The drug prescribing pattems of ambulatory care physicians in the Mini
stry of Health (MOH) hospitals were studied by examining 10,291 system
atically sampled prescriptions obtained from 22 general hospitals cove
ring the various health regions within Saudi Arabia. An audit of presc
ription information revealed that documentation was not generally comp
lete. Information relating to patient age and diagnosis was missing in
18.6% and 9.8% of the prescriptions, respectively. The average number
of drugs per prescription was 2.1 +/- 0.95. The most frequently presc
ribed drug categories were systemic anti-infectives, analgesics/antipy
retics, and vitamin preparations, respectively. Paracetamol, ampicilli
n, antacid preparations, and vitamin B complex were the specific drugs
that ranked high in the frequency of prescription. The pattems of dru
g use observed in this study indicate a trend for the overprescribing
of certain categories of drugs. The need to improve current drug polic
y and drug prescribing is discussed with a recommendation for the esta
blishment of a Pharmacoepidemiology Unit to monitor drug use in Saudi
Arabia.