Publication:
Potential Drug-drug Interactions among Hospital Discharge Prescriptions in a Tertiary Care Centre of Nepal: A Descriptive Cross-sectional Study Authors

creativeworkseries.issnJNMA Print ISSN: 0028-2715; Online ISSN: 1815-672X
dc.contributor.authorBhandari, Bijay
dc.contributor.authorLamichhane, Pratik
dc.contributor.authorYadav, Dipendra
dc.contributor.authorBajracharya, Sangha Ratna
dc.date.accessioned2026-02-10T05:27:06Z
dc.date.available2026-02-10T05:27:06Z
dc.date.issued2022
dc.descriptionBijay Bhandari Department of Clinical Pharmacology, Institute of Medicine, Tribhuvan University, Kathmandu, Nepal Pratik Lamichhane Maharajgunj Medical Campus, Institute of Medicine, Tribhuvan University, Kathmandu, Nepal Dipendra Yadav Department of Clinical Pharmacology, Institute of Medicine, Tribhuvan University, Kathmandu, Nepal Sangha Ratna Bajracharya Department of Clinical Pharmacology, Institute of Medicine, Tribhuvan University, Kathmandu, Nepal
dc.description.abstractAbstract: Introduction: In our setup, potential drug-drug interactions are overlooked in routine clinical practice. In general, most of the discharges are handwritten in the developing world, and the discharge prescriptions are not checked with the database for potential drug-drug interactions checker. This study aimed to determine the prevalence of potential drug-drug interactions in the prescribed drugs in clinical practice in a tertiary care centre of Nepal. Methods: A descriptive cross-sectional study was conducted in a tertiary care center from October 2019 to December 2019. Ethical approval was taken from the Institutional Review Committee (Reference number: 394(6-11)E2/075/76). Through simple random sampling, the data about drug prescription was collected from the patient discharge records of the Department of Internal Medicine. The potential drug interactions were checked by using Lexicomp® drug interactions. Data was analysed using Statistical Package for the Social Sciences version 20.0. Point estimate at 95% Confidence Interval was calculated along with frequency, percentage, mean, standard deviation and mode. Results: Among 382 discharge prescriptions, the prevalence of potential drug-drug interactions was 299 (78.3%) (74.1-82.4 at 95% Confidence Interval). A total of 1519 drug interactions with a mean of 5.08±3.89 drug interactions per prescription was identified. The major, moderate and minor drug-drug interactions according to the severity were found to be 163 (10.7%), 1162 (76.5%), and 178 (11.7%) respectively. Conclusions: The prevalence of potential drug-drug interactions is high among the patients on discharge compared to similar studies. Use of drug-drug interactions checker databases before discharge with computer-based discharge prescriptions is recommended.
dc.identifierhttps://doi.org/10.31729/jnma.7065
dc.identifier.urihttps://hdl.handle.net/20.500.14572/4608
dc.language.isoen_US
dc.publisherNepal Medical Association
dc.subjectdrug interactions
dc.subjectNepal
dc.subjectpatient discharge
dc.subjectsoftware
dc.titlePotential Drug-drug Interactions among Hospital Discharge Prescriptions in a Tertiary Care Centre of Nepal: A Descriptive Cross-sectional Study Authors
dc.typeArticle
dspace.entity.typePublication
local.article.typeOriginal Article
oaire.citation.endPage150
oaire.citation.startPage146
relation.isJournalIssueOfPublication5b4fb879-b98f-4d6a-ad5b-6c39254208ad
relation.isJournalIssueOfPublication.latestForDiscovery5b4fb879-b98f-4d6a-ad5b-6c39254208ad
relation.isJournalOfPublicatione6e146a0-0ece-4aba-aa0a-6ccfbd10a12a

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