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Cost variation analysis of oral anti-diabetic agents available in Indian market 印度市场上口服抗糖尿病药物的成本变化分析
Pub Date : 2021-05-25 DOI: 10.18203/2319-2003.IJBCP20212080
Sanjay Gedam, Namita Barmaiya
Background: The objective of this study was to analyze cost variations of oral antidiabetic drugs available in Indian market. Methods: An observational study was carried out using CIMS (current index of medical specialities), (July 2020 to October 2020) and 1 mg.com, where difference in the maximum and minimum price of a particular drug, manufactured by different pharmaceutical companies, in the same strength, number and dosage form was compared and the percentage variation in price was calculated. Data was analyzed using descriptive statistical analysis. Results: The minimum and maximum percentage price variation for different classes of drugs respectively is as followsin single drug therapy, the price variation between a sulfonylurea group of drugs glibenclamide (5 mg) shows maximum price variation of 400%, while glipizide (2.5 mg) shows variation of 81.8%. In biguanides, thizolidinediones and DPP4 inhibitor groups of drugs, metformin (500 mg), pioglitazone (30 mg) and vildagliptin show maximum price variation of 334.78%, 307 % and 264.6% respectively. In αglucosidases inhibitor group of drugs voglibose (0.2 mg) shows maximum price variation of 284%. In meglitinides group of drugs, nateglinide (60 mg) shows maximum price variation of 284.6 %. In combination drug therapy, glimepiride and metformin combination (2+500 mg SR) shows the maximum variation up to 352.8%. Conclusions: The percentage cost variation of different brands of the same drug manufactured in India is very wide and the reason behind marketing a drug should be directed towards maximizing the benefit of therapy and minimizing negative personal and economic consequences.
背景:本研究的目的是分析印度市场上可获得的口服降糖药的成本变化。方法:采用CIMS(现行医学专业指数),(2020年7月- 2020年10月)和1 mg.com进行观察性研究,比较不同制药公司生产的同一药品在相同强度、数量和剂型下的最高和最低价格差异,并计算价格变化百分比。数据分析采用描述性统计分析。结果:在单药治疗中,不同类别药物的最小、最大价格变动百分比分别为:磺脲类药物格列本脲(5mg)的最大价格变动百分比为400%,格列吡嗪(2.5 mg)的最大价格变动百分比为81.8%。在双胍类药物、噻唑烷二酮类药物和DPP4抑制剂组中,二甲双胍(500 mg)、吡格列酮(30 mg)和维格列汀的价格差异最大,分别为334.78%、307%和264.6%。α葡萄糖苷酶抑制剂组voglisugar (0.2 mg)价格变化最大,达284%。在美格列奈类药物组中,那格列奈(60mg)的价格变动最大,为284.6%。在联合用药中,格列美脲与二甲双胍联合用药(2+500 mg SR)变化最大,可达352.8%。结论:在印度生产的同一种药物,不同品牌的成本百分比差异非常大,营销一种药物的原因应该是为了最大限度地提高治疗效益,最大限度地减少负面的个人和经济后果。
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引用次数: 0
A pharmacovigilance study in patients of chronic non-infective respiratory diseases attending outpatient department of pulmonary medicine in a tertiary care teaching hospital 某三级教学医院肺内科门诊慢性非感染性呼吸系统疾病患者的药物警戒研究
Pub Date : 2021-05-25 DOI: 10.18203/2319-2003.IJBCP20212077
Saket S. Gaidhane, A. Khobragade, A. Joshi, M. Chavan, H. Likith, Akshay A. Chaware
Background: Adverse drug reactions (ADR) are the known dangers of any medicinal therapy. They are not only responsible for increasing the mortality and morbidity but also for multiplying the health care expenditure. It is important to monitor the adverse effects of the drugs in the patients on treatment for chronic non-infective respiratory diseases attending OPD of pulmonary medicine in a tertiary care teaching hospital Methods: The study was single-centric, non-randomized and observational hospital-based study which was carried out for a period of 1 and a half years in JJ Hospital. The patients who were included in the study suffered from either of the 4 diseases-Chronic obstructive pulmonary disease (COPD), asthma, bronchiectasis or interstitial lung diseases (ILD). Data were analyzed by using Microsoft excel sheet. Based on the outcome of modified Hartwig and Siegel severity assessment scale, ADRs were grouped into various severity categories. Results: One hundred and thirty-two number of ADRs were seen in 69 out of 352 patients (19.6 %) of the study population. The occurrence of ADR was found slightly higher in males i.e., 53.62% as compared to females i.e., 46.38%. The patients who were on treatment for ILD showed highest percentage of ADRs i.e., 57.89% which is followed by bronchiectasis (17.39%), COPD (16.17%) and lastly asthma (10.26%). The ADRs belonging to GIT system were highest in number i.e., 80. The most frequently occurring ADR in the study was palpitation which occurred in 14 cases i.e., 20.29%. Out of 132 ADRs observed, 96 i.e., 72.73% belonged to the mild category and 36 ADRs i.e., 27.27% belonged to the moderate category. Not a single severe ADR was found in the study. Conclusions: It was found that 19.6% of the patient population suffered from ADRs, which is a considerable number. It is essential that health care professionals should support ADR monitoring process for the safety of the medicinal product. Proper implementation of ADR monitoring will help to reduce the harmful effects by early detection of drug safety problems in patients, assessing the risk-benefit in an individual and the population, improving the selection, rational use of drugs through the provision of timely warning to healthcare professionals.
背景:药物不良反应(ADR)是已知的任何药物治疗的危险。他们不仅要对死亡率和发病率的增加负责,而且要对保健支出的增加负责。方法:采用单中心、非随机、以医院为基础的观察性研究,在JJ医院开展为期1年半的临床研究。纳入研究的患者患有慢性阻塞性肺疾病(COPD)、哮喘、支气管扩张或间质性肺疾病(ILD)这4种疾病中的一种。采用Microsoft excel表格对数据进行分析。根据改良的Hartwig和Siegel严重程度评定量表的结果,将不良反应分为不同的严重程度类别。结果:352例患者中有69例(19.6%)出现132例不良反应。男性不良反应发生率为53.62%,略高于女性46.38%。接受ILD治疗的患者出现不良反应的比例最高,为57.89%,其次是支气管扩张(17.39%)、COPD(16.17%)和哮喘(10.26%)。属于GIT系统的adr数量最多,为80个。本研究中最常见的不良反应是心悸,共发生14例,占20.29%。132例adr中,轻度adr 96例,占72.73%;中度adr 36例,占27.27%。研究中未发现一例严重的不良反应。结论:发现19.6%的患者出现了不良反应,这是一个相当大的数字。至关重要的是,卫生保健专业人员应支持药品安全的不良反应监测过程。通过早期发现患者的药物安全问题,评估个体和人群的风险收益,通过及时向医护人员提供警告,改进药物的选择和合理使用,正确实施药品不良反应监测,有助于减少有害影响。
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引用次数: 0
2-Deoxy-d-glucose: from diagnostics to therapeutics 2-脱氧-d-葡萄糖:从诊断到治疗
Pub Date : 2021-05-25 DOI: 10.18203/2319-2003.IJBCP20212086
R. Goel
Glucose is the most common source of cellular energy and a substrate for many biochemical processes. Abnormal glucose signalling has been found in many diseases including cancers and inflammatory diseases. A glucose analog, 2deoxy-D-glucose (2DG) which interferes with the cellular glucose metabolism has shown promising results both as a diagnostic and therapeutic agent in certain diseased conditions such as cancer, cardiovascular diseases, Alzheimer disease, etc. Viral-infected cells have also been found to increase their glucose uptake and recently Drug Controller General of India (DCGI) has given approval for the therapeutic use of 2DG in managing severe acute respiratory syndrome corona virus 2 (SARS-CoV-2) infection which has received worldwide attention and has been declared a public health emergency of global concern. An attempt has accordingly been made in this article to review the diagnostic and therapeutic potentials of 2-deoxy-glucose with special emphasis on to its implications in SARS-CoV-2.
葡萄糖是细胞能量最常见的来源,也是许多生化过程的底物。异常的葡萄糖信号传导已经在许多疾病中被发现,包括癌症和炎症性疾病。干扰细胞葡萄糖代谢的葡萄糖类似物2脱氧- d -葡萄糖(2DG)在某些疾病如癌症、心血管疾病、阿尔茨海默病等中作为诊断和治疗药物显示出有希望的结果。病毒感染的细胞也被发现增加了它们的葡萄糖摄取,最近印度药物管制总干事(DCGI)批准了2DG用于治疗严重急性呼吸综合征冠状病毒2 (SARS-CoV-2)感染,该感染已受到全世界的关注,并已被宣布为全球关注的突发公共卫生事件。因此,本文试图回顾2-脱氧葡萄糖的诊断和治疗潜力,特别强调其在SARS-CoV-2中的意义。
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引用次数: 4
Randomized, single-dose, two-period, two-sequence crossover bioequivalence study evaluating two oral formulations of lamotrigine in healthy volunteers 随机,单剂量,两期,两序列交叉生物等效性研究评估两种口服拉莫三嗪制剂在健康志愿者中的作用
Pub Date : 2021-05-25 DOI: 10.18203/2319-2003.IJBCP20212072
Murgan Panchatcharam, S. M, Sakthimanikandhan .
Background: Lamotrigine is an anti-epileptic medicine used to treat epilepsy and bipolar disorder. The mechanism of action is to block voltage activated sodium channels. The aim of this study was to evaluate the bioequivalence of 2 oral formulations of lamotrigine 25 mg in healthy volunteers. Methods: A single-dose, two-period, randomized crossover study design in healthy Indian adult volunteers was conducted at Amaris Clinical, a division of Caplin Point Laboratories Ltd., Chennai. A validated high performance liquid chromatography in conjunction with mass spectrometry was used. Lamotrigine concentration in plasma. Adverse events were determined by measuring vital functions after dosing. A total of 24 subjects were included. Results: The mean and 90% confidence intervals of the test / reference ratios for these parameters were as follows: The mean Cmax and Tmax of the test were 758.606 (157.453) ng / ml and 1.17 (0.50-5.00) hours, respectively. The mean Cmax and Tmax of the reference were 775.993 (151.654) ng / ml or 0.88 (0.25-4.00) hours. The mean AUC0-72 was 24142. 031±3641.691 (ng.hr/mL) for the test formulation and 24202.099±3742.957 (ng. h / ml) for the reference formulation. The mean test / reference ratios for Cmax and AUC0-72 were 97.92 and 99.82 respectively. The 90% parametric CIs for Cmax and AUC0-72 were 90.17-105.68% or 97.87-101.81%. Conclusions: The 90% confidence intervals ranged from 80-125% and it was concluded that the test product was bioequivalent to the reference product in these healthy adult male volunteers.
背景:拉莫三嗪是一种抗癫痫药物,用于治疗癫痫和双相情感障碍。其作用机制是阻断电压激活的钠离子通道。本研究的目的是评估2种口服拉莫三嗪25mg制剂在健康志愿者体内的生物等效性。方法:在金奈Caplin Point实验室有限公司的Amaris临床分部对健康的印度成年志愿者进行了单剂量、两期、随机交叉研究设计。采用高效液相色谱联用质谱法。血浆拉莫三嗪浓度。给药后通过测量生命功能来确定不良事件。共纳入24名受试者。结果:这些参数的试验/参考比值的平均值和90%置信区间为:试验的平均Cmax和Tmax分别为758.606 (157.453)ng / ml和1.17 (0.50-5.00)h。参考物的平均Cmax和Tmax分别为775.993 (151.654)ng / ml或0.88 (0.25-4.00)h。平均AUC0-72为24142。031±3641.691 (ng.hr/mL); 24202.099±3742.957 (ng.hr/mL);H / ml)作为参比制剂。Cmax和AUC0-72的平均检验/参考比分别为97.92和99.82。Cmax和AUC0-72的90%参数ci分别为90.17 ~ 105.68%和97.87 ~ 101.81%。结论:90%的置信区间为80-125%,在这些健康成年男性志愿者中,试验产品与参考产品具有生物等效性。
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引用次数: 0
A study and evaluation of cutaneous adverse drug reaction in the patients attending dermatology department of tertiary care teaching hospital in Eastern Uttar Pradesh 北方邦东部三级护理教学医院皮肤科患者皮肤药物不良反应的研究与评价
Pub Date : 2021-05-25 DOI: 10.18203/2319-2003.IJBCP20212075
D. Gupta, Bikash Gairola, B. Kumar, M. Bharath, M. S. Ansari
Background: Cutaneous adverse drug reactions (CADRs) are most frequently reported type of ADRs and can be caused by variety of drugs. The clinical patterns of adverse cutaneous drug reactions and the drug responsible for them is changing every year due to the emergence of newer molecules and changing trends in the use of drugs. Methods: This was a prospective, cross-sectional and observational study done for a period of 6 months to evaluate the clinical pattern of CADRs and their causative drugs in the tertiary health care. Results: Over all 55 patients were detected with cutaneous adverse drug reaction. The majority of CADRs were in the age group of 18-35 years (63.46%). Fixed drug eruptions (FDE) being the most common adverse cutaneous drug reaction (34.68%) followed by maculopapular rash (23%), NSAIDs being the most common, followed by antimicrobial agents. Conclusions: Knowledge of these drug eruptions, the causative drugs are essential for the clinicians and implementing the ADRs reporting and monitoring system, one can promote drug safety and better patients care, among health care professionals.
背景:皮肤药物不良反应(CADRs)是最常见的adr类型,可由多种药物引起。由于新分子的出现和药物使用趋势的变化,皮肤药物不良反应的临床模式和引起它们的药物每年都在变化。方法:这是一项为期6个月的前瞻性、横断面和观察性研究,旨在评估三级卫生保健中cadr的临床模式及其致病药物。结果:55例患者均检出皮肤药物不良反应。以18-35岁年龄组居多(63.46%)。固定药疹(FDE)是最常见的皮肤药物不良反应(34.68%),其次是黄斑丘疹(23%),最常见的是非甾体抗炎药,其次是抗菌药物。结论:临床医生对药疹及其致病药物的认识至关重要,实施药品不良反应报告和监测制度,可促进医务人员用药安全,改善患者护理。
{"title":"A study and evaluation of cutaneous adverse drug reaction in the patients attending dermatology department of tertiary care teaching hospital in Eastern Uttar Pradesh","authors":"D. Gupta, Bikash Gairola, B. Kumar, M. Bharath, M. S. Ansari","doi":"10.18203/2319-2003.IJBCP20212075","DOIUrl":"https://doi.org/10.18203/2319-2003.IJBCP20212075","url":null,"abstract":"Background: Cutaneous adverse drug reactions (CADRs) are most frequently reported type of ADRs and can be caused by variety of drugs. The clinical patterns of adverse cutaneous drug reactions and the drug responsible for them is changing every year due to the emergence of newer molecules and changing trends in the use of drugs. Methods: This was a prospective, cross-sectional and observational study done for a period of 6 months to evaluate the clinical pattern of CADRs and their causative drugs in the tertiary health care. Results: Over all 55 patients were detected with cutaneous adverse drug reaction. The majority of CADRs were in the age group of 18-35 years (63.46%). Fixed drug eruptions (FDE) being the most common adverse cutaneous drug reaction (34.68%) followed by maculopapular rash (23%), NSAIDs being the most common, followed by antimicrobial agents. Conclusions: Knowledge of these drug eruptions, the causative drugs are essential for the clinicians and implementing the ADRs reporting and monitoring system, one can promote drug safety and better patients care, among health care professionals.","PeriodicalId":13898,"journal":{"name":"International journal of basic and clinical pharmacology","volume":"4 1","pages":"664"},"PeriodicalIF":0.0,"publicationDate":"2021-05-25","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"89955896","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
Drug prescribing pattern of antifungal drugs for local fungal infections in a tertiary care hospital: MAMC, Agroha 三级医院局部真菌感染的抗真菌药物处方模式:MAMC, Agroha
Pub Date : 2021-05-25 DOI: 10.18203/2319-2003.IJBCP20212079
P. Bansal, S. Baishnab, Ashima Singla
Background: Drug utilization research or studies are the powerful exploratory tools to ascertain the role of drugs in the society which refers to the marketing, distribution, prescription and use of drugs with special emphasis on the medical, social and economic consequences. Periodic prescription audit in form of drug utilization study is a way to improve the quality of prescription and promote rational prescribing. Methods: This was a prospective and an observational study. Prescriptions included all newly diagnosed patients with cutaneous fungal infection of both sexes who attended dermatology OPD. Factors considered were sociodemographic parameters and WHO prescribing indicators. Results: 1000 prescriptions were analysed of patients between 18 to 65 years of age with cutaneous fungal infections. The average number of drugs per encounter was 3.68. The percentage of drugs prescribed by generic name was 50.33% and the percentage of drugs prescribed from NLEM was 20.93%. Conclusions: This study indicates that prescribing practices of drugs in tertiary care hospital can be improved by promoting generic name drug prescribing, prescribing drugs from NLEM and by reducing polypharmacy.
背景:药物利用研究是确定药物在社会中的作用的强有力的探索性工具,它指的是药物的营销、分销、处方和使用,特别强调医学、社会和经济后果。以药物利用研究为形式的定期处方审核是提高处方质量、促进合理处方的一种途径。方法:前瞻性观察性研究。处方包括所有在皮肤科门诊就诊的新诊断的皮肤真菌感染的男女患者。考虑的因素包括社会人口学参数和世卫组织处方指标。结果:对1000例18 ~ 65岁皮肤真菌感染患者的处方进行了分析。每次就诊的平均药物数量为3.68。药品仿制名处方占50.33%,NLEM处方占20.93%。结论:本研究表明,三级医院可通过推广仿制药处方、NLEM处方和减少多药制等措施来改善药品的处方实践。
{"title":"Drug prescribing pattern of antifungal drugs for local fungal infections in a tertiary care hospital: MAMC, Agroha","authors":"P. Bansal, S. Baishnab, Ashima Singla","doi":"10.18203/2319-2003.IJBCP20212079","DOIUrl":"https://doi.org/10.18203/2319-2003.IJBCP20212079","url":null,"abstract":"Background: Drug utilization research or studies are the powerful exploratory tools to ascertain the role of drugs in the society which refers to the marketing, distribution, prescription and use of drugs with special emphasis on the medical, social and economic consequences. Periodic prescription audit in form of drug utilization study is a way to improve the quality of prescription and promote rational prescribing. Methods: This was a prospective and an observational study. Prescriptions included all newly diagnosed patients with cutaneous fungal infection of both sexes who attended dermatology OPD. Factors considered were sociodemographic parameters and WHO prescribing indicators. Results: 1000 prescriptions were analysed of patients between 18 to 65 years of age with cutaneous fungal infections. The average number of drugs per encounter was 3.68. The percentage of drugs prescribed by generic name was 50.33% and the percentage of drugs prescribed from NLEM was 20.93%. Conclusions: This study indicates that prescribing practices of drugs in tertiary care hospital can be improved by promoting generic name drug prescribing, prescribing drugs from NLEM and by reducing polypharmacy.","PeriodicalId":13898,"journal":{"name":"International journal of basic and clinical pharmacology","volume":"85 1","pages":"689"},"PeriodicalIF":0.0,"publicationDate":"2021-05-25","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"90989436","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 2
Therapeutic potential of seaweeds 海藻的治疗潜力
Pub Date : 2021-04-26 DOI: 10.18203/2319-2003.IJBCP20211660
R. Goel, T. Saini, Binny Mahendru
Seaweeds in general are known to contribute to the maintenance of health through their nutritional and medicinal properties and are served in soups and salads, cooked with grains, legumes or miso-soup broth, vegetable pies, stews and even consumed dried. The medicinal properties of seaweeds or vegetables have long been known in many cultures of people particularly those living in the coastal regions who are consuming these from centuries. Traditional Chinese dietotherapy (TCD) makes good use of natural marine nutrients and food to preserve health. Koreans wrap their bodies in seaweeds to get rid of deadly body toxins and Japanese who eat large quantities of seaweeds have very low incidence of cancers. The compounds with diverse biological activities such as antioxidant, antiviral, antifungal, antineoplastic, antimicrobial etc. have been isolated from the flora in the sea. A score of these bio-medicinal compounds are in different stages of clinical trials & analysis and are the focus of this article.
一般来说,众所周知,海藻具有营养和药用价值,有助于保持健康,可以做成汤和沙拉,与谷物、豆类或味噌汤一起煮,也可以做成蔬菜馅饼、炖菜,甚至可以干吃。海藻或蔬菜的药用特性在许多文化中早已为人所知,特别是那些生活在沿海地区的人,他们几个世纪以来一直在食用这些东西。中国传统食疗(TCD)充分利用天然海洋营养和食物来保持健康。韩国人用海藻包裹身体,以排除体内的致命毒素,而日本人则大量食用海藻,患癌症的几率非常低。从海洋植物群中分离出具有抗氧化、抗病毒、抗真菌、抗肿瘤、抗菌等多种生物活性的化合物。这些生物药物化合物的评分处于不同的临床试验和分析阶段,是本文的重点。
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引用次数: 0
Assessment of drug utilization pattern and impact of infographics in patients with chronic liver disease 慢性肝病患者药物利用模式及信息图影响的评估
Pub Date : 2021-04-26 DOI: 10.18203/2319-2003.IJBCP20211641
Naiema Shajihan, V S Shijin, V. R. Vismaya, L. Jacob, G. Jeladharan
Background: The current study was conducted to ensure that the drugs were effectively utilised and also to create awareness and knowledge by providing counselling with the help of infographics among study population. Methods: A prospective interventional study was conducted in the gastroenterology department of a tertiary care hospital in Kerala. A total of 100 patients diagnosed with chronic liver disease (CLD) were enrolled for the study and data were recorded in a predesigned pro forma. Statistical analysis (paired t test) was performed to assess whether the drug has been effectively utilized in patients. The study population was counselled with the help of infographics and its impact was assessed from the questionnaire, which was set based on 5point Likert’s scale. Results: Among 100 patients, males are more prevalent between the age groups 60-70. Diabetes mellitus (DM) (66%) and alcohol (37%) are the most common risk factors. Most of the study subjects belong to Child A (50%) category and model for end-stage liver disease (MELD) score of 51% of the patients were ≤9 with estimated 3-month mortality rate of 1.9%. Liver function tests (LFT) had shown that there was a significant difference between prior to and after treatment with the level of significance p<0.05, indicating that the drugs had been properly utilized in patients and found to be effective. The distributed infographics had a great impact among the study population. Conclusions: The study concluded that the drugs had been properly utilized and found to be effective in patients. The Infographics showed a positive impact among the study population.
背景:本研究的目的是确保药物得到有效利用,并通过信息图表向研究人群提供咨询,提高他们的认识和知识。方法:在喀拉拉邦一家三级医院的消化内科进行前瞻性介入研究。总共有100名诊断为慢性肝病(CLD)的患者被纳入研究,并以预先设计的形式记录数据。采用统计学分析(配对t检验)评价该药在患者中是否得到有效利用。研究人群在信息图表的帮助下接受咨询,并从基于5点李克特量表的问卷中评估其影响。结果:100例患者中,60 ~ 70岁男性居多。糖尿病(66%)和酒精(37%)是最常见的危险因素。大多数研究对象属于Child A(50%)类别,51%的患者终末期肝病模型(MELD)评分≤9,估计3个月死亡率为1.9%。肝功能检查(LFT)结果显示,治疗前后差异有统计学意义,p<0.05,说明患者正确使用药物,发现药物有效。分布式信息图在研究人群中有很大的影响。结论:临床用药合理,对患者有效。信息图表显示了对研究人群的积极影响。
{"title":"Assessment of drug utilization pattern and impact of infographics in patients with chronic liver disease","authors":"Naiema Shajihan, V S Shijin, V. R. Vismaya, L. Jacob, G. Jeladharan","doi":"10.18203/2319-2003.IJBCP20211641","DOIUrl":"https://doi.org/10.18203/2319-2003.IJBCP20211641","url":null,"abstract":"Background: The current study was conducted to ensure that the drugs were effectively utilised and also to create awareness and knowledge by providing counselling with the help of infographics among study population. Methods: A prospective interventional study was conducted in the gastroenterology department of a tertiary care hospital in Kerala. A total of 100 patients diagnosed with chronic liver disease (CLD) were enrolled for the study and data were recorded in a predesigned pro forma. Statistical analysis (paired t test) was performed to assess whether the drug has been effectively utilized in patients. The study population was counselled with the help of infographics and its impact was assessed from the questionnaire, which was set based on 5point Likert’s scale. Results: Among 100 patients, males are more prevalent between the age groups 60-70. Diabetes mellitus (DM) (66%) and alcohol (37%) are the most common risk factors. Most of the study subjects belong to Child A (50%) category and model for end-stage liver disease (MELD) score of 51% of the patients were ≤9 with estimated 3-month mortality rate of 1.9%. Liver function tests (LFT) had shown that there was a significant difference between prior to and after treatment with the level of significance p<0.05, indicating that the drugs had been properly utilized in patients and found to be effective. The distributed infographics had a great impact among the study population. Conclusions: The study concluded that the drugs had been properly utilized and found to be effective in patients. The Infographics showed a positive impact among the study population.","PeriodicalId":13898,"journal":{"name":"International journal of basic and clinical pharmacology","volume":"46 1","pages":"488"},"PeriodicalIF":0.0,"publicationDate":"2021-04-26","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"90892440","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
Self medication among elderly poses challenges in urban settings 在城市环境中,老年人自我用药带来了挑战
Pub Date : 2021-04-26 DOI: 10.18203/2319-2003.IJBCP20211650
S. Hingorani, A. Desai, Sakshi Desai, R. Bansal, S. Agarwal, Naisargee Solanki, Ishaan K. Desai
Background: Self-medication can be defined as obtaining and consuming one (or more) drug(s) without the advice of a physician. Using over the counter medicine is a common practice in developing countries including India. Studies have shown relatively high rates of self-medication among elderly and suggested awareness programmes among this group. Objectives of current study are to determine the prevalence of self-medication among geriatric population and to educate them about self-medication by an interactive session. Methods This was a cross sectional, questionnaire based study to evaluate the prevalence of self-medication in geriatric population in senior citizen club of Adajan and Ghoddod area of Surat city. Questionnaires were designed and modified from previous studies. Written informed consent was taken from those willing to participate in the study. After filling of pre-questionnaire, an interactive session was arranged and post-questionnaire were given to all participants. Data obtained were subjected to statistical analysis. Results: Number of participants in present study was 100. Self-medication was most common in age group of 65 to 75 years (48%) followed by less than 65 years (33%). 85% participants reported having taken non-prescription drugs. Drugs commonly used for self-medication were analgesics (85) and antacids (80). Side effects due to self-medication were reported by 22 participants. Main reasons for self-medication cited were to save expenses (65) and to save time (62). Post study awareness increased to 98%. Conclusions: Prevalence of self-medication is high in elderly. Interactive session can increase awareness regarding self-medication.
背景:自我用药可以定义为在没有医生建议的情况下获取和服用一种(或多种)药物。在包括印度在内的发展中国家,使用非处方药是一种常见做法。研究表明,老年人自我药疗的比例相对较高,并建议在这一群体中开展提高认识的项目。本研究的目的是确定自我药疗在老年人群中的流行程度,并通过互动课程对他们进行自我药疗教育。方法采用横断面问卷调查法,对苏拉特市阿达扬和戈德多地区老年俱乐部老年人群自我药疗的流行情况进行调查。问卷是根据先前的研究设计和修改的。从那些愿意参加研究的人那里获得了书面知情同意书。在完成前问卷后,安排互动环节,并发放后问卷给所有参与者。得到的数据进行统计分析。结果:本研究参与人数为100人。自我药疗在65至75岁年龄组中最常见(48%),其次是65岁以下年龄组(33%)。85%的参与者报告服用过非处方药。常用的自我药疗药物是镇痛药(85)和抗酸药(80)。22名参与者报告了自我药物治疗的副作用。自我药疗的主要原因是节省费用(65人)和节省时间(62人)。学习后意识提高到98%。结论:老年人自我药疗患病率较高。互动式会议可以提高自我用药的意识。
{"title":"Self medication among elderly poses challenges in urban settings","authors":"S. Hingorani, A. Desai, Sakshi Desai, R. Bansal, S. Agarwal, Naisargee Solanki, Ishaan K. Desai","doi":"10.18203/2319-2003.IJBCP20211650","DOIUrl":"https://doi.org/10.18203/2319-2003.IJBCP20211650","url":null,"abstract":"Background: Self-medication can be defined as obtaining and consuming one (or more) drug(s) without the advice of a physician. Using over the counter medicine is a common practice in developing countries including India. Studies have shown relatively high rates of self-medication among elderly and suggested awareness programmes among this group. Objectives of current study are to determine the prevalence of self-medication among geriatric population and to educate them about self-medication by an interactive session. Methods This was a cross sectional, questionnaire based study to evaluate the prevalence of self-medication in geriatric population in senior citizen club of Adajan and Ghoddod area of Surat city. Questionnaires were designed and modified from previous studies. Written informed consent was taken from those willing to participate in the study. After filling of pre-questionnaire, an interactive session was arranged and post-questionnaire were given to all participants. Data obtained were subjected to statistical analysis. Results: Number of participants in present study was 100. Self-medication was most common in age group of 65 to 75 years (48%) followed by less than 65 years (33%). 85% participants reported having taken non-prescription drugs. Drugs commonly used for self-medication were analgesics (85) and antacids (80). Side effects due to self-medication were reported by 22 participants. Main reasons for self-medication cited were to save expenses (65) and to save time (62). Post study awareness increased to 98%. Conclusions: Prevalence of self-medication is high in elderly. Interactive session can increase awareness regarding self-medication.","PeriodicalId":13898,"journal":{"name":"International journal of basic and clinical pharmacology","volume":"1 1","pages":"541"},"PeriodicalIF":0.0,"publicationDate":"2021-04-26","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"85544319","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
Study of the cost variation analysis of anti-epileptic drugs available in different brands in Indian pharmaceutical market 印度医药市场上不同品牌抗癫痫药物的成本变化分析研究
Pub Date : 2021-04-26 DOI: 10.18203/2319-2003.IJBCP20211647
Hansraj Kumar, Uma Shankar Prasad Kesari, R. Kumar
Background: The aim of this study was to analyze the cost ratio and percentage cost variations in different brands of the commonly prescribed anti-epileptic drugs available in Indian pharmaceutical market. Methods: The maximum and minimum price of each brand of the drug given in Indian rupees (INR) was noted by using CIMS January to April 2020 edition and drug today April to June 2020 volume 1. The cost ratio and the percentage cost variation for individual drug brands was calculated. The cost of one bottle in case of 100 ml syrup and 10 tablets/capsules was calculated in case of oral drugs and the cost of one 1 vial or ampoule was noted in case of injectable drugs. At last the cost ratio and percentage cost variation of various brands was compared. Results: After calculation of cost ratio and percentage cost variation for each brand of anti-epileptic drug tablet clonazepam (2 mg) shows highest cost ratio and percentage cost variation as 10.41 and 941.66, carbamazepine (200 mg SR tablet) shows lowest cost ratio and percentage cost variation as 1.09 and 9.32. Conclusions: Epilepsy is the most common neurological disorder and epileptic drugs are to be prescribed for prolonged period. If a costly brand is prescribed, the patients have to pay more money unnecessarily for their treatment. There is a wide difference in the cost of different brands of anti-epileptic drugs available in India. The clinicians prescribing these drugs should be aware of these variations in cost to reduce the cost of drug therapy.
背景:本研究的目的是分析印度医药市场上不同品牌常用抗癫痫药物的成本比和百分比变化。方法:采用CIMS 2020年1月至4月版和《今日用药》2020年4月至6月卷1,记录各品牌药品以印度卢比(INR)计价的最高、最低价格。计算各药品品牌的成本比和成本变动百分比。口服药物计算100毫升糖浆1瓶和10片/胶囊的成本,注射药物计算1瓶或1安瓿的成本。最后比较了各品牌的成本比和成本变动百分比。结果:各品牌抗癫痫药氯安定片(2mg)的成本比和成本变化率最高,分别为10.41和941.66,卡马西平(200mg SR片)的成本比和成本变化率最低,分别为1.09和9.32。结论:癫痫是最常见的神经系统疾病,应长期服用抗癫痫药物。如果开的是昂贵品牌的药,病人就不得不为他们的治疗支付更多不必要的钱。在印度,不同品牌的抗癫痫药物的价格差别很大。处方这些药物的临床医生应该意识到这些成本的变化,以减少药物治疗的成本。
{"title":"Study of the cost variation analysis of anti-epileptic drugs available in different brands in Indian pharmaceutical market","authors":"Hansraj Kumar, Uma Shankar Prasad Kesari, R. Kumar","doi":"10.18203/2319-2003.IJBCP20211647","DOIUrl":"https://doi.org/10.18203/2319-2003.IJBCP20211647","url":null,"abstract":"Background: The aim of this study was to analyze the cost ratio and percentage cost variations in different brands of the commonly prescribed anti-epileptic drugs available in Indian pharmaceutical market. Methods: The maximum and minimum price of each brand of the drug given in Indian rupees (INR) was noted by using CIMS January to April 2020 edition and drug today April to June 2020 volume 1. The cost ratio and the percentage cost variation for individual drug brands was calculated. The cost of one bottle in case of 100 ml syrup and 10 tablets/capsules was calculated in case of oral drugs and the cost of one 1 vial or ampoule was noted in case of injectable drugs. At last the cost ratio and percentage cost variation of various brands was compared. Results: After calculation of cost ratio and percentage cost variation for each brand of anti-epileptic drug tablet clonazepam (2 mg) shows highest cost ratio and percentage cost variation as 10.41 and 941.66, carbamazepine (200 mg SR tablet) shows lowest cost ratio and percentage cost variation as 1.09 and 9.32. Conclusions: Epilepsy is the most common neurological disorder and epileptic drugs are to be prescribed for prolonged period. If a costly brand is prescribed, the patients have to pay more money unnecessarily for their treatment. There is a wide difference in the cost of different brands of anti-epileptic drugs available in India. The clinicians prescribing these drugs should be aware of these variations in cost to reduce the cost of drug therapy.","PeriodicalId":13898,"journal":{"name":"International journal of basic and clinical pharmacology","volume":"113 1","pages":"523"},"PeriodicalIF":0.0,"publicationDate":"2021-04-26","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"80592746","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
期刊
International journal of basic and clinical pharmacology
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