Table of Contents  
CORRESPONDENCE
Year : 2014  |  Volume : 5  |  Issue : 2  |  Page : 166  

Drug utilization pattern and pharmacoeconomic analysis in geriatric medical in-patients of a tertiary care hospital of India


Barbara Davis Center for Diabetes, University of Colorado, Denver, CO 80010, USA

Date of Web Publication7-Apr-2014

Correspondence Address:
Viral N Shah
Barbara Davis Center for Diabetes, Adult Clinic, 1775 Aurora Ct, Mail Stop A140, Room No. 1318, Aurora, CO 80045
USA
Login to access the Email id

Source of Support: None, Conflict of Interest: None


DOI: 10.4103/0976-500X.130116

Rights and Permissions

How to cite this article:
Shah VN. Drug utilization pattern and pharmacoeconomic analysis in geriatric medical in-patients of a tertiary care hospital of India. J Pharmacol Pharmacother 2014;5:166

How to cite this URL:
Shah VN. Drug utilization pattern and pharmacoeconomic analysis in geriatric medical in-patients of a tertiary care hospital of India. J Pharmacol Pharmacother [serial online] 2014 [cited 2019 Jul 17];5:166. Available from: http://www.jpharmacol.com/text.asp?2014/5/2/166/130116

Sir,

I read the study entitled "Drug utilization pattern and pharmacoeconomic analysis in geriatric medical in-patients of a tertiary care hospital of India" by Jhaveri et al. [1] with great interest. The drug utilization surveys are very important to know the drug prescription pattern and to make drug formulary and prescription guidelines for the hospitals. I really appreciate the great work by the Jhaveri et al. [1] However, I do have certain concerns about the study conclusions which are as follow:

  1. The study was conducted at a single hospital of Gujarat. Therefore, the data may not be generalized for the other government hospitals across India
  2. Second, the authors have found that usage of ranitidine, metoclopramide and deriphyllin are high among geriatric patients which may not be safer drugs in this subset of patients and may increase the incidence of adverse drug reactions. I completely agree with the authors. However, it should be kept in mind that in government hospitals, the number of drugs available is restricted. Although, there are safer alternative drugs available in the market but not available in the hospital pharmacy hence, the doctors in the government hospitals may not be able to prescribe those drugs. This point is very important and should have been discussed in the discussion
  3. Third, the admission in the government hospitals are bit complicated, graver and may have multiple comorbidities. This may be the reasons for the polypharmacy prescriptions in the government hospitals. In addition, most of the patients are poor and may not be able to afford the costly but safer alternative drugs. Though, it is theoretically irrational to prescribe a particular drug for the particular ailment but may make sense to prescribe the same irrigational drug in government hospitals considering all these points and limitations of doctors working in government hospitals.


To my mind, all these points need a discussion at length.

Thank you

 
   References Top

1.Jhaveri BN, Patel TK, Barvaliya MJ, Tripathi CB. Drug utilization pattern and pharmacoeconomic analysis in geriatric medical in-patients of a tertiary care hospital of India. J Pharmacol Pharmacother 2014;5:15-20.  Back to cited text no. 1
[PUBMED]  Medknow Journal  




 

Top
  
 
  Search
 
    Similar in PUBMED
   Search Pubmed for
   Search in Google Scholar for
    Access Statistics
    Email Alert *
    Add to My List *
* Registration required (free)  

 
  In this article
    References

 Article Access Statistics
    Viewed1138    
    Printed35    
    Emailed0    
    PDF Downloaded334    
    Comments [Add]    

Recommend this journal