Journal of Pharmaceutical Research
DOI: 10.18579/jopcr/v18.1.irene
Year: 2019, Volume: 18, Issue: 1, Pages: 1-6
Original Article
Ierne Maria Korah1, Jemi Elza Varkey1, Nayana Manjally1, Shaik Kaleem Basha1, R Rajeshwari1,∗, M S Krishnamurthy2
1Department of Pharmacy Practice, Krupanidhi College of Pharmacy, Carmelaram, Varthur Hobli, Bengaluru, Karnataka, India
2Department of General Medicine, MVJ Medical College and Research Hospital, Bangalore, Karnataka, India
Objective: Proton pump inhibitors (PPIs) are still widely used despite increasing reports of adverse events. The objective of this study was to evaluate the pattern of prescription PPIs (proton pump inhibitors) and to monitor any potential drug interactions between these medications and other medications that were being taken concurrently. Methods: A prospective observational study was carried out at the MVJ Medical College and Research Centre in Bangalore over a six-month period. Findings: Totally, 204 prescriptions were assessed, and the majority of patients were aged 40 to 60 years (34%). The use of distribution-based dosage forms of proton pump inhibitors indicated that capsules were preferred over injections or tablets, with 88 capsules (43%) being utilised compared to 59 injections (29%) and 57 tablets (28 of the 204 prescriptions analysed, 113 (55%) consisting of proton pump inhibitor monotherapy, while 91 (45%) involved proton pump inhibitor combination therapy. Among the 204 prescriptions for PPI monotherapy, pantoprazole was used more frequently, accounting for 107 (98%) prescriptions. This trend was also observed with PPI combination therapy. Esomeprazole-domperidone 50 (53%) was the most commonly prescribed medication combination. Among the 41 prescriptions assessed, 30 (70%) involved drug-drug interactions with proton pump inhibitors (PPIs). The most frequently reported major drug interactions involved Pantoprazole and Methotrexate, whereas the most commonly reported moderate drug interactions involved Esomeprazole and Furosemide. We did not observe any adverse drug reactions (ADRs) and concluded that proton pump inhibitors (PPIs) are reasonably safe for short-term treatment. Novelty: The study of drug utilization could assess the prescription pattern of PPIs and identify noteworthy drug interactions in prescriptions. This report on the optimal utilization of proton pump inhibitors can be circulated to the concerned departments to improve patient outcomes.
Keywords: PPI; Prescribing patterns; DI; ADR
© 2019 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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