Main Article Content
Abstract
BACKGROUND
Geriatrics is a specialty of medicine that focuses on the health and well-being of the elderly. The elderly in India make up 12.8% of the world's total population. Elderly people sometimes have a wide range of health issues that necessitate the use of prescription medications to treat and avoid consequences. All other age groups use fewer drugs than the elderly do. The current study was done to determine the drug use patterns of elderly patients at a tertiary care teaching hospital in Jammu and Kashmir.
METHODS
This was a four-month-long study in a tertiary care hospital in Jammu and Kashmir that used a prospective and observational approach. The patient case records, patient/patient caretaker interview at the bedside, prescription charts, and lab results were used to gather pertinent patient data for the study. After getting the patient's/patient caretaker's permission, patients who met the eligibility requirements were enrolled.
RESULTS
For a total of four months, 120 patients were included in the research. Patients in this study ranged in the age groups of 60 to 70 years (55.73%), 71 to 80 years (25.83%), 81 to 90 years (10.83%), and more than 90 years (7.51 percent ). In this study, individuals with a wide range of illnesses were enrolled, including COPD (21 patients), hypertension (19 patients), diabetes (13 patients), IHD (9 patients), acute exacerbation of bronchial asthma (7 patients), jaundice (4 patients), and pulmonary tuberculosis (6 patients).
CONCLUSIONS
It was found that poly-pharmacy is linked to a variety of side effects and interactions with medications, including an increase in adverse drug reactions (ADRs). Drug interactions can be minimized if the prescribing physician receives assistance from a clinical pharmacist when designing a treatment plan.
Keywords
Article Details

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References
- Özdamar İ, Özdamar EN. Drug utilization pattern and rational drug use at orthopedics and traumatology outpatient clinics: A cross-sectional study. Joint Diseases and Related Surgery 2021;32(3):759.
- Oamen TE, Osemene KP. Drug utilization evaluation of medications used by hypertensive patients in hospitals in Nigeria. Hospital Topics 2022;100(1):44-53.
- Mathew SV, Uttangi S, Noble D, et al. Drug utilization evaluation study and dose adjustment in patients with kidney disease in tertiary care hospital. Clinical Science 2021;7(3):52-64.
- Sridhar I, Padma P, Ahmed Z, et aL. Study on oral anti-diabetic drug utilization pattern in diabetes mellitus type 2 patients at a tertiary care hospital. Natl J Physiol Pharm Pharmacol 2021;11(10):1159-63.
- Maqbool M, Zehravi M, Maqbool R, et al. Study of adverse drug reactions in pulmonary medicine department of a Tertiary care hospital, Srinagar, Jammu & Kashmir, India. CELLMED 2021;11(2):e8.
- Maqbool M, Dugassa D, Fekadu G. Adverse drug reactions of antiepileptic drugs in the neurology department of a tertiary care hospital, Srinagar, Jammu & Kashmir, India. Archives of Neuroscience 2021;8(2).
- Ara I, Maqbool M, Gani I. Reproductive Health of Women: Implications and attributes. International Journal of Current Research in Physiology and Pharmacology 2022:8-18.
- Ara I, Maqbool M, Gani I. Specificity and personalized medicine: a novel approach to cancer management. International Journal of Current Research in Physiology and Pharmacology 2022;6(4):11-20.
- Maqbool M, Zehravi M, Maqbool R, et al. An overview about treatment of gestational diabetes mellitus: a short communication. CELLMED 2021;11(3):12.
- Maqbool M, Dugassa D, Fekadu G. Adverse Drug Reactions of Antiepileptic Drugs in the Neurology Department of a Tertiary Care Hospital, Srinagar, Jammu & Kashmir, India. Archives of Neuroscience 2021;8(2).
- Maqbool M, Bekele F, Fekadu G. Treatment strategies against triple-negative breast cancer: an updated review. Breast Cancer: Targets and Therapy 2022;14:15-24.
- Nitya S, Ramya G, Kiruthika S, et al. Drug utilization pattern and factors associated with polypharmacy and excessive polypharmacy in geriatric medical out-patients at a rural health training centre in India. Journal of Family Medicine and Primary Care 2021;10(7):2636.
- McGrath RP, Arumugavignesh M, Abishek R, et al. Evaluation of drug utilization pattern among geriatric patients in a district head quarters government hospital using world health organization indicators. Indian Journal of Pharmacy Practice 2021;14(1):27.
- Zehravi M, Maqbool M, Ara I. Healthy lifestyle and dietary approaches to treating polycystic ovary syndrome: a review. Open Health 2022;3(1):60-5.
- Zehravi M, Maqbool R, Maqbool M, et al. To identify patterns of drug usage among patients who seek care in psychiatry outpatient department of a tertiary care hospital in Srinagar, Jammu and Kashmir, India. Journal of Pharmaceutical Research International 2021;33(31A):135-40.
- Dar MA, Maqbool M, Gani I, et al. Menstruation hygiene and related issues in adolescent girls: a brief commentary. International Journal of Current Research in Physiology and Pharmacology 2023;7(1):1-5.
- Zehravi M, Maqbool M, Ara I. Correlation between obesity, gestational diabetes mellitus, and pregnancy outcomes: an overview. International Journal of Adolescent Medicine and Health 2021;33(6):339-45.
- Ara I, Maqbool M, Zehravi M. Psychic consequences of infertility on couples: a short commentary. Open Health 2022;3(1):114-9.
- Swamy AV, Nyamagoud S, James J, James J, Siby M, Mathews A. Assessment of drug utilization pattern and rational use of antihypertensive therapy in geriatric patients: a prospective observational study. Journal of Drug Delivery and Therapeutics 2022;12(1):72-7.
- Hannan A, Sinha SR, Ganiyani MA, et al. Drug utilization study of antidiabetic drugs in patients attending geriatric outpatient department at a tertiary care hospital. Cureus 2021;13(8).
- John NN, Arjun VJ, James A, et al. Prescribing patterns of drugs in geriatric patient. Journal of Drug Delivery and Therapeutics 2021;11(2):168-70.
- Zehravi M, Maqbool M, Ara I. An overview about safety surveillance of adverse drug reactions and pharmacovigilance in India. The Indian Journal of Nutrition and Dietetics 2021;58(3):408-18.
- Zehravi M, Maqbool M, Ara I. Polycystic ovary syndrome and infertility: an update. International Journal of Adolescent Medicine and Health 2021;34(2):1-9.
- Zehravi M, Maqbool M, Ara I. Depression and anxiety in women with polycystic ovarian syndrome: a literature survey. International Journal of Adolescent Medicine and Health 2021;33(6):367-73.
- Zehravi M, Maqbool M, Ara I. Polycystic ovary syndrome and reproductive health of women: a curious association. International Journal of Adolescent Medicine and Health 2021;33(6):333-7.
- Alagar M, Chenthamarai G, Aruna T. Analysis of drug utilization in government tertiary care institution of South India. National Journal of Physiology, Pharmacy and Pharmacology 2021;11(7):688-92.
- Vyas S, Dagar W, Dhanawat M, et al. Drug utilization analysis of anticoagulant and antiplatelet drugs in cardiology department of a tertiary care hospital. Journal of Young Pharmacists 2022;14(1):122.
- Maqbool M, Fekadu G, Jiang X, et al. An up to date on clinical prospects and management of osteoarthritis. Annals of Medicine and Surgery 2021;72:103077.
- Ara I, Zehravi M, Maqbool M, et al. A review of recent developments and future challenges in the implementation of universal health coverage policy framework in some countries. J Pharma Res Rep 2022;3(2):1-8.
- Maqbool M, Ara I, Gani I. The story of polycystic ovarian syndrome: a challenging disorder with numerous consequences for females of reproductive age. International Journal of Current Research in Physiology and Pharmacology 2022;6(3):19-31.
- Maqbool M, Nasir N, Mustafa S. Polycystic in ovarian syndrome and its various treatment strategies, Indo American Journal of Pharmaceutical Sciences 2018;5(9):8470-8.
- Maqbool R, Maqbool M, Zehravi M, et al. Menstrual distress in females of reproductive age: a literature review. International Journal of Adolescent Medicine and Health 2021;34(2):11-7.
- Juno AA, Baig MT, Khan RA. A prospective study on cephalosporin utilization by pattern in pediatric patients. Journal of Hunan University Natural Sciences 2022;49(2).
- Thomas AP, Kumar M, Johnson R, et al. Evaluation of antibiotic consumption and compliance to hospital antibiotic policy in the surgery, orthopedics and gynecology wards of a tertiary care hospital. Clinical Epidemiology and Global Health 2022;13:100944.
- Al-Mirza A, Al-Taei O, Al-Saadi H, et al. Utilization of anticoagulant and antiplatelet medications among geriatric patients with neurosurgical diseases. Romanian Neurosurgery 2022;36(1):98-106.
- Khorrami P, Sinha MS, Bhanja A, et al. Differences in diabetic prescription drug utilization and costs among patients with diabetes enrolled in colorado marketplace and medicaid plans, 2014-2015. JAMA Network Open 2022;5(1):e2140371.
- Guillot J, Maumus‐Robert S, et al. Chronic polypharmacy at all age: a population‐based drug utilization study. Fundamental & Clinical Pharmacology 2022;36(2):405-13.
- Manzo EC, Seidling HM, Bates DW, et al. Studies of drug utilization. Textbook of pharmacoepidemiology 2022: p. 389.
- Domiati S, Poushuju R. Clinical pharmacist evaluation of medication inappropriateness in a geriatric hospital. In Annales Pharmaceutiques Françaises 2022;80(6):876-84.
- Kundu J, Mishra PS, Bharadwaz MP. Predictors of healthcare utilization among geriatrics in india: evidence from national sample survey organization, 2017-18. Ageing International 2023;48(1):341-66.
References
Özdamar İ, Özdamar EN. Drug utilization pattern and rational drug use at orthopedics and traumatology outpatient clinics: A cross-sectional study. Joint Diseases and Related Surgery 2021;32(3):759.
Oamen TE, Osemene KP. Drug utilization evaluation of medications used by hypertensive patients in hospitals in Nigeria. Hospital Topics 2022;100(1):44-53.
Mathew SV, Uttangi S, Noble D, et al. Drug utilization evaluation study and dose adjustment in patients with kidney disease in tertiary care hospital. Clinical Science 2021;7(3):52-64.
Sridhar I, Padma P, Ahmed Z, et aL. Study on oral anti-diabetic drug utilization pattern in diabetes mellitus type 2 patients at a tertiary care hospital. Natl J Physiol Pharm Pharmacol 2021;11(10):1159-63.
Maqbool M, Zehravi M, Maqbool R, et al. Study of adverse drug reactions in pulmonary medicine department of a Tertiary care hospital, Srinagar, Jammu & Kashmir, India. CELLMED 2021;11(2):e8.
Maqbool M, Dugassa D, Fekadu G. Adverse drug reactions of antiepileptic drugs in the neurology department of a tertiary care hospital, Srinagar, Jammu & Kashmir, India. Archives of Neuroscience 2021;8(2).
Ara I, Maqbool M, Gani I. Reproductive Health of Women: Implications and attributes. International Journal of Current Research in Physiology and Pharmacology 2022:8-18.
Ara I, Maqbool M, Gani I. Specificity and personalized medicine: a novel approach to cancer management. International Journal of Current Research in Physiology and Pharmacology 2022;6(4):11-20.
Maqbool M, Zehravi M, Maqbool R, et al. An overview about treatment of gestational diabetes mellitus: a short communication. CELLMED 2021;11(3):12.
Maqbool M, Dugassa D, Fekadu G. Adverse Drug Reactions of Antiepileptic Drugs in the Neurology Department of a Tertiary Care Hospital, Srinagar, Jammu & Kashmir, India. Archives of Neuroscience 2021;8(2).
Maqbool M, Bekele F, Fekadu G. Treatment strategies against triple-negative breast cancer: an updated review. Breast Cancer: Targets and Therapy 2022;14:15-24.
Nitya S, Ramya G, Kiruthika S, et al. Drug utilization pattern and factors associated with polypharmacy and excessive polypharmacy in geriatric medical out-patients at a rural health training centre in India. Journal of Family Medicine and Primary Care 2021;10(7):2636.
McGrath RP, Arumugavignesh M, Abishek R, et al. Evaluation of drug utilization pattern among geriatric patients in a district head quarters government hospital using world health organization indicators. Indian Journal of Pharmacy Practice 2021;14(1):27.
Zehravi M, Maqbool M, Ara I. Healthy lifestyle and dietary approaches to treating polycystic ovary syndrome: a review. Open Health 2022;3(1):60-5.
Zehravi M, Maqbool R, Maqbool M, et al. To identify patterns of drug usage among patients who seek care in psychiatry outpatient department of a tertiary care hospital in Srinagar, Jammu and Kashmir, India. Journal of Pharmaceutical Research International 2021;33(31A):135-40.
Dar MA, Maqbool M, Gani I, et al. Menstruation hygiene and related issues in adolescent girls: a brief commentary. International Journal of Current Research in Physiology and Pharmacology 2023;7(1):1-5.
Zehravi M, Maqbool M, Ara I. Correlation between obesity, gestational diabetes mellitus, and pregnancy outcomes: an overview. International Journal of Adolescent Medicine and Health 2021;33(6):339-45.
Ara I, Maqbool M, Zehravi M. Psychic consequences of infertility on couples: a short commentary. Open Health 2022;3(1):114-9.
Swamy AV, Nyamagoud S, James J, James J, Siby M, Mathews A. Assessment of drug utilization pattern and rational use of antihypertensive therapy in geriatric patients: a prospective observational study. Journal of Drug Delivery and Therapeutics 2022;12(1):72-7.
Hannan A, Sinha SR, Ganiyani MA, et al. Drug utilization study of antidiabetic drugs in patients attending geriatric outpatient department at a tertiary care hospital. Cureus 2021;13(8).
John NN, Arjun VJ, James A, et al. Prescribing patterns of drugs in geriatric patient. Journal of Drug Delivery and Therapeutics 2021;11(2):168-70.
Zehravi M, Maqbool M, Ara I. An overview about safety surveillance of adverse drug reactions and pharmacovigilance in India. The Indian Journal of Nutrition and Dietetics 2021;58(3):408-18.
Zehravi M, Maqbool M, Ara I. Polycystic ovary syndrome and infertility: an update. International Journal of Adolescent Medicine and Health 2021;34(2):1-9.
Zehravi M, Maqbool M, Ara I. Depression and anxiety in women with polycystic ovarian syndrome: a literature survey. International Journal of Adolescent Medicine and Health 2021;33(6):367-73.
Zehravi M, Maqbool M, Ara I. Polycystic ovary syndrome and reproductive health of women: a curious association. International Journal of Adolescent Medicine and Health 2021;33(6):333-7.
Alagar M, Chenthamarai G, Aruna T. Analysis of drug utilization in government tertiary care institution of South India. National Journal of Physiology, Pharmacy and Pharmacology 2021;11(7):688-92.
Vyas S, Dagar W, Dhanawat M, et al. Drug utilization analysis of anticoagulant and antiplatelet drugs in cardiology department of a tertiary care hospital. Journal of Young Pharmacists 2022;14(1):122.
Maqbool M, Fekadu G, Jiang X, et al. An up to date on clinical prospects and management of osteoarthritis. Annals of Medicine and Surgery 2021;72:103077.
Ara I, Zehravi M, Maqbool M, et al. A review of recent developments and future challenges in the implementation of universal health coverage policy framework in some countries. J Pharma Res Rep 2022;3(2):1-8.
Maqbool M, Ara I, Gani I. The story of polycystic ovarian syndrome: a challenging disorder with numerous consequences for females of reproductive age. International Journal of Current Research in Physiology and Pharmacology 2022;6(3):19-31.
Maqbool M, Nasir N, Mustafa S. Polycystic in ovarian syndrome and its various treatment strategies, Indo American Journal of Pharmaceutical Sciences 2018;5(9):8470-8.
Maqbool R, Maqbool M, Zehravi M, et al. Menstrual distress in females of reproductive age: a literature review. International Journal of Adolescent Medicine and Health 2021;34(2):11-7.
Juno AA, Baig MT, Khan RA. A prospective study on cephalosporin utilization by pattern in pediatric patients. Journal of Hunan University Natural Sciences 2022;49(2).
Thomas AP, Kumar M, Johnson R, et al. Evaluation of antibiotic consumption and compliance to hospital antibiotic policy in the surgery, orthopedics and gynecology wards of a tertiary care hospital. Clinical Epidemiology and Global Health 2022;13:100944.
Al-Mirza A, Al-Taei O, Al-Saadi H, et al. Utilization of anticoagulant and antiplatelet medications among geriatric patients with neurosurgical diseases. Romanian Neurosurgery 2022;36(1):98-106.
Khorrami P, Sinha MS, Bhanja A, et al. Differences in diabetic prescription drug utilization and costs among patients with diabetes enrolled in colorado marketplace and medicaid plans, 2014-2015. JAMA Network Open 2022;5(1):e2140371.
Guillot J, Maumus‐Robert S, et al. Chronic polypharmacy at all age: a population‐based drug utilization study. Fundamental & Clinical Pharmacology 2022;36(2):405-13.
Manzo EC, Seidling HM, Bates DW, et al. Studies of drug utilization. Textbook of pharmacoepidemiology 2022: p. 389.
Domiati S, Poushuju R. Clinical pharmacist evaluation of medication inappropriateness in a geriatric hospital. In Annales Pharmaceutiques Françaises 2022;80(6):876-84.
Kundu J, Mishra PS, Bharadwaz MP. Predictors of healthcare utilization among geriatrics in india: evidence from national sample survey organization, 2017-18. Ageing International 2023;48(1):341-66.