A Pharmacoeconomic Evaluation of Type 2 Diabetes Drugs in Central Pharmacies in Sivas Province.

Purpose: In this study, prescriptions of 391 patients with type 2 diabetes mellitus selected from pharmacies in Sivas city center by mass sampling method were analyzed and the aim was to investigate the pharmacoeconomic suitability of these drugs considering the chronic complications associated with diabetes. Material and Methods: This study is characterized as a descriptive cost analysis in which retrospective analysis was conducted on 391 prescriptions issued to Type-2 Diabetes Patients after obtaining the required permissions, including approval from the Ethics Committee. Patient prescription data were collected from pharmacies comprising the sample group over a three-month period in Sivas Province. The demographic features such as age and gender of the patients and the medications prescribed for Type 2 Diabetes were analyzed, and the costs associated with these prescription drugs were calculated. In addition, additional diseases of Type 2 Diabetes patients were also scrutinized within the scope of the study. Results: According to the data obtained, the drugs prescribed to diabetic patients with chronic diseases were found to be appropriate. However, when all diabetic patients were examined, it was determined that the prescribed amount of insulin preparations was high and not pharmaceutically appropriate. It was revealed that the cost of type 2 diabetes medications for 391 patients was 77.852,79₺, and the prescription price was 199.11₺. Conclusion: Type 2 diabetes is characterized by insulin resistance in tissues such as liver, muscle and fat as a result of detectable damage to pancreatic beta cells. The disease is also associated with genetics, environmental factors and lifestyle. In our country, 22.6% of the health budget is allocated to the treatment of diabetes and its complications. Due to the increasing frequency of patients with type 2 diabetes, effective and rational treatments to reduce the burden of the disease on the health budget have become an important issue for both payers and policy makers, but it needs to be emphasized and examined from a pharmacoeconomic perspective in future studies. [ABSTRACT FROM AUTHOR]

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