Polypharmacy is one of the leading cause of drug toxicity among patients and can turn into patient death sometimes. According to rational use of medicines standard on an average a new patient should not have more than 2-3 medicine prescribed maximum in first visit and for review patient maximum 1-2 added excluding changing existing ones. In that case a patient on an average may have maximum 3-5 medicines prescribed. If i consider this between two prescription, lowest one may have 1 medicine and highest one 9 for a specific patient. Any numbers more than this may consider as polypharmacy despite exceptional cases. Unfortunately in our country these numbers are pretty high, more than 9-10 per prescriptions on an average according to drug utilization review. That means if lowest one is 1 then highest one may be 19, which exactly we can see in this below news. Absense of pharmacists in direct healthcare in Bangladesh leaving a huge gap between a prescription and patient. Pharmacists can promote rational use of medicines among prescribers and patient too. Patient death and/or serious side effects due to such polypharmacy is completely unethical and iligal. DGDA – Bangladesh should conduct more drug utilization review to establish this fact and takes nessesary steps & promote rational use of medicines among prescribers together with othet relevant health & administrative authorities to over come such bad practices.
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