Prescribing trends of Psychotropic drugs in Northern Bangladesh
Razia Sultana, Khokon Mia Akanda, Sanjia Mehjabin, G.M. Masud Parvez
The evidence of psychotropic drug safety and efficacy is scant and widely debated. Yet, the prescription prevalence and incidence are increasing. A cross-sectional health survey was carried out with a self-designed standard questionnaire by directly interviewing the 615 patients from May, 2015 to January, 2016 in Rajshahi division. This study group comprised of 63.58% male and 36.42% female and most of the patients are young to middle aged with 15-24 years 35.93%, 25-34 years 31.38%, 35-44 years 13.01% and 45-54 years 11.22%. The main causes of taking psychotropic drug is anxiety/tension 25.37%, depression 18.21%, sleeping disorder 10.56% and pain 10.24%. It is found in this study, 35.77% of the patients are taking this type of drug without the concern of physician and 13% patients are going to quack doctor. Only 49.67% cases of the doctors are showing interest on the past history of patients and in 56.49% cases, physicians are providing sufficient information about dose and dosage interval and in 46.59% cases doctors are advising the patients about the completion of doses. The majority of the patients were prescribed by anxiolytic drug (59.02%), antipsychotic drug (19.84%) and antidepressant drug (20.65%). Here, half of the patients do not have experience of side effects but others are experiencing drowsiness, headache, sedation, weakness etc. It is also found that 48.54% of patients are not getting any support from their family members to recovery from disease.