Antihypertensive utilization study in patients undergoing hemodialysis� in a tertiary care hospital in south Delhi.

Razi Ahmad; Anwar Habib; Sana Rehman; Zabeena Saeed

Volume : VI, Issue : XI, November - 2016

Antihypertensive utilization study in patients undergoing hemodialysis� in a tertiary care hospital in south Delhi.

Razi Ahmad, Anwar Habib, Sana Rehman, Zabeena Saeed

Abstract :

Introduction: Chronic kidney disease is a worldwide public health problem with an increasing incidence and prevalence, the scenario of this condition in India is worst for patients and their families due to medical, social and economic problem. Most of the patient on hemodialysis suffers from multiple comorbidity and needs multiple drug that predispose these patients to develop complication leading to morbidity and mortality due to drugdrug interaction. The aim of present study was to find out the commonly prescribed medications and to suggest possible solution to avoid drug related complications. Material and methods: this prospective drug utilization study was conducted on the patients who were on regular hemodialysis therapy in HAHC hospital, they were regularly observed for the drugs they were taking and their efficacy and complications were recorded and possible preventive measures where needed were suggested. Result: The average number of drugs per prescription was found to be 6.88, antihypertensive agents topped the category with 1.71 per prescription followed by vitamins 1.06, calcium phosphate analogues 0.82, erythropoietin 0.76 and antiulcer drugs having 0.65 per prescription. Conclusion: calcium channel blocker either alone or in combination of clonidine and/or furosemide were the most commonly used and effective medication for the control of blood pressure in patient on hemodialysis with minimum complications