Please use this identifier to cite or link to this item: http://hdl.handle.net/10603/73723
Title: A PROSPECTIVE ANALYSIS OF ADVERSE DRUG REACTIONS IN PSYCHIATRIC PATIENTS
Researcher: LUCCA JISHA M.
Guide(s): Dr. M. RAMESH
Keywords: Adverse Drug Reactions, Adverse Drug Interaction, Cost, Drug-Drug Interactions, Mental Health, Psychiatric Patients, Predictors, Pharmacovigilance.
University: JSS University
Completed Date: 
Abstract: The overall incidence of ADRs in patient with mental disorders was 37.6%. The system organ class most commonly affected was gastrointestinal system [n=225 (22.7%)] while dry mouth (n=101) and weight gain (n=81) were the commonly reported ADRs. Antidepressants [n=415 (42%)] and antipsychotics [n=405 (41%)] were the class of drugs frequently implicated in ADRs, whereas escitalopram [15.9% (n=158)] and olanzapine [12.1% (n=120)] were the most commonly implicated individual medications. About one half (51.6%) of the ADRs were probable in their causal relationship and 76.6% of the ADRs were mild in their severity, while majority (94.6%) of ADRs were non serious in nature. In 76.7% (n=760) of the cases, ADRs were predictable and 81.2% (n=804) of ADRs were not preventable . Female gender (p=0.002), patients presented with co morbid conditions (p=0.001) and drug- drug interactions (p=0.000) were the predictors of both short-term and long-term ADRs. The incidence of ADI with respect to the total number of patients with DDIs was 12%. Pharmacodynamic interactions accounted for the majority [n=98 (68.5%)] of ADIs. Approximately one-half of the ADIs were caused by moderate DDIs. Majority (64.7%) of ADIs were probable in their causal relationship. Patients receiving gt5 drugs were found to have six times higher risk of developing ADIs than the patients receiving lt5 drugs [OR 7.024 95% CI; 2.745-17.976; p=000]. The total and average direct cost associated with the management of ADRs was INR 114731.00/- and INR 482/- respectively. newlineThis prospective surveillance study provides a representative data of safety profile of the psychotropic agents likely to be encountered in Indian psychiatric patients.ADRs and ADIs are important cause of increased burden of disease and unnecessary healthcare expenditure. Constant vigil in early detection and reporting of ADRs and subsequent management can make the therapy with psychotropic agents safer and effective and decreases cost. Clinical pharmacist can play a vital role in the detec
Pagination: i-iv p17
URI: http://hdl.handle.net/10603/73723
Appears in Departments:College of Pharmacy

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01.title page.pdfAttached File167.25 kBAdobe PDFView/Open
02.certificate.pdf1.91 MBAdobe PDFView/Open
03.acknowledgement.pdf29.63 kBAdobe PDFView/Open
04.list of abrevations.pdf47.09 kBAdobe PDFView/Open
05.content page.pdf33.57 kBAdobe PDFView/Open
06. introduction.pdf48.73 kBAdobe PDFView/Open
07. review of literature.pdf202.39 kBAdobe PDFView/Open
08.materials and methods.pdf96.04 kBAdobe PDFView/Open
09.result and discussion.pdf1.13 MBAdobe PDFView/Open
10.summary and conclusion.pdf36.28 kBAdobe PDFView/Open
11.reference.pdf243.61 kBAdobe PDFView/Open
12.annexures.pdf21.9 MBAdobe PDFView/Open


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