Prevalence and pattern of self-medication practices in an urban area of Delhi, India

Kumar, Varun; Mangal, Abha; Yadav, Geeta; Raut, Deepak; Singh, Sapna

doi:10.4103/0975-2870.148828

Cited by 72 publications

(116 citation statements)

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“…Non-prescription use of antifungal drugs is associated with the risk of inappropriate drug use which predisposes patients to drug interactions, masking symptoms of underlying disease and development of microbial resistance. 5,9 Therefore to define the pattern of antifungal drug use and self-medication pattern for common fungal infections of skin in dermatology outpatient the present study was designed. Results will help to identify gaps in prescription patterns that need to be addressed in order to promote rational uses of medicines and discourage selfmedication practices.…”

Section: Discussionmentioning

confidence: 99%

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Drug utilisation and self medication pattern of anti-fungal drugs in dermatology outpatient department of a tertiary care hospital

Deb¹,

Mohanty²,

Slathia³

et al. 2017

Int J Basic Clin Pharmacol

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Background: Fungal infections have become increasingly prevalent. Self-medication is a common health care practice to treat fungal diseases or for symptomatic relief. Because of self-medication drug-sensitive fungal pathogens have gradually developed resistance. Aims and objectives of the study was to define the pattern of antifungal drug use and self-medication pattern for common fungal infections of skin in dermatology outpatient.Methods: The present study was an Observational, descriptive, cross sectional study conducted at Dermatology OPD of MGM Medical College, Kamothe. All adult patients with fungal infections of the skin attending the Dermatology OPD were enrolled. A study performa was specifically designed to record information related to demographic, disease profile and medications prescribed.Results: A total of 200 patient’s prescriptions were analysed. Percentage of drugs prescribed by generic name was found to be 20.26%, Percentage of drugs prescribed from National Essential Drug List 2015 was found to be 79.74%. There were no encounters with antibiotic and parenteral preparations. Only 5.16% of the drugs prescribed were fixed dose combination (FDC) as compared to 94.93% as Monotherapy. Most frequently prescribed anti-fungal agents were the azoles; amongst which Imidazoles (53.33%) were the commonest. Most commonly prescribed individual antifungal was oral Terbinafine (64.81%) and topical was Eberconazole (58.49%). The dosage form most frequently encountered was Cream (92.45%). The prevalence of self-medication for dermatological conditions among patients was 62.26%. Most of the drugs for self-medication were topical (creams) FDC of antifungal and steroids. Around 78% of the self-medication information was obtained from the chemists.Conclusions: The study documented physician preference for Monotherapy than FDC. Prescribers need to be made aware for prescribing generic and essential drugs, thus ensuring rational utilization. They also need to counsel and discourage patients from self-medication.

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Section: Discussionmentioning

confidence: 99%

“…Most of the drugs for self-medication were topical (creams) FDC of antifungal and steroids. 9 Around 78% of the selfmedication information was obtained from the chemists.…”

Section: Self Medication Patternmentioning

confidence: 99%

Drug utilisation and self medication pattern of anti-fungal drugs in dermatology outpatient department of a tertiary care hospital

Deb¹,

Mohanty²,

Slathia³

et al. 2017

Int J Basic Clin Pharmacol

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“…The prevalence of self-medication practice in different countries was ranged from 39% to 94% [17][18][19][20][21][22][23][24][25]. The prevalence in this study was 90.7% which suggests that self-medication practice in Sana'a city is among the highest.…”

Section: Discussionmentioning

confidence: 75%

Self-Medication Practice Among Consumers in Sana’a City

Albawani

Abd-Aziz

Gnanasan

2016

Int J Pharm Pharm Sci

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Objective: To determine the prevalence of self-medication practice and its associated risk factors in Sana'a City. Methods:A cross-sectional descriptive study was carried out on consumers attending community pharmacies in Sana'a City. A self-administered questionnaire containing open-ended and closed-ended questions was developed and used for this study. Chi-square test and multiple logistic regressions were used in this study.Results: A total of 400 consumers were involved in this study. The prevalence of self-medication in the past six months was found to be 90.7 % (94.1% of females and 88.3% of males). In Multivariate analysis, chewing khat, smoking, availability of medical services near the residence and the perception about death due to self-medication were significant predictors of self-medication practice. Those who chewed khat were less likely to use self-medication compared to those who did not chew khat (OR= 0.296, CI 95% 0.100-0.882, p= 0.029). Similar results showed that smokers were less likely to use self-medication compared to non-smokers (OR= 0.429, CI 95% 0.206-0.895, p= 0.024). It was also found that those who have medical services near their residence were more likely to use self-medication compared to those who do not have medical services near their residence (OR= 3.022, CI 95% 1.384-6.596, p= 0.006). Moreover, those who did not believe that self-medication leads to death were more likely to use self-medication compared to those who believed that self-medication may leads to death (OR=2.645, CI 95% 1.232-5.681, p= 0.013). Conclusion:Self-medication practice was high among consumers in Sana'a City. Chewing khat, smoking, availability of medical services near the residence and the respondent perception about the possibility of death due to self-medication was significantly associated with self-medication.

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“…However, enforcement of Schedule H laws in India is a lax. 6 In contrast rules and regulations are very strict in developed countries such as USA and UK but in low developing countries there is a lax in implementation of laws 15 .…”

Section: Discussionmentioning

confidence: 99%

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2017

IJPSR

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Prevalence and pattern of self-medication practices in an urban area of Delhi, India

Cited by 72 publications

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Drug utilisation and self medication pattern of anti-fungal drugs in dermatology outpatient department of a tertiary care hospital

Drug utilisation and self medication pattern of anti-fungal drugs in dermatology outpatient department of a tertiary care hospital

Self-Medication Practice Among Consumers in Sana’a City

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