scholarly journals Self-medication with cannabidiol (CBD) and associated treatments in the self-care of anxiety in women from Mexico City: A qualitative study

Salud Mental ◽  
2021 ◽  
Vol 44 (6) ◽  
pp. 295-306
Author(s):  
Rafael Gutiérrez ◽  
Leticia Vega

Introduction. The popular use of marijuana and its components (THC and CBD) for medicinal purposes is often regarded as irresponsible and ignorant. However, in this paper, it is conceptualized and studied as medical knowledge of self-care, in which it is linked to different therapeutic knowledge from conventional and alternative medicine to treat anxiety. Objective. This article reports on a qualitative research project designed to analyze the practices and risks of self-medication with CBD, and its links with medical treatments and self-care measures for dealing with anxiety in adult women in Mexico City. Method. Eleven adult women, mostly professionals, diagnosed with anxiety, participated in the study. In-depth interviews were conducted to learn how women use therapeutic resources to cope with anxiety in their everyday lives. The interviews were transcribed and analyzed using ATLAS ti 7 software. Results. Self-medication is part of a self-care process with several facets: the experience of symptoms, self-diagnosis, the use of various remedies (dosage and administration), and their evaluation. During this process, women use a range of medication, psychological therapies, herbalism, acupuncture, yoga, and sleep hygiene measures, including CBD, either as an alternative or an adjunct to biomedical pharmacology, with or without medical supervision. Certain risks were identified, such as the use of CBD that may be incorrectly labeled or interact dangerously with other self-prescribed substances. Discussion and conclusion. These results coincide with those of various authors who equate self-care with a first level of care, which has risks that could be reduced by controlling misleading marketing and developing professional medical services, which are trained and accessible to users, who could inform them about the medicinal use, scope and risks of CBD or THC for health.

2014 ◽  
Vol 4 (1) ◽  
Author(s):  
Samuel Kyei ◽  
Stephen Ocansey ◽  
Emmanuel Kwasi Abu ◽  
Bismark Nyarko Gyedu

The purpose of the present study was to assess the practice of ocular self-medication among people of the Cape Coast Metropolis, Central Region of Ghana. A population-based survey involving 421 respondents ≥18 years old was conducted. A pre-tested interview-based questionnaire was used to collect data on demographics, ocular symptoms for which selfmedication was practiced, medical knowledge and self-care orientation. Households were systematically and randomly selected as study units. Analysis was done using SPSS version 16. Descriptive results were expressed as frequency, percentage, and mean±standard deviation, X2 test was used for associations, and logistic regression was used to test for predictors of the practice of ocular self-medication. Prevalence of ocular self-medication was 23.3% with itchy eye being the main ocular symptom for which self-medication was practiced. Local pharmacies were the main source of drug for ocular self-medication. There was no association between medical knowledge and the practice of ocular self-medication (X2=0.126; P=0.722). Some 25.5% experienced adverse effects. In conclusion, the practice of ocular self-medication was without recourse to adequate concept of the practice of self-care but its negative effect was mitigated by the low self-care orientation of the people.


1988 ◽  
Vol 18 (2) ◽  
pp. 175-184 ◽  
Author(s):  
Stephen Joel Coons ◽  
William F. McGhan

This article provides an overview of self-care and explores the role of self-medication within the self-care process. A model of illness behavior is described which includes the various courses of action that consumers may undertake when they experience a symptom or deviation from health. Reasons behind the trend toward self-care are presented along with information on the extent of this phenomenon. Self-medication is described as a response to symptoms which involves the use of nonprescription or over-the-counter (OTC) medications. It has been estimated that at least seventy-five percent of all illnesses and injuries are initially treated through self-care and over-the-counter (OTC) medications. It is suggested that the re-emergence of these forms of self-reliance is allowing individuals to retrieve some of the control that has been assumed by health-care professionals.


Pharmacy ◽  
2021 ◽  
Vol 9 (3) ◽  
pp. 132
Author(s):  
Lezley-Anne Hanna ◽  
Alana Murphy ◽  
Maurice Hall ◽  
Rebecca Craig

Background: The aim was to investigate pharmacy students’ views on the role of the pharmacist in facilitating self-care with over-the-counter (OTC) medicines, particularly in light of new roles, and establish personal practice. Methods: Final year pharmacy students at Queen’s University Belfast were invited to participate. Data were collected via a pre-piloted questionnaire, distributed at a compulsory class (only non-identifiable data were requested). Descriptive statistics were performed, and non-parametric tests were employed for inferential statistical analysis (responses by gender). Results: The response rate was 87.6% (78/89); 34.6% (27/78) males and 65.4% (51/78) females. Over a third [34.6% (27/78)] reported using OTC medicines about once a month. All appreciated the importance of an evidence-based approach to optimize patient care. Most [(96.2% (75/78)] deemed OTC consultations should remain a fundamental responsibility of pharmacists and 69.2% (54/78) thought OTC consultations have the potential to be as complex as independent pharmacist prescribing. Females felt more confident recommending OTC emergency contraception than males (p = 0.002 for levonorgestrel and p = 0.011 for ulipristal acetate). Many [61.5% (48/78)] considered more medicines should not be deregulated from prescription-only status. Conclusions: Data from this single institution suggests that enabling self-medication is an important part of practice but there were confidence issues around deregulations.


1991 ◽  
Vol 25 (4) ◽  
pp. 595-598 ◽  
Author(s):  
James D. Cope
Keyword(s):  

Author(s):  
William F. Bynum

Science has always been part of Western medicine, although what counts as scientific has changed over the centuries, as have the content of medical knowledge, the tools of medical investigation, and the details of medical treatments. This brief overview develops a historical typology of medicine since antiquity. It divides the ‘kinds’ of medicine into five sections: bedside medicine, developed by the Hippocratic doctors in classical times; library medicine, associated with the scholastic mentality of the Middle Ages; hospital medicine, central to French medicine of the early 19th century; social medicine, which is about prevention, both communal and individual; and laboratory medicine, which has its natural home in the research establishment and is a critical site for the creation of medical knowledge, setting the standards for both medical science and scientific medicine.


2018 ◽  
Vol 62 (11) ◽  
pp. 1562-1585 ◽  
Author(s):  
Cindy Brooks Dollar ◽  
Joshua A. Hendrix

Research consistently finds that men use all types of drugs more frequently and extensively than women. However, the misuse of prescription tranquilizers provides an exception. Recent research has found that women are more likely to misuse tranquilizers than men, yet few efforts have been made to systematically understand why this is the case and whether there are gendered factors that might help explain their misuse. Building on general strain theory and other scholarship concerning the links between psychological strain, mental–emotional health, and illicit drug use, we employed a mixed-methods design to investigate the interrelationships between gender, mental health, and tranquilizer misuse. Using data from the 2010 National Survey of Drug Use and Health, we examined tranquilizer misuse among women using various social, demographic, and health-related characteristics. Following this, we drew on nine in-depth interviews with adult women aged 21 to 69 years who reported a history of misusing tranquilizers. The quantitative data reveal that the odds of tranquilizer misuse are nearly two times higher for each unit increase on the poor mental health scale. Whereas being married increases the risk of misuse, having young children is associated with a decreased risk. Our analysis of the interview data reveals three main themes, related to tranquilizer access, reasons for misuse, and shame related to misuse. The interviews clearly uncover tranquilizer misuse as an attempt by women to manage competing demands between their work and home lives, and more specifically as a means of promoting success in both devotions. We conclude by arguing that women’s misuse of tranquilizers is a gendered behavior in response to gender-specific strains, which in turn reproduces gendering as an institution as well as in individual lives. The implications of these findings for general strain theory are also discussed.


2020 ◽  
Vol 29 (5) ◽  
pp. 508-523
Author(s):  
Pia Vuolanto ◽  
Harley Bergroth ◽  
Johanna Nurmi ◽  
Suvi Salmenniemi

The contestation of expertise is perhaps nowhere more pronounced than in the field of health and well-being, on which this article focuses. A multitude of practices and communities that stand in contentious relationships with established forms of medical expertise and promote personalised modes of self-care have proliferated across Euro-American societies. Drawing on multi-sited ethnography in three domains – body–mind–spirit therapies, vaccine hesitancy and consumer-grade digital self-tracking – we map such practices through the concept of ‘everyday fringe medicine’. The concept of everyday fringe medicine enables us to bring together various critical health and well-being practices and to unravel the complex modes of contestation and appreciation of the medical establishment that are articulated within them. We find three critiques of the medical establishment – critiques of medical knowledge production, professional practices and the knowledge base – which make visible the complexities related to public understandings of science within everyday fringe medicine.


1992 ◽  
Vol 22 (2) ◽  
pp. 377-388 ◽  
Author(s):  
Bernard Sorofman

Bernard Sorofman Awareness of self-care for health has increased in recent years. Information is obtained through a wide variety of promotional activities about symptoms and treatments to assist in the determination of self-care actions. Sources of lay oriented self-care information include traditional health industry advertising, lay initiated self-care / self-help information, manufacturers' direct-to-consumer advertising of prescription drugs and indirect-to-consumer promotional activities such as “medical breakthrough” news releases. This article covers several forms of medication promotion for self-care and explores the “medicalization” and “pharmaceuticalization” of self-care for health by health professionals.


Numen ◽  
2015 ◽  
Vol 62 (4) ◽  
pp. 431-459
Author(s):  
Anne Koch

Alternative healing, including spiritual healing, unconventional, traditional/folk, and complementary medical treatments, is an increasingly relevant health-care resource in contemporary health-care systems, and a broad, constantly changing, and heterogeneous field of medical pluralism. Some suggestions for classifying spiritual healing as presented in the academic and gray literature are summarized and discussed. The findings are interpreted in terms of the paradigm of alternative modernities. In the direction of, but also in addition to, this paradigm, magic is introduced as a concept to denote certain highly ambiguous occurrences in the alternative modern. Magic is still very much alive and not easy to identify merely as a counterpart of rational, knowledge-generating, disembodying modernity. In this setting, spiritual healing might be seen as a form of magical self-care. Magic is neither modern nor traditional nor irrational per se, but has to be contextualized and described in terms of characteristics like holistic diagnosis, interpersonal congruence, the imaginations of agency, and efficacy.


2015 ◽  
Vol 125 (3) ◽  
pp. 137-143 ◽  
Author(s):  
Barbara Kołłątaj ◽  
Magda Sowa ◽  
Witold Kołłątaj ◽  
Piotr Książek ◽  
Justyna Szakuła

Abstract Introduction. In many countries, the concept of OTC drugs, among others, is defined in advance by the assumed maximum period of their use – usually 3-5 days. In fact, many patients often benefit from these opportunities too often, use medication for longer than 3-5 days and prefer symptomatic treatment rather than causal. OTC drugs give people a sense of freedom and subjectivity. Numerous doctors claim that too much freedom in this case can prove dangerous. Aim. The aim of this study was to analyze the changes in attitudes towards the use of OTC drugs in medicine students as they acquire knowledge and medical experience. Material and methods. The study looked at 178 students of the Faculty of Medicine, Medical University of Lublin (89 – 1 and 2 year students as well 89 – 5 and 6 year ones). A diagnostic survey was used as a tool for obtaining responses from the participants. The survey was conducted between October 2014 and November 2014. Results. Almost 90% of medical students use OTC drugs for self-medication, while only 11% of them have never used such medicine. Analysis of students’ attitudes indicate that acquired medical knowledge has no effect on the frequency using this type of treatment. Overall, students tend to use such drugs occasionally. Only some 14-23% of them use the OTC drugs on a regular basis. The motivations for the use such drugs include: convenience, the previous experiences implying the efficacy of drugs, less frequent are other reasons. Some 28% of the students participating in the study and at least 13% of graduating medical students accept prolonged use of OTC drugs. As the consequence acquisition of medical knowledge, the students are less likely to consult their self-medication attitudes with doctors, families and friends, more often and accurately read the leaflets for drugs, and are more and more reluctant to proposals for extending the assortment of available OTC drugs. Conclusions. 1. Almost 90% of medical students use OTC drugs for self-treatment. 2. 28% of polled 1-2 year medical students and at least 13% of graduating ones may have tendencies to abuse drugs. 3. Over the subsequent years of study, medical students more often read medicine leaflets, they become less reliant on the advice they receive from their family or friends regarding self-treatment or they are less willing to extend the range of available OTC drugs.


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