Assessment of Prescribing Patterns of Antihypertensive Drugs and Risk Factors Associated with Hypertension in Tertiary Care Hospital
Abstract
Aim/Background: To assess the prescribing pattern of anti-hypertensive and to assess the risk factors associated with hypertension.
Materials and methods: The prospective observational study was carried out for 6 months among 31 in-patients in the various departments of Yenepoya Medical College Hospital, Mangalore. Patients of both sex aged 18 years and above, those who can understand oral and written information and those diagnosed with hypertension were added in the study. Out-patients, patients with mental or psychiatric diseases, cognitive dysfunction, patients on cancer chemotherapy, pregnant and lactating females were excluded. A suitably designed data collection form was prepared to collect the data.
Results: Out of 31 patients, hypertension was mainly affected in males above the age of 60years. In the study, majority (41.9%) of the participants had Stage II Hypertension according to JNC 7 classification. The major risk factors associated with Hypertension was advanced age (41.9%) followed by alcoholism (12.9%) on basis of environmental risk factor and diabetes (64.5%) on disease basis. Study reveals that Type II DM was comorbidity in most of the patient’s i.e., 19(61.3%), followed by 15(48.4%) patients with CKD. 25.8% patients recieved monotherapy while majority of the patients i.e., 74.2% received triple therapy. The most commonly prescribed drug was Furosemide (Diuretics) 18(58.1%), followed by Clonidine (Alpha agonist) 13(41.9%). The result also shows that, after health education for patients with hypertension, BP is substantially lowered.
Conclusion: Study reveals that advancing age was the most predominating risk factor among hypertensive patients. Diuretics (Furosemide), Alpha agonist (Clonidine) and Calcium channel blocker (Amlodipine) were the drug of choice for hypertensive patients in the hospital. Drug therapy along with patient counseling helped to lower BP to an extent.
Keywords: Antihypertensive drug, prescribing pattern, risk factors, hypertension, co-morbidities with hypertension
Keywords:
Antihypertensive drug, prescribing pattern, risk factors, hypertension, co-morbidities with hypertensionDOI
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