Prescribing Patterns for Dyspepsia at Outpatient Department of Public Hospitals in Surat Thani

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Susaraporn Sampradit
Chaweewan Klongsiriwet
Udomsak Saengow
Sukhamol Suksawangrote
Krit Pongpirul

Abstract

This cross-sectional retrospective study aimed to assess the prescribing patterns for outpatients with dyspepsia at hospitals in Surat Thani from 2014-2016. Prescription data of 15 hospitals in Surat Thani province was extracted from the electronic database using the ICD-10 code K30. Descriptive statistics were used for data analysis. The total number of outpatients that had dyspepsia was 63,249. Most patients were female 39,453 (62.38%) and the average age was 45.42 years. The proportion of dyspepsia in outpatients was slightly increased (1.87%, 1.96%, 2.02%, respectively). The prescription for dyspepsia showed that the number of modern medicines was 345,489 (95.48%), meanwhile only 4.52% was herbal medicine. The top three modern medicines were omeprazole (21.79%), antacid (18.51%), and simethicone (12.62%), whereas Curcumin capsules were the most prescribed herbal medicine (3.54%). Basically, during 3 years the prescription for dyspepsia showed 3 patterns, 1) only modern medicine, 2) a combination of modern and herbal medicines, 3) only herbal medicines. In 2016 the proportion of dyspepsia prescribing patterns were 85.77%, 13.51%, 0.72%, respectively. Prescribing patterns showed that modern medicines were most commonly used for dyspepsia, while using herbal medicines or a combination of both was very low. Factors affecting prescribing patterns, such as rational use and effectiveness, should be studied further.

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