TO STUDY THE PRESCRIBING PATTERN OF ANALGESICS IN THE ORTHOPAEDIC IN PATIENT DEPARTMENT OF JAWAHARLAL NEHRU INSTITUTE OF MEDICAL SCIENCES (JNIMS) HOSPITAL, IMPHAL, MANIPUR, INDIA

The prescription pattern of analgesic was investigated for the months of June, July, August 2016 by studying 253 (143 male + 110 female) BHTs of in patients of the orthopaedic department. The data mainly age, sex, diagnosis and line of management available from BHTs was analysed in the form of percentage, average of variable. The generic name cost of treatment per patient and rationality of prescription were evaluated by referring NLEM, CIMS, WHO indicators of drug utilisation. A total of 599 analgesics were prescribed to the patients. The average number of analgesic per prescription was 2.33. The maximum number of patients was in the age group of 41-51 years. Diclofenac was the most commonly prescribed analgesic 152 (26.2%).Only 51 patients received single analgesic and majority of patient received parenteral (45.6% i.m)  preparations. Only 9 (1.0%) analgesics from NLEM but no generic name drug was prescribed. And again gastro protective drugs 240 (95.17%) and antibiotics 290 (114%) were frequently prescribed with the analgesics. The average cost of treatment per patient was Rs2954 (approx). The percentage of analgesic prescribed from NLEM 9 (1.66%) and the use of analgesic by generic name was found unsatisfactory. Therefore a regular CME of drug utilisation is mandatory for improving the prescription practice in view of the rational use of medicine.