Introduction and Aim: Diabetes is an opportunistic killer. Approximately 77 million people in India suffer from diabetes. A person develops diabetes due to genetic predisposition, family history, obesity, lack of physical activity, diet low in fruits and vegetables. Modification of life style and pharmacotherapy of diabetes are often indicated to control diabetes and emergence of complications. Therefore, the present study was undertaken to evaluate the prescription pattern of antidiabetic drugs among indoor patient with adherence to WHO core prescribing indicator. Materials and Methods: A retrospective observational study was conducted for a period of six months and 140 case sheets of indoor diabetic patients admitted in Medicine department were collected from MRD office after prior approval from IEC. The data were analysed using descriptive statistics. Results: The study showed male preponderance of 75.71% in comparison to female 24.29%. The pattern of antidiabetic prescribed showed highest prescription rate of various preparations of insulin (68.57%) with regular insulin most commonly prescribed preparation (64.58%). Among oral antidiabetic drugs metformin (42.86%) was most commonly used. The percentage of drug prescribed in generic name was 36.36% and the percentage of drugs prescribed from National List of Essential Medicines (NLEM) was found to be 69.7%. Conclusion: The study provided substantial information about the prescribing practices of physicians and also paved a way to formulate prescribing policies at our institution.
Background: Adverse drug reactions (ADR) are one of the major reason of morbidity, mortality and increase in health-care costs. The pharmacovigilance programme of India (PvPI) encourages the active participation of all health care professionals (HCP) in reporting suspected ADR to ensure enhanced patient safety. But present statistics shows under reporting of suspected ADR. So, this study was undertaken with the objectives of assessing knowledge, attitude and practice (KAP) of pharmacovigilance among the HCP and to evaluate various reasons of under reporting of suspected ADR.Methods: This is a cross-sectional observational study of knowledge, attitude and practice (KAP) of HCP including faculties, resident doctors and postgraduate trainee (PGT), internship doctors and nurses on pharmacovigilance; conducted at department of Pharmacology, Jorhat Medical College and Hospital(JMCH). The pretested and peer reviewed questionnaire was distributed among 150 HCP and the responses were collected after one day. Data were analyzed using MS-excel software and was expressed in percentage.Results: Out of 150 questionnaires, 118 responses were received (32 faculties, 27 PGT, 38 internship doctors and 21 nurses). Good knowledge (78.4%) and fair attitude was found among the HCP but there was lack of practice of pharmacovigilance due to reasons mainly non availability of suspected ADR reporting form (27.1%), didn’t think reporting was necessary (34%), fear of consequences (16.1%) and lack of awareness (16.1%) among others.Conclusions: Good attitude was observed among HCP. With proper measures like sensitization and educational intervention ADR, reporting may be improved in the future.
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