A STUDY ON DRUG UTILIZATION PATTERN IN PATIENTS OF TYPE II DIABETES MELLITUS ATTENDING REFERRAL DIABETIC CLINIC AT A TERTIARY CARE TEACHING HOSPITAL IN RURAL BENGAL

Tamoghna Maiti, Sourav Chakrabarty*, Sonai Mandal, Amrita Panda, Tanmoy Gangopadhyay, Satrajit Dan

ABSTRACT

Introduction: Type II DM is a pandemic metabolic disorder with great burden of complications. Intensive glycemic control often needs several anti-diabetic drugs with substantial cost. It is crucial to monitor prescriptions periodically for promoting rational pharmacotherapy and improving patient compliance. Aims & Objectives: To assess the prescription pattern of anti-diabetic drugs in patients of Type II DM along with the drugs needed for the treatment of co-morbidities. Methodology: It was a cross-sectional, institutional based, observational study done at diabetic OPD at B.S. Medical College for a duration of three months. At the exit point, information was collected in pre-structured case report form including socio-demographic profile, histories of diabetes, co-morbidities if any, relevant investigations and details of medications after obtaining written consent. Result: Among 202 patients majority were males. Three forth of patients suffered from DM for less than 5 years of duration. Two third of them had one or more co-morbidities. A total of 726 drugs were prescribed of which nearly half were anti-diabetic drugs. Metformin was the leading used anti-diabetic drug given to 77.2% of patients. Newer OHAs were used only as part of combination therapy. Only 14 patients received Insulin. Statin and anti-hypertensive were used in good percentage. Average cost of prescription per day per patient was 26.33 INR. Conclusion: Number of drugs prescribed was less than contemporary drug utilization studies. It was a very short duration study incorporating only 202 patients. In future we plan to undertake this with larger number of patients in multiple centers.

Keywords: Type II Diabetes Mellitus, Drug utilization study.