Drug Prescribing Pattern in Ophthalmology Out Patient Department of a Medical College

  • Md Faiz Akram Department of Pharmacology, KMCT Medical College, Manassery (P.O.), Mukkam, Kozhikode -673602
  • R P Shamsheer Department of Ophthalmology, KMCT Medical College, Manassery (P.O.), Mukkam, Kozhikode-673602
  • Divya G Krishnan Department of Pharmacology, KMCT Medical College, Manassery (P.O.), Mukkam, Kozhikode -673602
  • G.J.K Prakash Raju Department of Pharmacology, KMCT Medical College, Manassery (P.O.), Mukkam, Kozhikode -673602
  • Anant T. Pawar Department of Community Medicine KMCT Medical College, Manassery (P.O.), Mukkam, Kozhikode-673602
Keywords: Prescribing pattern, cross-sectional study, Prospective Study


Background: The pursuit of best and responsible use of medicines is the basis for concept and effort of Rational use of drug. RUD addresses steps in supply-use chain of drugs i.e. selection, prescribing, dispensing, monitoring and feedback. Hence periodic and continuous auditing of drug prescribing pattern is vital tool for promotion of RUD. Ophthalmology largely becoming an outpatient and day care department with almost nil Inpatient. So present study is to analyse drug prescribing pattern in Ophthalmology OPD.

Methods: A prospective cross sectional study was done. Prescription were analysed for number of drugs per prescription, number of antibiotics, no of injection per prescription, Drugs from Essential Medicine List, Fixed dose Combinations.

Results: A total of 176 prescriptions were analyzed the average number of drugs per prescription being 2.7 [0.78].Eye drops being the most common (81.01%) dosage form. injections were only 0.63% of all drugs. Percentage of prescription with Antibiotics were (36%) All drugs were prescribed only in brand name, none by generic name. 40.29% (940/1516) of drugs were prescribed from essential medicine list. Almost all prescriptions were having clear information on dosage form, dose, frequency and duration of treatment. Conclusion: Out of different parameters and drug prescribing indicators some are satisfactory e.g Information for patient in prescription. Some others like absence of generic name in prescription, high %age of antibiotics, lower % of drugs from EML needs attention.

Conclusions: . It seems that awareness among the clinician about Rational prescribing is increasing. There is need of continuous endeavour to sensitise the clinician for rational use of drug.


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1. Holloway K, van Dijk L. Rational use of medicines. Chapter in: The world medicines situation 2011, 3rd ed. Geneva, World Health Organization, 2011. Available at: http://who.int/medicines/areas/policy/world_medicines_situation/en/index.html
2. WHO. The selection of essential drugs: Report of a WHO expert committee. World Health Organ Tech Rep Ser 1977;615:1‑36.
3. Hughes EH, Forrest F, Diamond JP: 'One-stop' cataract surgery: the Bristol Eye Hospital experience 1997–1999. Eye. 2001, 15: 306-308.
4. Cataract surgery by appointment – a pilot study Ioannis Mavrikakis1, Tassos Georgiou1, Bobby Paul1 and Christopher SC Liu*1,2 BMC Ophthalmology2006, 6:18 doi:10.1186/1471-2415-6-18
5. World Health Organization: How to Investigate Drug Use in Health Facilities: Selected Drug Use Indicators. Geneva: World Health Organization; 1993. WHO/DAP 1993;1:1-87.
6. The Selection and Use of Essential Medicines-WHO Technical Report Series, No. 914, 2003. Available from:http://www.apps.who.int/medicinedocs/en/d/Js4875e/5.2.html
7. Report of the Core-Committee for Revision of National List of Essential Medicines November 2015 http://cdsco.nic.in/WriteReadData/NLEM-2015/Recommendations.pdf
8. Maniyar Y, Bhixavatimath P, Akkone V. A drug utilization study in the ophthalmology department of a Medical College, Karnataka, India. J Clin Diagn Res 2011;5:82‑4.
9. Biswas NR, Jindal S, Siddiquei MM, Maini R. Patterns of prescription and drug use in ophthalmology in a Tertiary Hospital in Delhi. Br J Clin Pharmacol 2001;51:267‑9.
10. Drug Utilization Study in Ophthalmology Out-patient Department of a Medical College in India I Banerjee, T Bhadury,1 T Sengupta,2 and D Roy3 Ann Med Health Sci Res. 2014 Jul-Aug; 4(4): 667–670.
11. The World Medicines Situation 2004 Chapter 8 Available on http://apps.who.int/medicinedocs/en/d/Js6160e/10.html Accessed 16 July 2016.
12. Sheikh A1, Hurwitz B. Antibiotics versus placebo for acute bacterial conjunctivitis. Cochrane Database Syst Rev. 2006 Apr 19;(2):CD001211.
13. Rose P1. Management strategies for acute infective conjunctivitis in primary care: a systematic review. Expert Opin Pharmacother. 2007 Aug;8(12):1903-21.
14. Rupenthal, I.D. & O’Rourke, M. Ocular drug delivery—eye on innovation Rupenthal, I.D. & O’Rourke, M. Drug Deliv. and Transl. Res. (2016). doi:10.1007/s13346-016-0335-6
15. Pekdemir M, Yanturali S, Karakus G. More than just an ocular solution. Emerg Med J. 2005;22:753–4.
16. Report on Countrywide Survey by Central Drugs Standard Control organization Available on http://www.cdsco.nic.in/writereaddata/report_book_13-7-10.pdf Accessed on 08 August 2016
17. Current Scenario of Spurious and Substandard Medicines in India: A Systematic Review A. N. KHAN AND R. K. KHAR.
18. Wenting Ding,1 Weiling Ni,1 Huilian Chen,1 Jingqun Yuan, 2 Xiaodan Huang,1 Zheng Zhang. Comparison of Drug Concentrations in Human Aqueous Humor after the Administration of 0.3% Gatifloxacin Ophthalmic Gel, 0.3% Gatifloxacin and 0.5% Levofloxacin Ophthalmic Solutions. Int J Med Sci. 2015; 12(6): 517–523. Published online 2015 Jun 10. doi: 10.7150/ijms.11376.
19. Dajcs, Brett A. Thibodeaux, Mary E. Marquart, Dalia O. Girgis, Mullika Traidej, and Richard J. O'Callaghan* Antimicrob Agents Chemother. 2004 Jun; 48(6): 1948–1952. doi: 10.1128/AAC.48.6.1948-1952.2004
20. Cochereau, Amel Meddeb‐Ouertani, Moncef Khairallah, Abdelouahed Amraoui, Khalid Zaghloul, Mihai Pop et.all. 3‐day treatment with azithromycin 1.5% eye drops versus 7‐day treatment with tobramycin 0.3% for purulent bacterial conjunctivitis: multicentre, randomised and controlled trial in adults and children Isabelle. Br J Ophthalmol. 2007 Apr; 91(4): 465–469. Published online 2006 Oct 18. doi: 10.1136/bjo.2006.103556
How to Cite
Akram M, Shamsheer R, Krishnan D, Raju G, Pawar A. Drug Prescribing Pattern in Ophthalmology Out Patient Department of a Medical College. IABCR [Internet]. 28Dec.2016 [cited 19Jul.2019];2(4):17-0. Available from: https://iabcr.org/index.php/iabcr/article/view/133