Research Article Open Access
Bashir et al., J Pharmacovigil 2018, 6:1
DOI: 10.4172/2329-6887.1000250
Research Article Open Access
Journal of Pharmacovigilance
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ISSN: 2329-6887
Volume 6 • Issue 1 • 1000250
J Pharmacovigil, an open access journal
ISSN: 2329-6887
Keywords: Drug Terapy; Rational Terapy; Irrational therapy
Introduction
Causes of irrational drug use
• Irrational prescribing practices of doctors.
• Dispensing by pharmacists and drug sellers.
• Drug pricing policies and promotional activities of the
pharmaceutical industry.
• Lack of information, education and communication on rational
drug use to providers and consumers.
• Lack of efective control and regulatory mechanisms on drug use.
• Lack of political will and leadership to promote rational use.
Medicines play an important role in healthcare delivery and
when used properly, can help cure diseases, relieve symptoms and
alleviate patient sufering. Nonetheless, irrational use of medicines
remains a major issue facing most health systems across the world.
Te World Health Organization (WHO) estimates that more than
half of all medicines are inappropriately prescribed, dispensed, or
sold. Additionally, around 50% of patients fail to take their medicines
correctly.
Methodology
Study design
It was a cross sectional study. It was carried out at Government
district headquarters of Gujranwala, Wazirabad, Okara and diferent
private clinics was also included in our study from above mentioned
cities.
Patients size
It included 200 patients from private clinics and 200 patients from
Govt. Hospitals. If we explain number of patients on the basis of cities
then we concluded that we take 100 patients from each city [1-6].
Study duration
Te period of study was 20 July 2017 to 18 Aug 2017.
Inclusion and exclusion criteria
Tis study was restricted to patients of Diabetes Mellitus, Hepatitis,
Ischemic Heart Disease, Malaria, Hypertension and Tuberculosis. Only
these patients were added in our study other all were eliminated. All
other patients with these diseases were excluded from the study and
total of 400 patients were enrolled in the study.
Ethics approval
Our study was approved by research committee of University of
Sargodha and gave us permission to collect data and evaluate it on the
basis of diferent variables [7-14].
Method of sampling
Te Pharmacological data of patients was collected from ward
history sheets. Mainly our study was based on prescription based as
which we concluded from this which percentage of patients receives
rational medication and which receive irrational medications. We
collected prescription from clinics and hospitals and investigated them
on the basis of few questions which was we prepared for our study.
*Corresponding author: Tahir Bashir, Department of Pharmacy, Graduates
College of Pharmacy, University of Sargodha, Pakistan, Tel: 923056427027;
E-mail: Tahirbashir364@gmail.com
Received: November 27, 2017; Accepted January 06, 2018; Published January 13,
2018
Citation: Bashir T, Zafar MZ, Ahsan M, Asim M, Abu-Huzaifa M (2018) Study of
Rational and Irrational Prescribing in Different Government and Private Health
Care Centres of Punjab. J Pharmacovigil 6: 250. doi:10.4172/2329-6887.1000250
Copyright: © 2018 Bashir T, et al. This is an open-access article distributed under
the terms of the Creative Commons Attribution License, which permits unrestricted
use, distribution, and reproduction in any medium, provided the original author and
source are credited.
Study of Rational and Irrational Prescribing in Different Government and Private
Health Care Centres of Punjab
Bashir T*, M Zeeshan Zafar, M Ahsan, M Asim, M Abu-Huzaifa
Department of Pharmacy, Graduates College of Pharmacy, University of Sargodha, Pakistan
Abstract
Introduction: Rational prescribing is the prescribing of drug by physician in the right way, right drug, right dose
and right time to the right person through the right route of administration. On the other hand irrational prescribing
is blanket term which is a combination of no drug need, drug abuse and misuse, use of polypharmacy and use of
unsafe drugs.
Methodology: This was cross sectional study and was conducted at District Head Quarters of Gujranwala,
Hafz Abad, Wazirabad and Okara from July-August 2017. The case histories of 400 patients were scrutinized
thoroughly on the basis of questionnaire flling related to rational and irrational guidelines and compare our results
with international standards. We used a Microsoft Excel 2013 for to evaluate our results.
Results: A total of 400 patients were studied. Pharmacoeconomics analysis shows that in 177 patients’ drug
therapy is rational while in 223 patients’ medications prescribed were irrational.
Conclusion: It is the need of the hour that the mutual relationship among the medical health care professionals
is necessary like doctors, pharmacists, nurses, nutritionist, physiotherapist and other technicians to provide optimum
and rational drug therapy to the patients.