Publication:

A prospective observational study of prescription pattern of topical steroids in dermatology OPD, BRIMS, Bidar, India

Background In dermatology practice Glucocorticoids are the most commonly prescribed drugs. Steroids produce dramatic relief in inflammatory and pruritic skin conditions, if they are irrationally used they may lead to adverse effects. Hence this study was done to observe the prescription pattern of corticosteroids.

Methods It was a prospective observational study. The prescriptions of patient attending the dermatology OPD were screened for the usage of the corticosteroids. The demographic data, chief complaints, diagnosis and the details of the drugs were collected and analysed.

Results Out of 415 patients screened, 13.97% were prescribed corticosteroids. Corticosteroids prescribed by generic name were 26.01% and brand name was 82.05%. Corticosteroids alone were prescribed in 42.02% and along with antihistaminics/antibiotics/emollients in 66.04%. Corticosteroids were prescribed topically in 86.02% of patients and systemically in 22.04% of patients. Moderately potent steroids prescribed in 80.42% followed by potent (15.07%) and very potent steroids (12.56%). No fixed dose combination drugs were prescribed.

Conclusions The corticosteroids prescribed by brand names (82.05%) were more than generic names (26.01%), information about the strength of the steroid was not mentioned and usage of emollients was less. This indicates the need for continuous medical education for the clinicians.