BACKGROUND: The aim of this study was to rationalize the prescribing pattern and drug management in geriatric patients. METHODS: This prospective study comprised a convenience sample of 150 cases related to geriatric patients admitted to Saptagiri hospital. RESULTS: In our 150 cases, 57% were females and 43% were males. Among them, 66% of patients were reported to have 2 diseases, 24% of patients were diagnosed with 3 disease while patients having >3 diseases were reported to be 10%. The chronic cases of diseases related to hypertension and diabetes were counted to be greater in frequency (DM: 23%, HTN: 49%, DM+HTN: 28%) .Amlodipine (5mg) was prescribed rationally for most of the hypertensive patients. Along with that, Human Actrapid (Insulin) and Metformin (oral hypoglycemic agent) was prescribed rationally for more number of diabetic patients. CONCLUSION: This result emphasized the rational use of geriatric medicine mostly related to the chronic condition of hypertension and diabetes. It shows the acceptability and tolerability of drugs prescribed for geriatric individuals.