Introduction: Lack of patient compliance with prescribed regimen is an important fascinating problem in medical care, especially in patients suffering from chronic illnesses. Asthma and Chronic Obstructive Pulmonary Disease (COPD) are the two main chronic lung disorders which are particularly vulnerable for medication non-adherence problem.
Objective: to study of effective factor of the inhalation technique in patients with asthma and chronic obstructive pulmonary disease (COPD) and to assess the medication adherence in patient with asthma and COPD.
Methods: People with asthma or COPD who presented to a community pharmacy with a prescription for a respiratory inhaler were invited to participate in the study. Participants completed a brief questionnaire and had their inhaler technique assessed against a standard checklist. There were 11 steps for MDI and 12 steps for MDI + spacer each correct technique carried a score of 1 and wrong technic carried. The therapeutic inappropriateness of prescribed inhalers and anti-asthmatic drugs is determined with standard guidelines. The prospective study was conducted for period of six months,
Results: A total of 120 patients, 56 (46.7%) of which are asthmatics while 64 (53.3%) are COPD patients, were involved. In our study population about 10.8% asthmatics and 20% COPD patients were prescribed with budesonide MDI. About 10% asthmatics and 9.1 COPD patients were prescribed with budesonide MDI+spacer. About 4.1% asthmatics and 2.5% coped patients were prescribed with salbutamol MDI. About 17% asthmatics and 10% copd patients were prescribed with mdi ipratropium and 8% asthmatics and 12.5% coped patients were prescribed with ipratropium MDI+spacer. When the knowledge regarding the usage of inhalers was assedusing standard questionnaire which had 11 steps for MDI and 12 steps for MDI+spacer each questionnaire had scoring of 0 representing not performing the step, 1 representing following the step the scores were high after pharmacist intervention when compared to before pharmacist intervention.
Conclusion: We conclude that the results of our study indicated the need for pharmacist interventions Purpose at improving adherence to inhalers in COPD and asthmatic patients also; this study shows that despite the fact that it is a well-known fact that appropriate drug delivery is, key to controlling Asthma and COPD.
