Aim To assess prescription pattern among Iranian communitydwelling older adults. Methods This cross-sectional study employed a cluster random sampling to obtain a sample of 1591 patients aged 60 years and over referred to pharmacies in Tehran, 2017. Data were collected using a questionnaire: socio-demographic characteristics, type of pharmacy visited, the municipal district, the university covering the pharmacy, the number and names of prescribed drugs, drug category, type of insurances and physician's socio-demographic profile (age, gender, type of specialization, and work experience). Results The mean age of the patients was 70.51±7.84. A total of 5838 drugs were prescribed, giving an average of 3.73±2.24 drugs per patient (ranging of 1-15). Polypharmacy was noticed in 32.4% patients. Cardiovascular drugs accounted for 20.8% of the prescriptions, antidiabetics 8.8%, nutritional agents and vitamins 7.6%, and analgesics, anti-inflammatory drugs and antipyretics accounted for 7.5%. Conclusion Developing educational programs on geriatric pharmacology general practitioners and more supervision among community-dwelling older adults might have effects on prescription pattern. There is a need for prescriber training and retraining with emphasis on the geriatric population.
Moral G, E, Suárez-Varela M, M, Esteban H, J, et al. Inappropriate multiple medication and prescribing of drugs in immobile elderly patients living in the community. Aten Primaria. 2006;476–82.
2.
Nam Y, Han J, Kim J, Bae W, Lee K. Prescription of potentially inappropriate medication in Korean older adults based on 2012 Beers Criteria: a crosssectional population based study. BMC Geriatr. 2016;118.
3.
Fadare J, Desalu O, Obimakinde A, Adeoti A, Agboola S, Aina F. Prevalence of inappropriate medication prescription in the elderly in Nigeria: a comparison of Beers and STOPP criteria. Int J Risk Saf Med. 2015;177–89.
4.
Raji M, Ostir G, Markides K, Espino D. Goodwin JS. Potentially inappropriate medication use by elderly Mexican Americans. Ann Pharmacother. 2003;1197–202.
5.
Kohan Ahvazi N, Sahaf K, R, Kamrani A, A. Drug perscription patterns of out patient medication for older people insured by social organization insuin Year. sija. 2009;14–23.
6.
Shah R, Gajjar B, Desai S. Drug utilization pattern among geriatric patients assessed with the anatomical therapeutic chemical classification/defined daily dose system in a rural tertiary care teaching hospital. Int J Nutr Pharmacol Neurol Dis. 2012;258.
7.
Jörgensen T, Johansson S, Kennerfalk A, Wallander MA, Svärdsudd K. Prescription drug use, diagnoses, and healthcare utilization among the elderly. Ann Pharmacother. 2001;1004–9.
8.
Rosholm J, Bjerrum L, Hallas J, Worm J, Gram L. Polypharmacy and the risk of drug-drug interactions among Danish elderly. A prescription database study. Dan Med Bull. 1998;210–3.
9.
Ahmadi M, Mahmoodi M. Polypharmacy among older adults in Tehran. Tehran Univ Med J. 2006;65–71.
10.
Ye F, Luo YJ, Yu X, Yi NW, G. Impact of insulin sensitizers on the incidence of dementia: a metaanalysis. Dementia and geriatric cognitive disorders. 2016;251–60.
11.
Goulding M. Inappropriate medication prescribing for elderly ambulatory care patients. Archives of internal medicine. 2004;305–12.
12.
Fialová D, Topinková E, Gambassi G, Finne-Soveri H, Jónsson P, Carpenter I. Potentially inappropriate medication use among elderly home care patients in Europe. Jama. 2005;1348–58.
13.
Rajska-Neumann A, Wieczorowska-Tobis K. Polypharmacy and potential inappropriateness of pharmaco-logical treatment among commuinity-dwellling elderly patients. Arch Gerontol Geriatr. 2007;303–9.
14.
Guaraldo L, Cano F, Damasceno G, Rozenfeld S. Inappropriate medication use among the elderly: a systematic review of administrative databases. BMC Geriatr. 2011;79.
15.
Zaveri H, Mansuri S, Patel V. Use of potentially inappropriate medicines in elderly: A prospective study in medicine out-patient department of a tertiary care teaching hospital. Indian J Pharmacol. 2010;95.
16.
Steinman M, Landefeld S, Rosenthal C, Berthenthal G, Sen D, Kaboli S, et al. Polypharmacy and prescribing quality in older people. J Am Geriatr Soc. 2006;1516–23.
17.
Finkers F, Maring J, Boersma F, Taxis K. A study of medication reviews to identify drug-related problems of polypharmacy patients in the Dutch nursing home setting. J Clin Pharm Ther. 2007;469–76.
18.
Banerjee I, Bhadury T. Prescribing pattern of interns in a primary health center in India. J Basic Clinical Pharm. 2014;40.
19.
Ahmadi F, Zarei E. Prescribing patterns of rural family physicians: a study in Kermanshah Province, Iran. BMC Public Health. 2017;908.
20.
Karimi A, Haerizadeh M, Soleymani F, Haerizadeh M, Taheri F. Evaluation of medicine prescription pattern using World Health Organization prescribing indicators in Iran: a cross-sectional study. J Res Pharm Pract. 2014;39.
21.
Fadao I. 8AD;
22.
Saboor M, Foroughan M, Shahbalaghi M, F. Drug prescription patterns in older people residential homes. sija. 2012;7–13.
23.
Barat I, Andreasen F, Damsgaard E. The consumption of drugs by 75-year-old individuals living in their own homes. Europ J Clin Pharmacol. 2000;501–9.
24.
Sabour M, Foroughan M, Mohammadi F. Prescription pattern of medication in the elderly residing in nursing homes in Tehran. Medicinski Glasnik. 2014;23–9.
25.
Fadare J, Agboola S, Opeke O, Alabi R. Prescription pattern and prevalence of potentially inappropriate medications among elderly patients in a Nigerian rural tertiary hospital. Therap Clin Risk Manag. 2013;115–20.
26.
Gallagher P, Barry P, Mahony O, D. Inappropriate prescribing in the elderly. J Clin Pharm Ther. 2007;113–21.
27.
Corona-Rojo J, Martínez A, Kravzov-Jinich M, Vázquez-Cervantes J, Pérez-Montoya L, Rubio-Poo E, et al. Potential prescription patterns and errors in elderly adult patients attending public primary health care centers in Mexico City. Clin Interven Aging. 2009;343.
28.
Chan D, Hao Y, Wu S. Characteristics of outpatient prescriptions for frail Taiwanese elders with longterm care needs. Pharmacoepidemiol Drug Saf. 2009;327–34.
29.
Sloan R. Principles of drug therapy in geriatric patients. Am Fam Physician. 1992;2709–18.
30.
Results of national census according age groups (Persian). Statistics Center of Iran. 2018;
31.
Rasel M, Ardalan A. The future of ageing and its health care costs: A warning for health system. sija. 2007;300–5.
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