Abstract

A STUDY ON PRESCRIBING PATTERN AND IMPLEMENTATION OF CLINICAL PHARMACY SERVICES IN PATIENTS WITH TYPE-2 DIABETES MELLITUS AND ITS COMPLICATIONS IN A TERTIARY CARE HOSPITAL, BANGALORE

Surimilli Ramaraju*, Soujanya Dash, Rabindra Choudhary, Aditya Rohith Subhash.
M, Praveen Kumar, Dr. B.A.Vishwanath, Dr.Brunda M. S.

Abstract

Objective: To conduct a study on prescription pattern and implementation of clinical pharmacy services in patients with Type2 Diabetes Mellitus and its complications. Methods: Prospective, observational studies were done in 150 patients with type-2 diabetes mellitus with complication were identified and enrolled for this study. Patient’s demographic details, clinical data, drug prescriptions were collected and documented in a suitably designed case report form. Conclusion: The study has shown that in patients with type-2 DM with complications, insulin therapy was preferred over OHAs. INSULIN REGULAR was the first choice of insulin therapy and METFORMIN was the most prescribed OHAs. We also believe that patient education regarding lifestyle modification and diabetes is strongly advised to achieve the maximum control of glycemic levels in patients. Result: maximum number of patients were in the age groups of 40-49 yrs (34.67%) and 50-59 yrs (26.66%). 8% and 42% were suffering from microvascular and macrovascular complications respectively. 50% of patients had both micro and macro complications. Most of the patients needed insulin therapy (59.18%) to control their glucose levels. INSULIN REGULAR and HUMAN MIXTARD were most commonly prescribed insulins, whereas in OHAs METFORMIN followed by GLIMEPRIDE. The clinical services provided were: Identified drug interactions 39.33%, Adverse reactions (1.33%), Medication errors (9.33%), patient counsellings (50%).

Keywords: Prevalence, complications,OHA’S.