ANTIHYPERTENSIVE DRUG USE IN DIABETICS: A DRUG UTILIZATION STUDY
English

Limaye R P, Ghaisas M M, Naik S A, Kadam M S, Sonavane R N
2014 Journal of Evidence Based Medicine and Healthcare  
INTRODUCTION AND BACKGROUND: Diabetes is a multisystem metabolic disorder complicated by concurrent presence of hypertension. Patients with both disorders have multifold chances of developing complications. Appropriate treatment of hypertension is known to reduce the prevalence of this occurrence. Hence the study was planned to study the antihypertensive drug utilization in diabetics. Such drug utilization studies help in providing evidence for intervention in present therapeutic trends.
more » ... utic trends. METHODS: Observational study, carried in consenting patients from Pune and Sangli from September 2013 to January 2014. In a predefined format information regarding use of drugs was recorded. No personally identifiable information was collected. For the purpose of approaching and interviewing the patients, information from tertiary care hospital registers/database was used. Hospitals involved were Bharati Hospital and YCM Hospital. RESULTS: Majority of patients were from age group 61-70 yr. Most prescribed drug was angiotensin II receptor inhibitor, olmesartan (53.33%) in monotherapy and telmisartan in combination with calcium channel blocker viz. amlodipine (60%). Only 6% patients received aspirin while 13% received lipid lowering agents. CONCLUSIONS: Majority of the patients received angiotensin receptor blockers in monotherapy and calcium channel blockers in multidrug therapy. This pattern was not exactly according to the present guidelines but was not irrational. However use of aspirin and lipid lowering agents was very low as compared to expectations and guidelines.
doi:10.18410/jebmh/2014/229 fatcat:4fs2jzq3obe7bbb2y67pa3hf64