ABSTRACT
Background: The objective of the present study was to evaluate the prescription pattern of anti-hypertensive drugs and adherence to Beers’ criteria in geriatric department of JSS Hospital, Mysuru.Methods: An observational, prospective, cross-sectional study was carried out in geriatric department. The basic demographic information and prescriptions of geriatric patients were studied. Descriptive analysis was used to present the results, prescriptions were analysed and checked for adherence to Beers’ criteria.Results: Out of 485 patients, 82.68% received monotherapy, 15.87% received 2-drug combination therapy and 1.4% received 3-drug combination therapy. Among patients receiving monotherapy, angiotensin receptor blockers (49.06%) was the commonest antihypertensive class of drug prescribed. Telmisartan (38.96%) was the commonest drug prescribed. Among 2-drug combination therapy angiotensin converting enzyme inhibitor and Calcium channel blockers were combined commonly. In 3-drug combination therapy angiotensin converting enzyme inhibitor, beta blockers and diuretics were combined commonly. 99.3% of prescriptions were adhered to 2015 American Geriatrics Society Beers criteria.Conclusions: Almost 82% of the patients were treated with monotherapy. The trends in prescribing of anti-hypertensives were in favor of conventional ones such as Angiotensin receptor blockers, calcium channel blockers, angiotensin converting enzyme inhibitors, diuretics, beta blockers and centrally acting alpha agonists. 99.3% of prescriptions were in accordance with the American Geriatrics Society 2015 Updated Beers criteria.
ABSTRACT
We often suffer more in our imaginations than in reality. Anxiety is a terrible experience, you could even have an attack and no one would even know most of the times because it is an inward thing. People do get anxious and experience this feeling most of the times in life. Up to an extent its normal as much as it can be controlled if not this unpleasant feeling overrules. We learn to combat this feeling as the age passes but it also depends on different environmental, social occupational factors and the level of stress to overcome can be difficult. Many non-pharmacological and pharmacological methods are available to combat anxiety disorder. Self-medications can be occupational hazard and is strongly entrenched within the culture of both physicians and medical students as an accepted way to buffer their work performance. We are reporting a case of an anxious medico self-medicated to combat anxiety.