Journal of Pharmaceutical Research
Year: 2026, Volume: 25, Issue: 2, Pages: 116-123
Original Article
Rajveer Singh Rathore1*, Dinesh Kumar2, Susheel Kumar3, Punam Jakhar3, Lokendra Sharma4, Alka Bansal5
1Senior Demonstrator, Department of Pharmacology, RUHS College of Medical Sciences, Jaipur, Rajasthan, India
2Assistant professor, Department of Pharmacology, Government Medical College, Jhunjhunu, Rajasthan, India
3Assistant Professor, Department of Pharmacology, RUHS College of Medical Sciences, Jaipur, Rajasthan, India
4Senior Professor and Head, Department of Pharmacology, RUHS College of Medical Sciences, Jaipur, Rajasthan, India
5Senior Professor, Department of Pharmacology, RUHS College of Medical Sciences, Jaipur, Rajasthan, India
*Corresponding Author
Email: [email protected]
The rational prescription of dermatological medications is critical in reducing treatment costs and minimizing adverse drug reactions (ADRs). With rising polypharmacy and irrational drug use in dermatology, Structured pharmacovigilance is very important for keeping an eye on drug-related hazards and prescribing trends, especially in emerging nations like India. The aim of this study was to analyze prescribing trends and identify the spectrum of cutaneous adverse drug reactions (cADRs) experienced by dermatology patients receiving treatment at a tertiary care hospital, evaluating their rationale in accordance with WHO prescribing indicators and pharmacovigilance metrics. An observational study was carried out on 979 dermatology outpatients over three months at RUHS CMS, Jaipur. Data were collected using WHO core drug-use indicators, and ADRs were monitored actively via a departmental pharmacovigilance program. Descriptive and inferential statistical analysis were utilized. Collectively, 2,848 drugs were prescribed across 979 encounters, with a mean of 2.75 drugs per prescription. Oral route was predominant (57.3%), with tablets (44.5%) as the most common dosage form. Antifungals (24.8%) and antihistamines (23.6%) were the most frequently prescribed. Itraconazole and levocetirizine were the leading agents. cADRs were reported in 2.3% of patients; steroid-induced acne and photodermatitis were common. All prescriptions adhered to generic naming (100%) and 93.6% Includes medications from the list of necessary drugs. This study underscores generally rational prescribing practices but highlights the need for enhanced ADR monitoring. Dermatology remains a high-risk specialty for cADRs, necessitating continuous pharmacovigilance, education of prescribers, and patient counseling to mitigate preventable drug harms.
Keywords: Dermatology, Rational Drug Use, WHO Prescribing Indicators, Adverse Drug Reactions, Pharmacovigilance
1. Jose G, Vellaisamy SG, Govindarajan N, Gopalan K. Prevalence of common dermatoses in school children of rural areas of Salem; a region of South India. Indian Journal of Paediatric Dermatology. 2017; 18 (3). Available from: https://doi.org/10.4103/2319-7250.206090
2. Verma SB, Panda S, Nenoff P, Singal A, Rudramurthy SM, Uhrlass S, <I>et al</I>. The unprecedented epidemic-like scenario of dermatophytosis in India: I. Epidemiology, risk factors and clinical features. Indian Journal of Dermatology, Venereology and Leprology. 2021; 87 Available from: https://doi.org/10.25259/ijdvl_301_20
3. Murphy MJ, Cohen JM, Vesely MD, Damsky W. Paradoxical eruptions to targeted therapies in dermatology: A systematic review and analysis. Journal of the American Academy of Dermatology. 2022; 86 (5). Available from: https://doi.org/10.1016/j.jaad.2020.12.010
4. Borovicka JH, Gordon JR, Cameron Haley A, Larsen NE, West DP. Dermatologic Therapeutics and Formulations. Dermatologic Principles and Practice in Oncology. 2013; Available from: https://doi.org/10.1002/9781118590638.ch34
5. Sharma SK. Patient Perceptions of Generic Versus Brand-Name Medications: Implications for Adherence and Treatment Outcomes. <I>International Research Journal of Humanities and Interdisciplinary Studies</I>. Volume: 5, Issue: 3, Year: March 2024, 60-70. https://doi-ds.org/doilink/03.2024-55675288/IRJHIS2403007
6. Oshikoya KA, Ogunyinka IA, Ogar CK, Abiola A, Ibrahim A, Oreagba IA. Severe cutaneous adverse drug reactions manifesting as Stevens-Johnson syndrome and toxic epidermal necrolysis reported to the national pharmacovigilance center in Nigeria: a database review from 2004 to 2017. Therapeutic Advances in Drug Safety. 2020; 11 Available from: https://doi.org/10.1177/2042098620905998
7. Blanca R. Del Pozzo‐Magaña, Carmen Liy‐Wong. Drugs and the skin: A concise review of cutaneous adverse drug reactions. British Journal of Clinical Pharmacology. 2024; 90 (8). Available from: https://doi.org/10.1111/bcp.15490
8. Idris SA, Hussien TM, Al-Shammari FF, Nagi HA, Bashir AI, Elhussein GE, <I>et al</I>. An Evaluation of Drug Prescribing Patterns and Prescription Completeness. Healthcare. 2024; 12 (22). Available from: https://doi.org/10.3390/healthcare12222221
9. Yudaputra FD, Triputra FA, Handayani PW, Harahap NC. Designing mobile-based tele dermatology for Indonesian clinic using user centred design: Quantitative and qualitative approach. Telematics and Informatics Reports. 2024; 16 Available from: https://doi.org/10.1016/j.teler.2024.100180
10. Choudhary RP, Siddalingegowda SM. Exploring the need and potential of ambulatory pharmacy practice for empowering patient and care delivery in India. Frontiers in Health Services. 2024; 4 Available from: https://doi.org/10.3389/frhs.2024.1399621
11. Asfour L, Yiu ZZ, Warren RB. How is safety of dermatology drugs assessed: trials, registries, and spontaneous reporting. Expert Opinion on Drug Safety. 2020; 19 (4). Available from: https://doi.org/10.1080/14740338.2020.1746267
12. Dimri D, Raina RS, Thapliyal S, Thawani V. Retrospective Analysis of Pattern of Cutaneous Adverse Drug Reactions in Tertiary Hospital of Pauri Garhwal. Journal of clinical and diagnostic research. 2016; 10 (5). Available from: https://doi.org/10.7860/jcdr/2016/16938.7736
13. Ashraf AM, Subramaniam R, Rajkumar R, Manju L. Drug Utilization Pattern In Dermatology: A Comprehensive Analysis Of Prescription Trends And Patient Management In Dermatological Outpatient Department. Indian Journal of Public Health Research & Development. 2025; 16 (1). Available from: https://doi.org/10.37506/av7kz689
14. Ahmed R, Tamim TR. Enhancing Medication Safety: The Role of Community and Hospital Pharmacists in Modern Healthcare Systems. Radinka Journal of Health Science. 2025; 2 (3). Available from: https://doi.org/10.56778/rjhs.v2i3.418
15. Saha A, Das NK, Hazra A, Gharami RC, Chowdhury SN, Datta PK. Cutaneous adverse drug reaction profile in a tertiary care out patient setting in Eastern India. Indian Journal of Pharmacology. 2012; 44 (6). Available from: https://doi.org/10.4103/0253-7613.103304
16. Muth C, Blom JW, Smith SM, Johnell K, Gonzalez‐Gonzalez AI, Nguyen TS, <I>et al</I>. Evidence supporting the best clinical management of patients with multimorbidity and polypharmacy: a systematic guideline review and expert consensus. Journal of Internal Medicine. 2019; 285 (3). Available from: https://doi.org/10.1111/joim.12842
17. Jaenicke T, Zhang T, Proksch E, Krutmann J, Luger T. Sensitive Skin Syndrome in the Chinese Population—A Critical Discussion of Current Knowledge, Clinical Implications and Research Needs. Experimental Dermatology. 2025; 34 (6). Available from: https://doi.org/10.1111/exd.70124
18. Richard MA, Paul C, Nijsten T, Gisondi P, Salavastru C, Taieb C, <I>et al</I>. The journey of patients with skin diseases from the first consultation to the diagnosis in a representative sample of the European general population from the <scp>EADV</scp> burden of skin diseases study. Journal of the European Academy of Dermatology and Venereology. 2023; 37 (S7). Available from: https://doi.org/10.1111/jdv.18916
19. Rahman SA, Kielmann T, McPake B, Normand C. Healthcare-seeking Behaviour among the Tribal People of Bangladesh: Can the Current Health System Really Meet Their Needs?. Journal of health, population, and nutrition. 2012; 30 (3). Available from: https://doi.org/10.3329/jhpn.v30i3.12299
20. Lewis RC, Smith SJ, Krevanko CF, Hall ED, Miller EW, Beckett EM, <I>et al</I>. Occupational exposure to cosmetic talc and mesothelioma in barbers, hairdressers, and cosmetologists: A systematic review of the epidemiology. Toxicology and Industrial Health. 2023; 39 (10). Available from: https://doi.org/10.1177/07482337231191162
21. Firth A, Prathapan P. Broad-spectrum therapeutics: A new antimicrobial class. Current Research in Pharmacology and Drug Discovery. 2021; 2 Available from: https://doi.org/10.1016/j.crphar.2020.100011
22. Saha I, Podder I, Chowdhury SN, Bhattacharya S. Clinico-Mycological Profile of Treatment-Naïve, Chronic, Recurrent and Steroid-Modified Dermatophytosis at a Tertiary Care Centre in Eastern India: An Institution-Based Cross-SectionalStudy. Indian Dermatology Online Journal. 2021; 12 (5). Available from: https://doi.org/10.4103/idoj.idoj_909_20
23. Jhaj R, Asati DP, Chaudhary D, Sadasivam B. Topical steroid containing combinations: Burden of adverse effects and why the recent regulatory action may not be enough. Indian Journal of Pharmacology. 2021; 53 (5). Available from: https://doi.org/10.4103/ijp.ijp_728_19
24. Sharma H, Mahajan S, Garg N, Chauhan S, Saini M, Singh TG, <I>et al</I>. AI-powered Solutions for Casualty Assessment in Drug Safety and Patient Care. New Emirates Medical Journal. 2024; 05 (1). Available from: https://doi.org/10.2174/0102506882313855240809064836
25. Ghosh S, Debnath I, Bhunia S, Hazra S, Nandi S, Mandal SK. A Review on Mechanism of Histamine Mediated Allergic Reactions: Therapeutic Role, Safety, and Clinical Efficacy of Cetirizine in Modern Allergy and Other Diseases Management. Biomedical and Pharmacology Journal. 2025; 18 (1). Available from: https://doi.org/10.13005/bpj/3097
26. Schaumans C. Prescribing behavior of General Practitioners: Competition matters. Health Policy. 2015; 119 (4). Available from: https://doi.org/10.1016/j.healthpol.2014.12.018
27. AlBeladi BA, Alhubail SA, Alsaqer RA, Al-Nasser AN, Radwan AS, Wali HA. Attitudes, Beliefs, and Behaviors of Topical Antibiotic Prescribing among Primary Care Providers in Saudi Arabia: A Cross-Sectional Study. Antibiotics. 2024; 13 (4). Available from: https://doi.org/10.3390/antibiotics13040301
28. Anannya S, Wahab AJ, Sharada RG. A Cross Sectional Study of Cutaneous Adverse Drug Reactions in a Tertiary Health Centre. Malaysian Journal of Medicine and Health Sciences. 2024; 20 (s3). Available from: https://doi.org/10.47836/mjmhs.20.s13.9
© 2026 Published by Krupanidhi College of Pharmacy. This is an open-access article under the CC BY-NC-ND license (https://creativecommons.org/licenses/by-nc-nd/4.0/)
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