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Original Research Article

Year: 2017 | Month: December | Volume: 7 | Issue: 12 | Pages: 75-79

Prescribing Pattern of Various Drugs in Neurology Department at Tertiary Care Hospital in Haryana

Vivek Sharma ¹, Arvind Narwat², Jyoti Dahiya², Shalini Sharma³

¹Professor, ²Post-graduate, Department of Pharmacology, Pandit Bhagwat Dayal Sharma Post Graduate Institute of Medical Sciences, Rohtak, Haryana
³Associate Professor, Department of Physiology, BPS Government Medical College for Women, Khanpur Kalan, Sonepat, Haryana

Corresponding Author: Vivek Sharma, Shalini Sharma

ABSTRACT

Introduction: Neurological disorders are a major cause of morbidity, mortality and disability. These adversely affect the quality of life among all age group patients. Majority of neurological disorders include epilepsy, headache, cerebrovascular disorders with hemiparesis, neuropathic pain, Extra-pyramidal syndrome, cervical myelopathy, Parkinson’s disease and tuberculoma. This study was done with aim to evaluate the prescription pattern of various drugs in different types of neurological disorders and to use the WHO / INRUD prescribing indicators to assess the rational drug prescribing.
Materials and Methods: A prospective study was carried out in patients attending the neurology OPD in PGIMS, Rohtak, Haryana. The prescription data of patients attending the neurology clinic was analysed over a period of 3 months.
Results: Epilepsy was commonest type of neurological disorder and sodium valproate was the commonest drug prescribed for its treatment followed by Phenytoin. Headache was second commonest neurological disorder for which non-steroidal anti-inflammatory drugs (NSAIDs) was commonly prescribed. For neuropathic pain, carbamazepine and pregabalin was commonly prescribed. Common adverse effects associated with various drugs were nausea, vomiting, dizziness and sedation. The overall drug prescribing performance scoring was 3.55.

Conclusion:  Epilepsy was the commonest type of Neurological disorder noticed and sodium valproate was the commonest prescribed drug. There were more trends towards writing brand name of drugs rather than [recommended international non-proprietary name] r-INN but this can only increase cost of treatment. Our study revealed good Prescribing pattern as shown by WHO scale - IRUD/INRUD. Further such studies with large sample size are needed so as to guide clinicians toward rationale drug.

Key words: anti-epileptic drugs; adjuvant drugs; Non proprietary name (Generic Name); INRUD.

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