Prescribing Pattern and Pharmacoeconomic Evaluation of Diabetes Mellitus Patients in Tertiary Care Hospital of Telangana Region

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Diabetes Mellitus is a chronic disorder defined as metabolic cum vascular syndrome of multiple aetiology.The primary objective of study is to identify prescription pattern using WHO core investigator and to evaluate pharmacoeconomic evaluation to check the adherence it is a prospective observation study conduct in Mahavir tertiary care hospital for a period of three months.Demographic details of the patient, Past medical history, Duration of diabetes mellitus, Medication list, Dose, Dosage form, Frequency, Total number of injectable and oral drugs and Pharmacoeconomic evaluation.A Prescription based study is considered as one of the most effective methods to assess and to evaluate the prescribing pattern of medications.This study analyzed the prescription patterns in Type 2 Diabetes mellitus.A Drug Utilization Study was considered to be one of the most effective methods to assess and to evaluate the prescribing attitude of the physician and helps to promote the rational use of the drugs.Individuals with Type 2 Diabetes is considered on high priority as they are potential candidates for rapid evaluation to prevent and halt the progression of many complications.The study included 150 patients within an age range of 30 to >65 years.A total of 134 drugs were prescribed in the study population.The Demographic data of the study subjects, The number of subjects diagnosed with diabetes mellitus alone are discussed and The gender distribution of the subjects are studied in pie diagram.The Drug Utilization pattern for the prescribed antidiabetics (monotherapy, dual drug therapy and triple drug therapy) were studied.The study involved 150 prescriptions and we found a higher incidence of diabetes in elderly patients with a high incidence in age group of 50-65 years (40%).In general patients developing diabetes mellitus are in age group of more than 50 years.In our study 52% males and 48% females had diabetes mellitus.The study of prescribing pattern and evaluation of the prescribing practice may recommend necessary modifications to achieve rational and cost-effective medical care by practitioners for making medical care rational.The study involved 137 prescriptions (100%) of patients with Type 2 diabetes.The drug utilization pattern for prescribed antidiabetics was also evaluated which included the number of drugs given under monotherapy were 132 (31.80%) and drugs under dual therapy were 226 (54.45%) and drugs under triple therapy were 57 (13.73%), and we found that more number of antidiabetic drugs were dual therapy which is 54.45%.The drug utilization pattern of antidiabetic drugs under monotherapy were evaluated and found metformin (5.78%) is the most commonly prescribed.This study also evaluated the drug utilization patterns of antidiabetic drugs under dual therapy and found that glimepiride + metformin is the most commonly prescribed dual therapy drug which is about 96 (23.1%), followed by teneligliptin + metformin (16.1%), sitagliptin + metformin (5.5%), voglibose + metformin (3.1%).In the drug utilization pattern of antidiabetic drug under triple therapy, glimepiride + voglibose + metformin is most commonly

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