Background: In India cataract is the principal cause of blindness responsible for 62.6% as per national programme for control of blindness survey and as per our knowledge, very few systematically analysed data are available on the drug utilization study pattern of medical intervention for post cataract surgery in India. Hence, the present study was under taken to generate baseline drug use data and analyse various aspects of drug prescribing practices.Methods: This study was conducted in department of ophthalmology BIMS Belagavi. A total of 449 patients’ prescription was analysed prospectively. The data was analysed statistically, and results were expressed as numbers and percentage.Results: A total of 2306 drugs were prescribed for 449 patients who underwent cataract surgery. All patients received topical eye drops includes bromfenac 0.1% eye drop and other one is a fixed drug combination of dexamathasone 0.1% plus ofloxacin 0.3% eye drop. Use of antibiotic in association with sex found to be significant (p- value <0.004). Average number of drugs per prescription was 5.1 and drugs which prescribed in generic name were 60.99% and overall percentage of drugs prescribed by brand name was 38.94% which includes 100% eye drops were prescribed by brand names. Fixed drug combination includes 19.50% and drugs from essential drug list used were 80.49%.Conclusions: Health care providers have to take initiative for rational prescribing keeping in mind that it is not only a matter of national policy but also to wellbeing of individual patient.
Venous ulcers are a frequently encountered problem in the present era produced commonly as a complication of varicose veins and it causes long-term agony to the patient. The properties of a venous ulcer-like non-healing na- ture, severe discharge pain itching etc. come under the umbrella of Dushtavrana explained by Acharya Sushruta. Management of chronic venous ulcers is a challenging one. Commonly practised gauze dressing for chronic ulcers may be disruptive for wound healing as it gets adhered to wound bed hampering breathing of wound and causing damage to granulation tissue during its removal. These factors may be responsible for delayed wound healing. In modern science, there are plenty of sterilized, packed dressing materials available in the market. But nowhere Ayurvedic ready to use dressing material is manufactured or made available in the market. Keeping these into con- sideration, Jatyadi Ghrita Vikeshika i.e., the cloth containing Jatyadi Ghrita is prepared, packed and sterilized. This is compared with the Sofra-tulle of modern science. In the present comparative study, 40 patients were select- ed and divided into 2 groups of 20 patients each and trial group patients were treated with Jathyadi Ghrita Vike- shika dressing & control group patients were treated with Sofra-tulle dressing for 28 days. The study revealed highly significant results in both groups statistically.
On observation except for pain, in all other parameters, Jatyadi Ghrita Vikeshika was found more effective. Hence Jatyadi Ghrita Vikeshika can be undoubtedly used in Dushtavrana which promotes both Shodhana (Cleansing) and Ropana (Healing)of Vrana.
Keywords: Dushtavrana, Venous Ulcer, Jatyadi Ghrita Vikeshika, Sofra-Tulle dressing.
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