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Prescribing pattern of antihypertensive drugs in diabetic patients in a tertiary care hospital.
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| Author:
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DR. NARA, GUMMA K M
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| Abstract:
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TITLE: Prescribing pattern of antihypertensive drugs in diabetic patients in a tertiary care hospital.
OBJECTIVES:
The aim of present study is to a) study the prescribing patterns of antihypertensive drugs for hypertensive patients diagnosed with type 2 diabetes mellitus, b) to compare with the standard guidelines for treatment of hypertensive diabetics as per the JNC VIII Guidelines.
MATERIALS AND METHODS:
A prospective study was undertaken, over duration of 6 months at the government teaching hospital, Bidar Institute of Medical sciences, Bidar. Patients of either sex diagnosed with essential hypertension and Type 2 diabetes mellitus presenting to the General medicine OPD were included. Data collection was done by scrutinizing the patient record forms. Individual data was collected on predesigned Performa.
RESULTS:
A total of 117 patients were identified. Mean age of the patients was 57 years and 53% of the study population were males. 35.8% of the study population were treated with monotherapy and the rest with more than one drug. Average number of antihypertensive drugs prescribed per prescription were 1.94. Most commonly prescribed drug belonged to the class CCB(44.05%) followed by ACEIs(22.90%) and ARB (14.09%). Amlodipine was the only CCB used in monotherapy and multiple drug therapy. There was underutilisation of ACEIs and ARBs despite evidence backing their use as first line agents in hypertensives with diabetes.
CONCLUSION:
CCBs were the most predominant class of drugs prescribed with underutilisation of ACEIs and ARBs.
KEY WORDS: hypertension with diabetes, CCBs, ACEIs, JNC VIII
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KEY WORDS: hypertension with diabetes, CCBs, ACEIs, JNC VIII
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