Over-the-counter medication use in residents of senior living communities: A survey study

Paliwal, Yoshita; Jones, Resa M.; Moczygemba, Leticia R.; Gendron, Tracey; Nadpara, Pramit; Parab, Purva; Slattum, Patricia W.

doi:10.1016/j.japh.2021.05.023

Cited by 5 publications

(4 citation statements)

References 30 publications

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“…24,37 Despite the fact that there have been some changes in the profile of interacting medications while patients are on DOAC, if initially these interacting medications were antiarrhythmic ones such as digoxin or verapamil, in recent years also other noncardiovascular medications with potential interaction have increased their concomitant prescription with DOAC (eg, haloperidol, amitriptyline), 38 there have been no appreciable changes in co-prescribing of SSRIs and DOACs from 2014 to 2018, 39 and no improvement in patient knowledge for use of NSAIDs while on DOAC. [40][41][42] These are the reasons that have led researchers to increase awareness of these critical drug interactions.…”

Section: Discussionmentioning

confidence: 99%

Risk of Bleeding Among Individuals on Direct-Acting Oral Anticoagulants: An Academic Medical Center Cohort Study

Gómez-Lumbreras

Tan

Moorman-Bishir

et al. 2022

Journal of Cardiovascular Pharmacology

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Previous research has identified risk factors that may affect the risk of bleeding when individuals are exposed to oral anticoagulants. It is unclear if the risk continues to exist with the direct oral anticoagulants (DOACs). The purpose of this study was to assess the risk of bleeding in patients on DOACs (apixaban, rivaroxaban, dabigatran, edoxaban, and betrixaban) based on known risk factors including demographics, medical conditions, and concomitant medications. This study was a retrospective analysis using electronic health record data from the University of Utah Hospital (Division of Cardiovascular Medicine) of individuals receiving a DOAC from 2015 to 2020. The primary outcome of interest was bleeding events [gastrointestinal (GI) bleeding, other anatomical site bleeding (excluding GI), and any bleeding] recorded in the electronic health record that codes using International Classification of Diseases 9th and 10th codes. Known risk factors were used to predict bleeding using multivariate logistic regression. A total of 5492 patients received a DOAC during the study period. Less than half the study population were female (2287, 41.6%). During the follow-up, there were 988 patients (18.0%) experiencing a bleeding event. Of them, 351 patients (35.5%) had a GI bleeding event. Significant risk factors of GI bleeding included clopidogrel [odds ratio (OR) 1.71; 95% confidence interval (95% CI), 1.16-2.52] and previous GI bleeding episodes (OR 7.73; 95% CI,). Exposure to corticosteroids (OR 1.50; 95% CI, 1.20-1.87) and previous GI bleeding (OR 1.61; 95% CI, 1.10-2.35) were associated with an increase in bleeding at other anatomical sites (not GI included).

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Section: Discussionmentioning

confidence: 99%

Risk of Bleeding Among Individuals on Direct-Acting Oral Anticoagulants: An Academic Medical Center Cohort Study

Gómez-Lumbreras

Tan

Moorman-Bishir

et al. 2022

Journal of Cardiovascular Pharmacology

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“…While some barriers to use have been addressed through state laws and policy pharmacists' experiences with and opinions of ADF opioids are unclear (Oyler et al, 2022). over-thecounter (OTC) self-medication is a convenient way to manage some health issues, older persons may be at higher risk of experiencing medication-related problems, the pharmacy is the most commonly reported purchase location to buy OTC medication, and Physicians are the most commonly reported information source for OTC medications (Paliwal et al, 2021). Healthcare providers should be aware of the possible factors related to increased analgesic to identify persons at risk for the misuse of pain medication and to prevent potential adverse effects (Schwab et al, 2022).…”

Section: Introductionmentioning

confidence: 99%

Practices and Behaviors Regarding the Use of Analgesics

Eljamay¹,

Boras

Almzaini³

et al. 2023

IJIAS

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Analgesic medicines are the most regularly prescribed pharmaceuticals globally. The goal of this project is to learn about and improve analgesic use practices through an education campaign. Materials and Procedures: This cross-sectional, online survey was conducted for 340 respondents in Derna City Libya region between 15 April 2022 and two November 2022. Result: Males were 49 (14.4%) and females were 291 (85.6%), the Mean & S.D (1.86, 0.352), ages 10 - 65 years old, the Mean & S.D (1.86, 0.352), (3.92, 2.082). The greatest percentage of excellent at the economic level is 153 (45.0%). The lowest score for superb is 6 (1.8%), followed by 45% for a decent scenario, 35% for a not-so-poor situation, and 7.1% for a horrible one. The percentage of university graduates is 203 (59.7%), whereas the percentage of illiterate people is 3 (0.9%). The P-Value of understanding the adverse effects of using analgesics regularly (0.000 0.05), the correlation is significant for there is a link between knowledge and educational level, the relationship between knowledge and educational level demonstrates that a p-value greater than 0.05 indicates that there is no relationship between knowledge and educational level. Conclusion: No matter how high a person's education level is, it does not substitute for understanding the usage of analgesic drugs and there's no correlation between a scientific degree and citizens' understanding of the hazards of utilizing analgesic drugs without a prescription.

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“…Medications have transformed how diseases are treated and prevented; however side effects, adverse drug reactions, unintended injuries, and inappropriate use of medications continue to challenge healthcare providers during the provision of care for patients. 1 The increasing number of over-the-counter (OTC) medication advertisements, self-care information on the internet, and reclassification of prescription-only to OTC status has enabled continued growth of self-medication practices. 2 The risks of nonprescription misuse and safe medication practices are areas that require attention from healthcare professionals and also require interventions focused on harm reduction practices.…”

Section: Introductionmentioning

confidence: 99%

Assessing a Medication Safety and Disposal Educational Program using the Health Belief Model

Frenzel,

Steig,

Hodges

2023

Innov Pharm

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Background: Self-medication practices continue to grow due to reclassification of prescription to OTC status and self-care information on the internet, however unintended injuries and inappropriate use of medications continue to challenge healthcare providers during the provision of patient care. Pharmacists have an integral role in pharmacovigilance and patient education activities to ensure safe medication use, storage, and disposal practices. Objectives: The objective of this medication safety and disposal educational program was to provide comprehensive informational support to the community coupled with an assessment using the Health Belief Model (HBM) to gauge participants’ perceived behavior change. Methods: The HBM was selected to assess the understanding of the community members' benefits and barriers to safe medication practices. The HBM posits that health behaviors are influenced by perceptions of a diseases’ severity, perceived susceptibility, perceived barriers to health practices, perceived benefits of health practices, self-efficacy, and cues to action. An 8 item pre/post survey following the HBM constructs was developed which used a 5 point Likert scale. Results: A total of 25 senior participants attended the educational program. Twenty-three pre/post surveys were completed (RR=92%). Five items revealed a statistically significant change from pre to post-educational content including understanding risk of herbal/OTC products (p=0.021), improved awareness of medication disposal methods (p=0.044), comprehension of OTC ‘Drug Facts’ information (p=0.004), understanding OTC label information to prevent medication interactions and side effects (p=0.008), and routinely reviewing expiration dates on medications and disposing of these properly (p=0.019). Conclusion: This study suggests a comprehensive approach which covers a wide range of medication safety topics and disposal practices can successfully improve the knowledge and skill of community participants and potentially improve medication harm reduction practices.

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Over-the-counter medication use in residents of senior living communities: A survey study

Cited by 5 publications

References 30 publications

Risk of Bleeding Among Individuals on Direct-Acting Oral Anticoagulants: An Academic Medical Center Cohort Study

Risk of Bleeding Among Individuals on Direct-Acting Oral Anticoagulants: An Academic Medical Center Cohort Study

Practices and Behaviors Regarding the Use of Analgesics

Assessing a Medication Safety and Disposal Educational Program using the Health Belief Model

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