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Ranjalkar J, Jhaj R, Chandy SJ, Ight HR, Chugh PK, Tripathi CD, Badyal DK, Balakrishnan S, Medhi B, Kamat SK, Tripathi R, Dikshit H, Roy SS, Chatterjee S, Bhattacharjee M, Trivedi N, Desai C, Gupta P, Roy A, Raveendran R, Mathaiyan J, Kaushal S, Jain S, Kaul R, Kshirsagar NA. Usage Pattern of Fixed-dose Combinations at ICMR Network of Rational Use of Medicine Centres across India: Recommendations for Policymakers and Prescribers. J Assoc Physicians India 2023; 71:11-12. [PMID: 37354468 DOI: 10.5005/japi-11001-0175] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Track Full Text] [Subscribe] [Scholar Register] [Indexed: 06/26/2023]
Abstract
AIM Irrational use of medicines is a global problem. In India, one contributing factor is the availability of a large number of fixed-dose combinations (FDCs). To improve rational use and to strengthen policies, it is important to assess the usage patterns and rationality of FDCs. METHODS This study was conducted as part of a 1-year prospective cross-sectional analysis of prescriptions in the outpatient clinics of broad specialities from 13 tertiary care hospitals across India. Five most commonly prescribed FDCs in each center were analyzed. In addition, all the prescribed FDCs were classified as per the Kokate Committee classification and it was noted whether any of the FDCs were irrational or banned as per the reference lists released by regulatory authorities. RESULTS A total of 4,838 prescriptions were analyzed. Of these, 2,093 (43.3%) prescriptions had at least one FDC. These 2,093 prescriptions had 366 different FDCs. Of the 366 FDCs, 241 were rational; 10 were irrational; 14 required further data generation; and the remaining 96 FDCs could not be categorized into any of the above. Vitamins and minerals/supplements, antibacterial for systemic use, and drugs for gastroesophageal reflux disease (GERD) and peptic ulcer were the most used FDCs. CONCLUSION Based on the finding that some prescriptions contained irrational FDCs, it is recommended that a rigorous, regular, and uniform method of evaluation be implemented to approve/ban FDCs and that prescribers be periodically notified about the status of the bans.
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Affiliation(s)
- Jaya Ranjalkar
- Senior Research Officer (former), Department of Pharmacology and Clinical Pharmacology, Christian Medical College, Vellore, Tamil Nadu;Corresponding Author
| | - Ratinder Jhaj
- Additional Professor, Department of Pharmacology, All India Institute of Medical Sciences, Bhopal, Madhya Pradesh
| | - Sujith J Chandy
- Professor and Head, Department of Pharmacology and Clinical Pharmacology, Christian Medical College
| | - Heber R Ight
- Lecturer, Department of Pharmacy, Christian Medical College, Vellore, Tamil Nadu
| | | | - Chakra D Tripathi
- Professor and Former Head of the Department, Department of Pharmacology, Vardhman Mahavir Medical College & Safdarjung Hospital, New Delhi
| | - Dinesh K Badyal
- Professor and Head, Department of Pharmacology, Christian Medical College, Ludhiana, Punjab
| | - Sadasivam Balakrishnan
- Professor and Head, Department of Pharmacology, All India Institute of Medical Sciences, Bhopal, Madhya Pradesh
| | - Bikash Medhi
- Professor, Department of Pharmacology, Postgraduate Institute of Medical Education & Research, Chandigarh, Punjab
| | | | - Raakhi Tripathi
- Associate Professor, Department of Pharmacology and Therapeutics, Seth GS Medical College and KEM Hospital, Mumbai, Maharashtra
| | | | - Sukalyan S Roy
- Associate Professor, Department of Pharmacology, Indira Gandhi Institute of Medical Science, Patna, Bihar
| | | | - Manjari Bhattacharjee
- Pharmacovigilance Associate, Department of Pharmacology,Institute of Postgraduate Medical Education & Research, Kolkata, West Bengal
| | - Niyati Trivedi
- Professor and Head,Department of Pharmacology, Medical College Baroda, Vadodara
| | - Chetna Desai
- Professor and Head, Department of Pharmacology, B.J. Medical College, Ahmedabad, Gujarat
| | | | - Atanu Roy
- Ex-Research Associate, Department of Pharmacology, All India Institute of Medical Sciences, New Delhi
| | | | - Jayanthi Mathaiyan
- Professor and Head, Department of Pharmacology, Jawaharlal Institute of Postgraduate Medical Education & Research, Puducherry
| | | | - Samriti Jain
- Resident, Department of Pharmacology, Dayanand Medical College and Hospital, Ludhiana, Punjab
| | - Rajni Kaul
- Ex-Scientist-G & Head, Division of Basic Medical Sciences, Indian Council of Medical Research, New Delhi
| | - Nilima A Kshirsagar
- Former National Chair in Clinical Pharmacology, Indian Council for Medical Research (ICMR), New Delhi; Chairperson SAG BMS, Member SAB, NIRRH, Mumbai, Maharashtra, India
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