Key result
Physicians favor ARBs as first-line antihypertensive therapy in ~55% of surveyed cases.
Why the study?
Cardiovascular drugs are a major class prescribed in Bangladesh, and studying prescribing patterns helps monitor and improve rational medical care.
Cross-Sectional (n=60)
Yes
This study highlights that ARBs (specifically losartan) and amlodipine are the most frequently prescribed cardiovascular drugs among cardiac physicians in Dhaka, Bangladesh.
Survey preferences reveal regional ARB use in Dhaka; cross-sectional data leave open generalizability and outcome impact.
A large number of people in Bangladesh suffer from many cardiovascular diseases (CVDs). Therefore, cardiovascular drugs are one of the major classes of drugs prescribed in Bangladesh. The study of prescribing patterns seeks to monitor, evaluate and suggest modifications in clinicians’ prescribing habits to make medical care more rational. This study was mainly focused on the recent trends of prescribing patterns of oral cardiovascular drugs in Dhaka city. It was a questionnaire-based direct interview type of descriptive study, conducted in the cardiology departments of eight most renowned hospitals of Dhaka, during the study period of February 2017 to April 2017. Most patients in the disease states belonged to the older age group of 50-60 years. More male patients were found in the cardiology departments than the female patients. Hypertension was the most prevalent diseases (86.67%) followed by angina (75.00%) and myocardial infarction (53.33%). Most commonly prescribed antihypertensive medication was angiotensin-II receptor blocker (ARB, 55.00%) and individually losartan (61.67%), followed by angiotensin-converting enzyme inhibitor (ACEI, 25.00%) and only ramipril (90.00%). Amlodipine was the first choice of every respondent when prescribing a calcium-channel blocker (CCB). In case of combination products, amlodipine plus atenolol was found to be the most preferred (65%) medication, followed by hydrochlorothiazide plus losartan (40%).
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Shahriar et al. (2018) conducted a cross-sectional in Cardiovascular diseases (n=60). Cardiovascular drug prescribing patterns was evaluated on Most preferred class of antihypertensive drugs. Among surveyed cardiac physicians in Dhaka, angiotensin-II receptor blockers were the most preferred first-line antihypertensive class (55%), with losartan being the most prescribed ARB (61.67%).
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