ABSTRACT
Aims and Objectives: To evaluate drugs used for the management of pain based on assessment scale Pain Assessment and Documentation Tool (PADT) to assess the effectiveness of pain management, compare the pharmacological pain management with WHO pain ladder and check the presence of any possible Adverse drug reaction (Naranjo scale) and drug interactions (Micromedex).
Subjects and Methods: This was a prospective study carried out in Department of General Medicine at a tertiary care teaching hospital for about 6 months. All the admitted patients who are treated with analgesics and co-analgesics were included.
Results: Out of Total 150 study population which contain 89 female patients (59.3%) and 61 male patients (40.6%). The analgesics prescribed during the study population are Paracetamol, Diclofenac, Tramadol, Naproxen Pregabalin, Amitriptyline, Gabapentin. Analgesics prescribed as monotherapy and combination therapy. Which shows that monotherapy was found to be most common in 89 patients(59.30%) followed by dual therapy in 61 patients (40.6%) the monotherapy is prescribed as Paracetamol, Diclofenac, Tramadol, Naproxen, Gabapentin, Pregabalin, Carbamazepine and dual therapy is prescribed as paracetamol+ tramadol and paracetamol + diclofenac are mostly prescribed.
Conclusion: The result from the present study shows that analgesics most commonly used in the treatment of pain are paracetamol, diclofenac, and tramadol. Paracetamol is most frequently used the drug in monotherapy and combination therapy, paracetamol+ tramadol, paracetamol + diclofenac are the drugs preferred in combination. For the neuropathic pain and diabetic neuropathy, depression, sleep disturbance Amitriptyline, gabapentin, and pregabalin are used. Paracetamol is the most preferred drugs in mild to moderate pain. The study shows that prescription pattern in the treatment of pain in accordance with WHO pain ladder.
Keywords: Analgesics, Pain management, PADT, Neuropathic pain.