Published January 30, 2024 | Version https://impactfactor.org/PDF/IJPCR/16/IJPCR,Vol16,Issue1,Article27.pdf
Journal article Open

Take Home Message for Policy Makers: Study on Over-The-Counter Drugs among Puducherry Population

  • 1. Associate Professor, Department of Pharmacology, Sri Lakshmi Narayana Institute of Medical Sciences, Puducherry
  • 2. Senior Assistant Professor, Department of Pharmacology, Government Thiruvarur Medical College, Thiruvarur
  • 3. Assistant Professor, Department of Pharmacology, Sri Lakshmi Narayana Institute of Medical Sciences, Puducherry
  • 4. Senior Resident, Department of Pharmacology, JIPMER, Karaikal

Description

The inappropriate use of non-prescription drugs (NPD), particularly over-the-counter (OTC) medications, poses a significant global health challenge. This cross-sectional study conducted in Puducherry, India, aimed to assess the prevalence of OTC drug use and its adverse effects. The study involved 462 participants, mainly from the 20-40 age group, with a majority having graduate degrees. Private employees were found to use OTC drugs more frequently. Surprisingly, even with medical professionals participating, OTC medications were not replaced by prescribed alternatives. Many participants visited pharmacies without a prescription, relying on expired prescriptions or describing symptoms to pharmacists. Fever was a common symptom leading to OTC purchases, often for chronic conditions requiring proper medical attention. The study identified 26 oral drug groups, 3 topical drugs, and 15 injections purchased as OTC, with some life-saving drugs obtained without prescriptions. Adverse effects were reported by a small percentage of participants, mainly mild hypersensitivity reactions, gastritis, and diarrhea. The findings emphasize the need for stricter regulations and increased awareness about the potential risks associated with OTC drug misuse. While OTC medications offer convenience, affordability, and self-management, their misuse can lead to adverse outcomes, warranting a focus on regulatory measures within pharmacy practices.

Abstract (English)

The inappropriate use of non-prescription drugs (NPD), particularly over-the-counter (OTC) medications, poses a significant global health challenge. This cross-sectional study conducted in Puducherry, India, aimed to assess the prevalence of OTC drug use and its adverse effects. The study involved 462 participants, mainly from the 20-40 age group, with a majority having graduate degrees. Private employees were found to use OTC drugs more frequently. Surprisingly, even with medical professionals participating, OTC medications were not replaced by prescribed alternatives. Many participants visited pharmacies without a prescription, relying on expired prescriptions or describing symptoms to pharmacists. Fever was a common symptom leading to OTC purchases, often for chronic conditions requiring proper medical attention. The study identified 26 oral drug groups, 3 topical drugs, and 15 injections purchased as OTC, with some life-saving drugs obtained without prescriptions. Adverse effects were reported by a small percentage of participants, mainly mild hypersensitivity reactions, gastritis, and diarrhea. The findings emphasize the need for stricter regulations and increased awareness about the potential risks associated with OTC drug misuse. While OTC medications offer convenience, affordability, and self-management, their misuse can lead to adverse outcomes, warranting a focus on regulatory measures within pharmacy practices.

Files

IJPCR,Vol16,Issue1,Article27.pdf

Files (518.8 kB)

Name Size Download all
md5:ef23d020c45d1c8647860175943a7f7b
518.8 kB Preview Download

Additional details

Dates

Accepted
2023-12-26

References

  • 1. "Pfaffenbach et al." Accessed: Oct. 11, 2023. [Online]. Available: https:// scholar. Google. com/scholar_lookup?journal=Current+drug+sa fety&title=Self-medication+among+ children + and + adolescents & author= G+ Pfaffenbach&author=FS+Tourinho&author=F+Bucar etchi&volume=5&issue=4&publication_year= 2010&pages=324-8&pmid= 206 15182 & 2. "WHO." Accessed: Oct. 11, 2023. [Online]. Available: https://scholar.google.com/scholar_lookup?titl e=The+Safety+of+Medicines+in+Public+Heal th+Programmes:+Pharmacovigilance+an+Esse ntial+Tool&publication_year=2006& 3. M. Rashid, M. Chhabra, A. Kashyap, K. Undela, and S. K. Gudi, Prevalence and predictors of self-medication practices in India: a systematic literature review and meta-analysis, Current clinical pharmacology, 2020;15(2): 90– 101. 4. A. B. Shrestha, M. Aryal, J. R. Magar, S. Shrestha, L. Hossainy, and F. H. Rimti, "The scenario of self-medication practices during the covid-19 pandemic; a systematic review," Annals of Medicine and Surgery, 2022; 104482. 5. G. Porter, A. Kotwani, L. Bhullar, and J. Joshi, Over-the-counter sales of antibiotics for human use in India: The challenges and opportunities for regulation, Medical Law International, June 2021; 21(2): 147–173. 6. M. Sisay, G. Mengistu, and D. Edessa, Epidemiology of self-medication in Ethiopia: a systematic review and meta-analysis of observational studies, BMC Pharmacol Toxicol, vol. 19, p. 56, Sep. 2018, 7. J. Kaushal, M. C. Gupta, P. Jindal, and S. Verma, Self-Medication Patterns and Drug Use Behavior in Housewives Belonging to the Middle-Income Group in a City in Northern India, Indian J Community Med, 2012;37(1): 16–19. 8. R. Sharma, U. Verma, C. L. Sharma, and B. Kapoor, Self-medication among urban population of Jammu city, Indian Journal of Pharmacology, Jan, 2005; 37(1): 40. 9. L. Yuefeng, R. Keqin, and R. Xiaowei, "Use of and factors associated with self-treatment in China," BMC Public Health, 2012;12(1): 995. 10. K. Krishnaveni, R. S. Sundaram, S. K. R, S. Sumitha, T. Johny, and R. Jose, A Study of Self Medication Practices among the People in Ernakulam District, Kerala, India, Rese. Jour. of Pharm. and Technol., 2018; 11(2): 700. 11. K. Selvaraj, S. G. Kumar, and A. Ramalingam, "Prevalence of self-medication practices andits associated factors in Urban Puducherry, India Perspect Clin Res, 2014; 5(1): 32–36. 12. Y. Keche, R. Yegnanarayan, S. Bhoyar, R. Agrawal, R. Chavan, and P. Mahendrakar, "Self-medication pattern in rural areas in Pune, India," International Journal of Medicine and Public Health, 2012;2(4): 7–11. 13. E. G. Mathias, A. D'souza, and S. Prabhu, Self-Medication Practices among the Adolescent Population of South Karnataka, India, Journal of Environmental and Public Health, Sep. 2020; e9021819