www.ijbcp.com International Journal of Basic & Clinical Pharmacology | December 2018 | Vol 7 | Issue 12 Page 2332
IJBCP International Journal of Basic & Clinical Pharmacology
Print ISSN: 2319-2003 | Online ISSN: 2279-0780
Original Research Article
Prescribing pattern of fixed dose combinations of antibiotics in a post-
operative surgical ward of tertiary care teaching hospital
Velvizhy R.
1
, Johan Pandian J.
2
*
INTRODUCTION
Fixed dose drug combinations (FDCs), are combinations
of two or more active drugs in a single dosage form. They
are suitable only when the dosage of each component
meets the requisite and when the combination has an
established advantage over single drug in efficacy, safety
and compliance.
1
WHO defines drug utilization as “The marketing,
distribution, prescription and use of drug in a society with
special emphasis on resulting medical, social and
economic results”.
1
Surgical site infection (SSI) is the most
ABSTRACT
Background: Fixed dose drug combinations (FDCs), are combinations of two or
more active drugs. It should be used when the combination has an established
advantage over single drug in efficacy, safety and compliance. The World Health
Organization (WHO) lists only 19 of such combinations. But Indian market is
filled with hundreds of FDCs which were not approved leading to irrational use.
This study was focused on finding out the fixed dose combination of
antimicrobial agents used in the post-operative general surgery ward of a tertiary
care teaching hospital.
Methods: After getting approval from institutional human ethics committee the
prescriptions of patients admitted during April 2013 to March 2014 were
analyzed. Demographic data, FDC prescribed by surgeons, Dose, Frequency,
Duration, Route, Formulation, Brand or generic drugs, Adverse events due to use
of FDC were collected and SPSS version 17 was used for statistical analysis.
Fixed dose combinations were used in 90 Patients. The most commonly used
FDC were ampicillin with Cloxacillin (43) followed by amoxicillin with
clavulanic acid (22), cefoperazone with sulbactam (19) and piperacillin with
tazobactam (6). A common drug used in combination along with FDC was
metronidazole and aminoglycoside. The irrational combination seen in this study
was ampicillin with Cloxacillin (8.88%) of the total FDC which is not approved
by DCGI or FDA.
Results: In this study out of 145 drugs used, 41drugs were administered three
times a day, 90 drugs were given two times a day and 14 drugs were given once
a day dosing. 53 patients received FDCs for prophylaxis and 37 patients for
treatment purpose. All FDCs were prescribed in brand names. No adverse drug
reaction was observed in this study.
Conclusions: Consultants should undergo continuing medical education (CME)
on newer drug combinations and their adverse drug reactions which will be
evidence-based rather than to rely on representatives.
Keywords: Drug utilization studies, Fixed dose combinations, Irrational
combinations, WHO essential FDC list
DOI: http://dx.doi.org/10.18203/2319-2003.ijbcp20184841
1
Department of Pharmacology,
Annaii Medical College &
Hospital, Pennalur,
Sriperambadur, Kanchipuram
603402, India
2
Department of Pharmacology,
Mahatma Gandhi Medical
College & Research Institute,
Pillaiyarkuppam, Puducherry
607402, India
Received: 22 September 2018
Accepted: 22 October 2018
*Correspondence to:
Dr. Johan Pandian J.,
Email: johanpandian@
gmail.com
Copyright: © the author(s),
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Academy. This is an open-
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