Table 2. Number of care home residents, mean number of medicines, and most frequent drug class prescribed, by BNF chapter
Most frequent drug class prescribed
BNF chapterPatients prescribed medicine, n (%)Medications prescribed, mean (SD)First (%)
Second (%)
Third (%)
Fourth (%)
Fifth (%)
1. Gastrointestinal System2991 (66.9)1.63 (0.84)Osmotic laxatives (36.3)Proton pump inhibitors(35.8)Stimulant laxatives (17.7)H2 receptor agonists (5.2)Compound alginates and proprietary antacids (3.9)
2. Cardiovascular System2883 (64.5)2.32 (1.3)Statins (27.3)Loop diuretics (20.6)Aspirin (17.8)Beta-adrenoceptor blocking drugs (17.5)Clopidogrel (14.4)
3. Respiratory System684 (15.3)1.79 (1.15)Short acting beta2 adrenoceptor agonists (6.1)Inhaled corticosteroids (5.6)Non-sedating antihistamines (4.9)Antimuscarinic bronchodilators (3.3)Sedating antihistamines (1.7)
4. Central Nervous System3687 (82.5)2.39 (1.37)Paracetamol (47.2)Drugs for dementia (26.4)SSRI antidepressants (19.0)Other antidepressants (16.7)Opioid analgesics (16.3)
5. Infections1402 (31.4)1.41 (0.74)Broad spectrum penicillins (11.4)Sulfonamides and trimethoprim (8.1)Nitrofurantoin (6.2)Penicillinase-resistant penicillins (4.2)Tetracyclines (4.1)
6. Endocrine System1658 (37.1)1.26 (0.56)Thyroid hormones (19.2)Bisphosphonates and drugs affecting bone metabolism (10.1)Biguanides (5.3)Treatment corticosteroids (3.4)Male sex hormones and antagonists (3.3)
7. Obstetrics, Gynaecology and Urinary-Tract Disorders404 (9.0)1.07 (0.27)Drugs for urinary frequency, enuresis, incontinence (5.3)Drugs for urinary retention (3.4)Vaginal and vulval infections (0.5)Topical hormone replacement therapy(0.4)Drugs used in urological pain (0.1)
8. Malignant Disease and Immunosuppression83 (1.9)1 (0)Hormone antagonists (1.5)Azathioprine (0.2)Other antineoplastic (0.1)Mycophenolate (<0.1)Ciclosporin (<0.1)
9. Nutrition and Blood2011 (45.0)1.98 (0.78)Vitamin D (35.6)Oral iron (10.2)Drugs used in megaloblastic anaemias (9.9)Fluoride (1.1)Calcium supplements (0.5)
10. Musculoskeletal and Joint Diseases692 (15.5)1.09 (0.31)Rubefacients, topical NSAIDs, capsaicin, and poultices (11.7)Gout and cytotoxic induced hyperuricaemia (2.4)Skeletal muscle relaxants(1.5)Methotrexate (0.4)Nonselective NSAIDs (0.4)
11. Eye595 (13.3)1.46 (0.82)Tear deficiency, ocular lubricants and astringents (7.6)Glaucoma: prostaglandinanalogues (3.8)Antibacterial eye preparations (2.2)Glaucoma: other (1.4)Glaucoma: beta-blockers (0.9)
12. Ear, Nose and Oropharynx133 (3.0)1.06 (0.24)Nasal allergy, topical antihistamines and cromoglicate (1.6)Drugs for oral ulceration and inflammation (0.5)Otitis externa (0.3)Oropharyngeal anti-infective drugs (0.3)Topical nasal decongestants (0.2)
13. Skin1747 (39.1)1.65 (0.97)Emollients (23.1)Barrier preparations (15.8)Topical corticosteroids (9.0)Antifungal skin preparations (2.6)Shampoos and other preparations for scalp and/or hair (1.7)
  • BNF = British National Formulary. SD = standard deviation. SSRI = selective-serotonin reuptake inhibitors. NSAIDs = non-steroidal anti-inflammatory drugs.