Prescription Pattern Analysis of NSAIDs and Multivitamins in Different Area of Bangladesh

This thesis submitted in partial fulfillment of the requirements for the degree of Bachelor of Pharmacy (B.Pharm) in East West University, Dhaka, Bangladesh.Irrational drug use and inappropriate prescription of drugs are major problems in developing countries, and so drug use patterns need to be evaluated. The objective of the study was to investigate the prescribing patterns of NSAIDs and multivitamins in the Out-patient hospital and Pharmacy Department of different area of Bangladesh.. Prescriptions were obtained from patients visiting private and public hospitals in different areas of Dhaka and outside of Dhaka like khulna, Barisal,shylet,Chittagong and others. . Here the evaluation of prescription was based on the % of NSAID drugs prescribed,% of EDL drugs prescribed among NSAID,% ,% of different NSAID generic prescribed, % of different companies NSAID drug prescribed. The Total number of prescription was 1600,. The extent of prescribing drugs by generic name was almost zero, and the percentage of prescription of essential drugs was 54.98%. NSAIDs were prescribed in 33.8% of the prescriptions, with aspirin , paracetamol and diclofenac being the most frequently prescribed NSAIDs. The proportion of prescribed NSAIDS in different depertment of specislist are. medicine (52.68%), orthopedics (18.11%), pediatrics (13.30%) and gynocologists (7.94%) were prescribed among them 30% generic are aspirin and 50% generic contain paracetamol . in this analysis we found that the most dominating brands are ACE from square (21%),napa from baximco (18%),ecospirin from acme (17%) and diclofenac from opsonin(16%) cover the market.The prescribers did not follow the WHO core prescribing indicators well (as 46% did not follow EDL list) and deviated from good prescribing practices