The Ordering of Over-the-Counter Pharmaceutical Label Components

Author(s):  
William J. Vigilante ◽  
Michael S. Wogalter

Recently there has been increasing interest in enabling consumers to more easily acquire information from over-the-counter (OTC) nonprescription pharmaceutical labels. Standardization of the format of labels is being considered by industry, government, and health-related professional organizations as a way to facilitate their usability. Potentially standardization could assist consumers in quickly locating information that they need to use the medication safely. The purpose of the present research is to determine whether consumers have a consistent preference for the ordering of information (component headings) on OTC drug labels. If so then this could serve as a partial basis for standardization. Results showed relatively consistent orders across four drugs and three participant groups (adults attending a flea market, senior citizens, and undergraduates). In general, the data indicate that people prefer that labels first provide what the drug is used for (indications); second provide information on associated hazards (warnings, cautions, drug interaction precautions) and use (directions); and third provide information on active ingredients. The remaining components were preferred in the following order: whether the package is safety sealed, inactive ingredients, storage instructions, manufacturer information, and then finally the bar code. Given the reasonable consistent orders generated by participants it seems plausible that if standardization were implemented that the ordering would roughly reflect this basic ordering.

Author(s):  
Vishalli Ghai ◽  
Venkatesh Subramanian ◽  
Haider Jan ◽  
Jemina Loganathan ◽  
Stergios K. Doumouchtsis ◽  
...  

Abstract Introduction and hypothesis Variations in guidelines may result in differences in treatments and potentially poorer health-related outcomes. We aimed to systematically review and evaluate the quality of national and international guidelines and create an inventory of CPG recommendations on CPP. Methods We searched EMBASE and MEDLINE databases from inception till August 2020 as well as websites of professional organizations and societies. We selected national and international CPGs reporting on the diagnosis and management of female CPP. We included six CPGs. Five researchers independently assessed the quality of included guidelines using the AGREE II tool and extracted recommendations. Results Two hundred thirty-two recommendations were recorded and grouped into six categories: diagnosis, medical treatment, surgical management, behavioural interventions, complementary/alternative therapies and education/research. Thirty-nine (17.11%) recommendations were comparable including: a comprehensive pain history, a multi-disciplinary approach, attributing muscular dysfunction as a cause of CPP and an assessment of quality of life. Two guidelines acknowledged sexual dysfunction associated with CPP and recommended treatment with pelvic floor exercises and behavioural interventions. All guidelines recommended surgical management; however, there was no consensus regarding adhesiolysis, bilateral salpingo-oophorectomy during hysterectomy, neurectomy and laparoscopic uterosacral nerve ablation. Half of recommendations (106, 46.49%) were unreferenced or made in absence of good-quality evidence or supported by expert opinion. Based on the AGREE II assessment, two guidelines were graded as high quality and recommended without modifications (EAU and RCOG). Guidelines performed poorly in the “Applicability”, “Editorial Independence” and “Stakeholder Involvement” domains. Conclusion Majority of guidelines were of moderate quality with significant variation in recommendations and quality of guideline development.


2021 ◽  
Author(s):  
Jose M Cancela ◽  
Irimia Mollinedo-Cardalda ◽  
Manuela Ferreira ◽  
Pedro Bezerra

Abstract Background This comparative descriptive study analysed the physical fitness and the anthropometric data of senior citizens participating in "IN COMMON SPORTS" project, in accordance with their place of residence. MethodsA total of 418 participants divided into two groups: Eastern European Group (EEG) and Southern European Group (SEG). Each participants' anthropometric characteristics (body mass index, body fat and waist hip ratio) and fitness (Senior Fitness Test and Hand grip) were studied. Results The Subjects from the SEG showed significantly lower anthropometric values than those from the EEG. The SEG subjects presented significant differences in physical fitness, with best values for upper and lower limb strength and aerobic resistance, while those from the EEG presented significantly better values for lower limb flexibility. Conclusion Senior citizens aged 60+ years present differences in physical fitness in accordance with their country of residence; the Southern Europeans having the best physical fitness.


2014 ◽  
Vol 59 (3) ◽  
pp. 373-376 ◽  
Author(s):  
Ho Ting Wong ◽  
◽  
Marcus Yu Lung Chiu ◽  
Cynthia Sau Ting Wu ◽  
Tsz Cheung Lee

Author(s):  
Anita Majchrowska ◽  
Renata Bogusz ◽  
Luiza Nowakowska ◽  
Jakub Pawlikowski ◽  
Włodzimierz Piątkowski ◽  
...  

Background: Professional pharmacists should be directly involved in patient healthcare as members of therapeutic teams are not the only dispensers of medication. Public perceptions of the professional role of pharmacists is expressed through patients’ attitudes, trust, and expectations as health and illness consultants, or qualified retailers of medicines. This perception is influenced by numerous determinants, both health-related and social. Objective: This research intends to describe the range of social roles pharmacists play from the perspective of potential pharmacy customers/patients. Methods: The data presented in the article comes from cross-sectional survey-based research, undertaken in 2018, on a representative sample of 600 Polish adults. Results: Over-the-counter medication is purchased by almost all Polish adults, but they do not tend to ask for advice at pharmacies. Most respondents consider a pharmacist to be “a person qualified to sell medicines”, with some of the participants regarding pharmacists as “ordinary retailers”. A small number of respondents are interested in benefiting from pharmaceutical care, but the pharmacy is still perceived to be a point of purchase for medication. Conclusions: Respondents do not treat pharmacists as health advisors and reduce its role to that of dispensing medication. Sociodemographic variables have no significant effect on social perception of pharmacists.


10.2196/29826 ◽  
2021 ◽  
Vol 4 (2) ◽  
pp. e29826
Author(s):  
Ashley M Snyder ◽  
Vanina L Taliercio ◽  
Adelheid U Brandenberger ◽  
Bianca E Rich ◽  
Lisa B Webber ◽  
...  

Background Pain is an underappreciated symptom of atopic dermatitis that can affect the health-related quality of life (HRQL) of patients. Objective The aim of this study is to understand the effect of pain on patients with atopic dermatitis and their family members and to recognize how this symptom affects HRQL. Methods We conducted focus groups and interviews with patients with atopic dermatitis and their family members. Researchers independently coded the transcripts and reached a consensus on the major themes. Results A total of 33 adult participants, consisting of 21 patients with atopic dermatitis (median age 47 years, range 22-77) and 12 family members (median age 50, range 22-72), attended either focus groups (23/33, 70%) or interviews (10/33, 30%), where we assessed their experiences of pain. Four themes emerged in our study. Itchiness and pain can be intertwined: pain was often caused by or otherwise associated with itchiness and could result from open sores and excoriated skin. Characteristics of pain: pain was most often described as burning. Other descriptors included mild, persistent discomfort; stinging; and stabbing. Effects of pain: pain negatively affected various aspects of daily life, including choice of clothing, sleep, social activities, and relationships. The location of painful areas could also limit physical activity, including sex. Pain management: pain from atopic dermatitis could be managed to varying degrees with different over-the-counter and prescription treatments. Systemic agents that cleared the skin also resolved the pain associated with atopic dermatitis. Conclusions Pain can be a significant factor in the HRQL of patients with atopic dermatitis and should be considered by clinicians when caring for patients with atopic dermatitis.


2012 ◽  
pp. 1541-1588
Author(s):  
Kevin Yi-Lwern Yap

The rapid growth of the internet and the World Wide Web has led to the development of pharmacoinformatics technologies to assist oncology healthcare professionals in delivering optimum pharmaceutical care and health-related outcomes. The proliferation of online health information has also empowered patients with cancer with the knowledge to better participate in the management of their own condition. This chapter introduces the evolving roles of pharmacoinformatics in oncology and discusses some problems that have arisen due to these technologies. Various pharmacoinformatics channels for practitioners and patients are described together with drug interaction parameters that are clinically relevant to oncology clinicians. Additionally, this chapter addresses certain quality issues associated with online anticancer drug interactions and proposes several design principles for developers of pharmacoinformatics tools. Finally, readers will be given an insight as to how pharmacoinformatics can be harnessed for the future improvement of pharmaceutical care in patients with chronic diseases such as cancer.


2013 ◽  
Vol 26 (5) ◽  
pp. 518-521 ◽  
Author(s):  
G. Michelle Pinson ◽  
Jennifer W. Beall ◽  
Jeffrey A. Kyle

Warfarin is frequently used for the prevention and treatment of thromboembolism, yet it is associated with numerous drug interactions. Regarding over-the-counter pain medications, the preferred analgesic for those patients who are taking warfarin is acetaminophen. There are, however, reports of elevation in the international normalized ratio (INR) in those patients taking concurrent warfarin and acetaminophen. For those practitioners who manage warfarin therapy, there is little guidance regarding management of the drug–drug interaction between warfarin and acetaminophen. This review seeks to evaluate the drug interaction between warfarin and acetaminophen and provides recommendations for concurrent use of these drugs.


2012 ◽  
Vol 2012 ◽  
pp. 1-14 ◽  
Author(s):  
Ashley Proctor ◽  
Matt T. Bianchi

The basic treatment goals of pharmacological therapies in sleep medicine are to improve waking function by either improving sleep or by increasing energy during wakefulness. Stimulants to improve waking function include amphetamine derivatives, modafinil, and caffeine. Sleep aids encompass several classes, from benzodiazepine hypnotics to over-the-counter antihistamines. Other medications used in sleep medicine include those initially used in other disorders, such as epilepsy, Parkinson’s disease, and psychiatric disorders. As these medications are prescribed or encountered by providers in diverse fields of medicine, it is important to recognize the distribution of adverse effects, drug interaction profiles, metabolism, and cytochrome substrate activity. In this paper, we review the pharmacological armamentarium in the field of sleep medicine to provide a framework for risk-benefit considerations in clinical practice.


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