from outpatient pharmacy prescriptions from a public hospital in Alkharj. The data was analyzed using Microsoft Excel and after that the descriptive data was represented as percentages and frequencies. Results: The most prescribed medication was aspirin (11.6%) followed by bisoprolol (8.06), atorvastatin (7.5%) and furosemide (6.79%). Most of the prescriptions were written by residents (85.15%). Most of the medications were prescribed as tablets (88.26%) and capsules (9.05%). Conclusion: It is important to evaluate the prescribing pattern of medications in the cardiology department to ensure that these medications are prescribed appropriately and to increase the awareness of the health-care professionals about these medications.


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.


Author(s):  
Nehad J. Ahmed

Aim: The prescribing pattern of furosemide helps the prescribers in the monitoring and evaluation of the drugs and helps them in recommending the necessary modifications. So the aim of the present study is to demonstrate the outpatient use of furosemide in a public hospital. Methodology: This is a retrospective study was conducted in a public hospital in Alkharj city. The outpatient prescriptions were reviewed to demonstrate the prescription patterns of furosemide. The study included all outpatient prescriptions that contains furosemide in 2018. Results: Furosemide was prescribed in 46.27% of diuretics prescriptions in the outpatient setting. The majority of the patients were female patients. Most of the patients were more than 39 years old. Most of the furosemide prescriptions were prescribed mainly by resident prescribers, mainly in the cardiology department. Conclusion: Furosemide is an important medication for treating cardiovascular diseases specially in the presence of edema. It is important to increase the awareness of health care professionals and patients regarding the use of furosemide. Moreover, it is important to increase the awareness of the public regarding the importance of adherence to furosemide.


Author(s):  
Nehad J. Ahmed

Objective: This study aimed to describe the pattern of prescription ofmedications in the department of obstetrics and gynecology in a public hospital in Alkharj. Methodology: This is a retrospective study that included data collection of outpatient electronic prescriptions at a public hospital in Alkharj. Data were collected and analyzed using Microsoft Excel. Descriptive data were represented as percentages and numbers. Results: The total number of outpatients who received prescriptions from the obstetrics and gynecology outpatient clinic was 722. The majority were between 20 and 39 years old (76.04%). Most prescriptions were written by consultants (55.12%) followed by residents (42.38%). Most drugs were prescribed as tablets (63.43%) followed by capsules (17.17%) and ampoule/syringe (9.42%). The most prescribed medication was paracetamol (14.68%) followed by ferrous sulfate/ferrous hydroxide (13.85), amoxicilline (8.17%). Conclusion: The pattern of prescription of medications in the department of obstetrics and gynecology, especially during pregnancy, needs to be continuously evaluated in order to promote rational prescription of medications in order to decrease morbidity and mortality associated with therapy. It is important to raise the awareness of health professionals about the use of supplements and antimicrobials.


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 ◽  
Mohamed R. Alsubaie ◽  
Abdullah T. Almutairi

Aim: The present study aimed to explore mebeverine prescribing in the outpatient setting in Riyadh Region. Methodology: This was a retrospective study that included reviewing the outpatient prescriptions of mebeverine in a governmental hospital in Riyadh Region. The study excluded the prescriptions that were prescribed by other settings and the outpatient prescriptions that didn’t contain an mebeverine. Results: During the study period between January 2018 to June 2018, mebeverine was prescribed to 113 patients. most of them were females (62.83%). The age of 29.20% of the patients was between 50 and 59 years. Most of the prescriptions that contained mebeverine were written by residents (86.73%) and most of the prescriptions that contained mebeverine were prescribed by internal medicine (34.51%), gastroenterology (23.89%), and emergency (21.24%) departments. Conclusion: The present study showed that mebeverine was prescribed commonly in the outpatient setting. More studies are needed to explore the frequency of prescribing mebeverine and the frequency of prescribing other antispasmodic medications in different settings.


Author(s):  
Nehad J. Ahmed

Aim: This study aims to illustrate the Prescribing Trends of Amlodipine in Outpatient Setting in Al-Kharj city. Methodology: This is a retrospective study that was conducted in a public hospital in Alkharj city. The outpatient prescriptions were reviewed to evaluate the prescription patterns of Amlodipine. The data were collected and analyzed using Excel software, the descriptive data were represented by frequencies and percentages. Results: The majority of amlodipine prescriptions were for patients more than 40 years old. The most prescribed departments were internal medicine followed by emergency and cardiology department. Amlodipine was mainly prescribed by resident physicians. Conclusion: Amlodipine is one of the most prescribed antihypertensive drugs. It is prescribed mainly by residents, many of them without sufficient experiences. This may lead to inappropriate prescribing patterns, as a result more efforts needed to increase the knowledge of prescribers regarding the appropriate use of cardiovascular medicines including amlodipine.


Author(s):  
Nehad J. Ahmed

Aim: The aim of this study was to identify the outpatient doxycycline therapy: Frequency of its use and its prescribing patterns in a public hospital. Methodology: This was a retrospective study which was conducted in a public hospital in Alkharj City in 2018. The outpatient prescriptions were reviewed to evaluate the prescription patterns of Doxycycline. Results: The study results found that about 48.38% of the patients were female and about 62.90% were from Saudi Arabia. Doxycycline was prescribed mainly by resident physicians. Doxycycline was prescribed mainly in the emergency department followed by obstetrics & gynecology department. Conclusion: Doxycycline was prescribed infrequently in the outpatient settings; it is reserved only for specific conditions. It is important to use antibiotics wisely by the patients and to prescribe and dispense antibiotics including doxycycline appropriately by health care professionals.


Author(s):  
Nehad J. Ahmed

Aim: This study aims to describe the prescribing pattern of medications by dermatology outpatient department in a public hospital in Alkharj. Methodology: This is a retrospective study that included collecting data from outpatient electronic prescriptions in a public hospital in Alkharj. All of the outpatients who received prescriptions written by the dermatology department between 1st of January till 30th of June 2018 were included in the study. The data were collected and analyzed using Microsoft Excel. Results: A total of 328 patients received outpatient prescriptions written by dermatology department. Most of them were females (62.80%) and aged less than 40 years (67.38%). The most prescribed drug in the present study was Hydrocortisone (14.33%) followed by White Soft Paraffin (8.84), Fusidic acid (8.54%) and Cetirizine (8.23%). Most of the medications were prescribed as ointment (28.66%) followed by creams (28.04%). Conclusion: Females were found to be more predominant with dermatological diseases when compared to males. The most commonly prescribed drugs were hydrocortisone, white soft paraffin, fusidic acid and cetirizine. It is important to evaluate prescribing pattern of the drugs periodically to improve the quality of prescriptions.


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