April - June 2024, Volume 20, Issue 2

Priya S, Pushpa VH, Avarebeel S, Kalabharathi HL, Jayanthi MK, Doddawad VG

Pharmacovigilance and Knowledge, Attitude, and Practice Study on Antidiabetic Medications in Geriatric Clinics at a Tertiary Care Hospital

Acta Endo (Buc) 2024, 20 (2): 249-255
doi: 10.4183/aeb.2024.249

Introduction. Diabetes mellitus, a chronic metabolic disorder stemming from pancreatic dysfunction, is surging in India, notably among those aged 60 and above. The escalating disease prevalence in this demographic necessitates heightened medication use, escalating the risk of Adverse Drug Reactions (ADRs). This underscores the vital role of ADR monitoring to curtail potential harm. Method. A 12-month cross-sectional, prospective, observational study engaged 200 participants from the geriatric Outpatient Department (OPD). Diabetic patients in the geriatric OPD, willing to participate, underwent faceto- face evaluations using a structured questionnaire focused on adverse reactions to anti-diabetic medications. The study also included a Knowledge, Attitude, and Practice (KAP) assessment. Results. Of the 200 patients, 57% were male, 43% female. Thirteen participants (7 male, 6 female) reported ADR encounters during therapy, predominantly categorized as mild in causality and severity. KAP assessments unveiled a robust understanding of ADRs, primarily shaped by physicians and reinforced by pharmacists. Anticipation of ADR occurrence was noted in 70% of respondents, linked to non-compliance and lifestyle factors. Conclusion. Educating caregivers about the critical importance of monitoring medication adherence among the elderly is imperative. Cultivating an attitude of reporting even minor ADRs to appropriate authorities is essential for harm prevention.

Keywords: Diabetes mellitus, Hypoglycemic Agents, Drug-Related Side Effects and Adverse Reactions, Health Knowledge, Attitudes, Practice.

Correspondence: Vidya G. Doddawad MD, JSS dental College and Hospital, JSSAHER, Mysuru, Karnataka, Mysore, Karnataka, 5870015, India, E-mail: drvidyagd@gmail.com