Analgesics prescription in Nigerian dental healthcare services

Azodo, CC; Umoh, AO

doi:10.4103/0331-8540.122768

Cited by 15 publications

(18 citation statements)

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“…(Fig. 2) Non-opioids were more preferred by the dentists when compared to opioids similar to former studies conducted in Nigeria (2013) and America (2006) which may be due to the chances of developing tolerance to opioids or the negative side effects like respiratory depression, mental clouding, Constipation and sedation 6,7 . (Fig.3) The medical condition of the patient should be assessed before proceeding with the dental treatment as it may lead to potential complications when analgesics are prescribed which can be due to drug interactions.…”

Section: Resultssupporting

confidence: 77%

Untitled

2016

IJPSR

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Aim: The objective of this survey was to assess the awareness pattern of analgesic administration and the various factors impacting the prescription of analgesics. Materials and methods: Pretested interviewer administered questionnaire was distributed to 100 study subjects consisting of post graduates and dental practitioners in Chennai. The questionnaire was designed to contain questions regarding the most commonly prescribed analgesic in various dental procedures and the various factors taken into account by the dentist while prescribing these analgesic drugs. The data was analysed using SPSS software. Results: In this study, the most commonly prescribed analgesic was paracetamol (78%). 63 % of the dentists preferred non-opioids, 28% preferred opioids and the remaining 9% prescribed both opioids and non-opioids.87% of the dentists have chosen combinations of analgesics. The most commonly prescribed combination was paracetamol with diclofenac(59%). 83% of the dentists preferred topical analgesics. 94% of the dentists took into account, the medical condition of the patient while prescribing analgesics. Special care for pediatric patients was given by 97% of the dentists. Among factors like age, gender, economic status and type of procedure, 97% of dentists considered the age, 16% considered the gender, 44 % considered the economic status of the patient and 94% considered the type of procedure for which the analgesic was prescribed. Conclusion: This study could give light to the prescribing pattern of analgesics in a dental office as many new drugs are introduced and many are banned due to their side effects.

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Section: Resultssupporting

confidence: 77%

Untitled

2016

IJPSR

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“…Only 26.1% exhibited correct knowledge about the suicidal dose of paracetamol. 27.5% of the respondents had good knowledge of contraindication to the prescription of NSAIDs analgesics [14].…”

Section: Resultsmentioning

confidence: 99%

Knowledge and Pattern of Antibiotic and Non Narcotic Analgesic Prescription for Pulpal and Periapical Pathologies- A Survey Among Dentists

Mavuluri

Karunakar

Vishwanath

et al. 2014

JCDR

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Aim:The objective was to assess the knowledge and pattern of antibiotic and non narcotic analgesic prescription for pulpal and periapical pathologies among dentists, registered with IDA, in and around Hyderabad. Materials and Methods:Cross-sectional survey was conducted from January 2014 to February 2014 in and around Hyderabad, Andhra Pradesh, India. A questionnaire for this cross-sectional survey was designed for evaluating the knowledge and patterns of antibiotic and non narcotic analgesic prescription for pulpal and periapical pathologies. It included some demographic information, questions regarding clinical and non clinical factors, type of antibiotics and non narcotics analgesics prescribed were recorded. Data was computed and analysed using SPSS software. Descriptive statistics was performed. Results:The response rate for the study was 85%, 51.4% being males and 53.9% were pursuing post graduation. Of the respondents, 44.3% would prescribe medication with elevated body temperatures and evidence of systemic involvement, while 42.8% would prescribe medication for non clinical factors such as unsure of diagnosis. Necrotic pulp with acute apical periodontitis with swelling present and mod/severe preoperative symptoms was the most common condition identified for antibiotic therapy (56.4%). The first antibiotic of choice in patients with no medical allergies is amoxicillin, followed by amoxicillin and metronidazole. The first antibiotic of choice in case of allergic to penicillin was erythromycin. 55.1% and 37.3% would not prescribe antibiotic and analgesic after Root canal treatment respectively. The most commonly prescribed NSAID is Diclofenac (51.1%). Factors influencing the choice of analgesics among respondents is severity of pain (61.4%). 31.7% remained informed of current prophylactic practices through pharmaceutical companies followed by university training sessions and scientific societies (30.7%). Conclusion:The results of the present survey have demonstrated a lack of uniformity among the dental practitioners. All the clinicians should make themselves aware of the current guidelines available, to ensure highest degree of patient care.

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“…Previous audits of outpatient prescriptions in Nigeria have identified vitamins as one of the most over-prescribed medicines [4][5][6]. However, this was not addressed in previous dental prescription audits since their focus was on antimicrobial and analgesic drugs only [30,31]. Inclusion of vitamins on the essential medicine list in Nigeria [32], and the lack of caution on its sporadic prescribing in the STGN, might have promoted its irrational prescription [20].…”

Section: Introductionmentioning

confidence: 99%