Pengetahuan dan Pola Swamedikasi Penggunaan Obat Tradisional dan Cara Pengobatan Tradisional Sebagai Terapi Komplementer di Wilayah Kerja Yandu Wredasari 07, Warungboto, Umbulharjo, Yogyakarta

ABSTRAKMeningkatnya tingkat pendidikan, informasi dan kesadaran masyarakat akan pentingnya arti sehat, mendorong masyarakat untuk melakukan swamedikasi. Termasuk swamedikasi menggunakan obat tradisional dan cara pengobatan tradisional sebagai terapi komplementer semakin meningkat. Penelitian ini bertujuan untuk mengetahui gambaran pengetahuan dan pola swamedikasi menggunakan obat tradisional dan cara pengobatan tradisional sebagai terapi komplementer pada Yandu Wredasari 07, Warungboto, Umbulharjo, Kota Yogyakarta. Penelitian ini merupakan penelitian observasional yang bersifat non eksperimen, Sampel yang digunakan dalam penelitian ini adalah anggota Yandu Wredasari 07, Warungboto, Umbulharjo, Kota Yogyakarta dan memenuhi kriteria sampel yang ditetapkan oleh peneliti. Pengambilan sampel dilakukan tanpa acak (nonprabability sampling) dengan teknik pengambilan consecutive sampling. Responden yang pernah melakukan pengobatan komplementer dengan obat tradisional sebanyak 81,6%. 83,3% diantaranya merasakan tidak muncul efek samping obat selama menggunakan obat tradisional. Sedangkan Responden yang pernah melakukan pengobatan komplementer dengan cara tradisional sebanyak 39,5%. Hanya satu yang merasakan efek samping yaitu dari pijat tradisional, muncul warna agak biru, njarem dan linu linu.Kata kunci: Kulit pisang Ambon; Antibakteri; Gel antiseptic; Gelling agent; Na-CMC. ABSTRACTThe increasing level of education, information and public awareness of the importance of healthy meaning, encourages people to carry out swamedication. Including self-medication using traditional medicine and ways of traditional medicine as complementary therapies is increasing. This study aims to determine the description of knowledge and patterns of self-medication using traditional medicine and traditional medicine as a complementary therapy in Yandu Wredasari 07, Warungboto, Umbulharjo, Yogyakarta City. This study was an observational study that was non-experimental in nature. The sample used in this study was a member of Yandu Wredasari 07, Warungboto, Umbulharjo, Yogyakarta City and met the sample criteria set by the researcher. Sampling is done without random (nonprabability sampling) with consecutive sampling techniques. Respondents who had taken complementary medicine with traditional medicine were 81.6%. 83.3% of them felt there were no side effects of drugs while using traditional medicines. While the respondents who had done complementary medicine in the traditional way were 39.5%. Only one felt the side effects of traditional massage, appearing a little blue, njarem and rheumatic pain.Keywords: Ambon banana peel; Antibacteria; Antiseptic gel; Gelling agent; Na-CMC.

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More Than Just A Gastroenteritis - Bottle gourd (Lagenaria Siceraria) Toxicity Diagnosed in the Emergency Department

10.21203/rs.3.rs-1139827/v1 ◽

2021 ◽

Author(s):

Wey Ting Lee ◽

Guoyi Geoffrey Ng ◽

Dong Haur Phua

Keyword(s):

Emergency Department ◽

Traditional Medicine ◽

Complementary Medicine ◽

Early Recognition ◽

Public Awareness ◽

General Medicine ◽

Bottle Gourd ◽

Local Context ◽

Lagenaria Siceraria ◽

Rare Presentation

Abstract BackgroundBottle gourd (Lagenaria siceraria) is sometimes used in complementary medicine practice for the treatment of chronic ailments. It belongs to the Cucurbitaceae family. However, there have been reports of toxicity due to consumption of bottle gourd juice leading to severe abdominal upset and upper gastrointestinal bleeding. As emergency physicians we need to be aware of such complementary medicine induced haemorrhagic gastroenteritis as possible etiology of gastrointestinal haemorrhage. Case presentationWe present a case of a 41-year-old gentleman who presented to the emergency department (ED) with multiple episodes of vomiting, hematemesis and diarrhoea after consuming bottle gourd juice. The patient was resuscitated and stabilized with fluids, proton pump inhibitors and antiemetics. He was subsequently admitted to General Medicine ward for further management. He continued to receive symptomatic treatment in the ward and underwent esophagogastroduodenoscopy (OGD) during his hospitalization stay. His symptoms improved and he was discharged stable five days later. ConclusionEarly recognition of this rare presentation of bottle gourd toxicity is important in our local context especially where traditional medicine is widely prevalent nowadays. Treatment is supportive. Public awareness of dangerous effects from the consumption of bitter bottle gourd juice and complementary medicine without proper consultation with practitioner plays a crucial role to prevent further cases. Physicians need to advise patients on the use of traditional medicine and their potential side effects.

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Level of use and public awareness in consumption of traditional medicines in work area of Health Center Gombong I

International Journal of Health Science and Technology ◽

10.31101/ijhst.v1i3.1207 ◽

2020 ◽

Vol 1 (3) ◽

pp. 26-31

Author(s):

Naelaz Zukhruf Wakhidatul Kiromah ◽

Tri Cahyani Widiastuti

Keyword(s):

Traditional Medicine ◽

Urban Communities ◽

Health Center ◽

Public Awareness ◽

Modern Medicine ◽

Traditional Medicines ◽

Rural And Urban ◽

Work Area ◽

Level Of Use ◽

Minor Ailments

Indonesia has 20,000 types of plants where 300 species have been used as traditional medicines. The use of traditional medicine as an alternative treatment in Indonesia that has been used by both rural and urban communities. The use of traditional medicine is considered safer than modern medicine. The purpose of this study was to identify the level of use of traditional medicine and public awareness in the use of traditional medicine in work area of Health Center Gombong 1 which consists of 5 villages. This research is a non-experimental and descriptive research that uses a questionnaire. Respondents who participated in this study were 140 people. The characteristics of respondents who participated in this study were the majority of men (50,71%), last educated of elementary school (41,43%), as housewives (27,86%). The majority of people in work area of Health Center Gombong choose treatment with modern medicine (64,29%). In addition there are 35,71% using traditional medicine and the majority use rhizome species (46%) for the treatment of minor ailments. In this study also showed that the majority of people do not know the safety of traditional medicines (50%) due to lack of information so that information is needed on the benefits and safety and the use of good and appropriate traditional medicines.

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Therapeutic Aspects of Squill; An Evidence-Based Review

Current Drug Discovery Technologies ◽

10.2174/1570163816666190125154745 ◽

2020 ◽

Vol 17 (3) ◽

pp. 318-324 ◽

Cited By ~ 1

Author(s):

Khadije Saket ◽

Jalil T. Afshari ◽

Ehsan Saburi ◽

Mahdi Yousefi ◽

Roshanak Salari

Keyword(s):

Side Effects ◽

Traditional Medicine ◽

Respiratory Diseases ◽

Low Cost ◽

Current Evidence ◽

Evidence Based ◽

Helminthic Infections ◽

Traditional Persian Medicine ◽

Healing Of Wounds ◽

Bioactive Agents

From ancient times, medicinal plants have been usually utilized to treat many disorders, but today, interest in these herbs is again aroused, because of their fewer side effects and low-cost. In traditional medicine, for many diseases, various medicinal herbs have been suggested so far. Drimia maritime, also named squill, is an important medicinal plant for the treatment of many diseases, especially respiratory diseases. In the current evidence-based study, we conducted a review of the general characteristics, ingredients, administration form, and side effects of squill in traditional medicine. For this purpose, traditional Persian medicine literatures and electronic databases were examined including PubMed, Scopus, and Google Scholar. Many compounds are isolated from D.maritima, including scillaren, scillirubroside, scillarenin, and bufadienolide glycosides. Oxymel is the most commonly used form of squill for various diseases, especially respiratory diseases. Besides, squill has been used in the treatment of cardiovascular, digestive, and dermatological disorders, it is also used against various cancer cells for its antioxidant and cytotoxic properties. Moreover, there is relatively reliable evidence of its benefits for bacterial and helminthic infections, rheumatism, edema, gout, abortion induction, healing of wounds and urine induction. It seems that supplementary studies are required to explore the bioactive agents and their effective mechanisms.

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Knowledge, attitude, and practice of pharmacy and medical students regarding self-medication, a study in Zabol University of Medical Sciences; Sistan and Baluchestan province in south-east of Iran

BMC Medical Education ◽

10.1186/s12909-020-02374-0 ◽

2021 ◽

Vol 21 (1) ◽

Author(s):

Mahmoud Hashemzaei ◽

Mahdi Afshari ◽

Zahra Koohkan ◽

Ali Bazi ◽

Ramin Rezaee ◽

...

Keyword(s):

Drug Resistance ◽

Medical Students ◽

Side Effects ◽

Drug Information ◽

Significant Risk ◽

Disease Recurrence ◽

Medical Sciences ◽

Self Medication ◽

Attitude And Practice ◽

Knowledge Attitude And Practice

Abstract Background Self-medication is defined as using medicinal products to treat the disorders or symptoms diagnosed by oneself. Although informed self-medication is one of the ways to reduce health care costs, inappropriate self-treatment can pose various risks including drug side effects, recurrence of symptoms, drug resistance, etc. The purpose of this study was to investigate the knowledge, attitude, and practice of pharmacy and medical students toward self-medication. Methods This study was conducted in Zabol University of Medical Sciences in 2018. Overall, 170 pharmacy and medical students were included. A three-part researcher-made questionnaire was designed to address the students’ knowledge, attitude, and practice. Statistical analysis was performed in SPSS 25 software. Results According to the results, 97 (57.1%) students had carried out self-medication within the past 6 months. Overall, the students self-medicated on average 4.2 ± 2.9 times per year. Self-medication was more common in male students (65.4%, P = 0.043). Cold was the most common ailment treated with self-medication (93.2%), and antibiotics (74.4%) were the most commonly used drugs. The primary information sources used by the students were their previous prescriptions (47.4%). Pharmacy students had a higher level of drug information (P < 0.001). There was a statistically significant association between the level of drug information and the tendency for self-medication (P = 0.005). Disease recurrence was the most common negative complication of self-medication. Conclusion There is a need to educate pharmacy and medical students regarding self-medication and its side effects. The high prevalence of self-medication and the overuse of antibiotics can pose a significant risk of drug resistance.

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The prevalence and root causes of delay in seeking healthcare among mothers of under five children with pneumonia in hospitals of Bahir Dar city, North West Ethiopia

BMC Pediatrics ◽

10.1186/s12887-019-1869-9 ◽

2019 ◽

Vol 19 (1) ◽

Cited By ~ 1

Author(s):

Getasew Mulat Bantie ◽

Zemene Meseret ◽

Melkamu Bedimo ◽

Abebayehu Bitew

Keyword(s):

Health Care ◽

Traditional Medicine ◽

P Value ◽

Rural Residence ◽

Bahir Dar ◽

Self Medication ◽

Healthcare Seeking ◽

Under Five ◽

Factors Associated ◽

Under Five Children

Abstract Background Globally pneumonia is the leading cause of under-five child mortality. Several risk factors for pneumonia mortality have been identified, including delay in seeking health care. For successful reduction of delay in seeking healthcare, further evidence is crucial on its magnitude and factors associated with it in the country particularly in the study area. Therefore, this study aimed to determine the prevalence and root causes of delay in seeking health care among mothers of under-five children with pneumonia in hospitals of the Bahir Dar city, 2019. Methods A hospital-based cross-sectional study was conducted from March 15 to May 15, 2019 among 356 mothers of under-five children with pneumonia in hospitals of the Bahir Dar city. The study participants were selected by using a stratified sampling technique and data was collected through face to face interview. Binary logistic regression was used to identify the associated factors of delay in seeking healthcare. The P - value < 0.05 was considered statistically significant. Associations between outcome and exposure variables were expressed by the adjusted odds ratio with a 95% confidence interval (CI). Results A total of 356 mothers participated in the study yielded a response of 89.4%. The proportion of delay in seeking health care was 48.6%. Rural residence (AOR = 2. 3, 95% CI: 1.1, 4.9, seek healthcare in a governmental hospital (AOR = 3. 3, 95% CI: 1.8, 6.1), health care decision by mothers (AOR = 2. 9, 95% CI: 1.6, 5.4), poorest household (AOR = 2. 8, 95% CI: 1.1, 7.2), using self-medication (AOR = 7. 5, 95% CI: 3.8, 14.7), using traditional medicine before healthcare-seeking (AOR = 2. 7, 95% CI: 1.4, 5.1), and no information about early healthcare-seeking for childhood pneumonia treatment (AOR = 5. 1, 95% CI: 2.8, 9.1) were the identified determinants significantly associated with delay in seeking healthcare among mothers of under-five children with pneumonia. Conclusion This study showed that nearly half of the mothers delayed in seeking healthcare. Rural residence, healthcare seeking at government hospitals, healthcare decision by mothers, poorest household, using self-medication, using traditional medicine before health care seeking, and lack of information about early healthcare-seeking were factors associated with a delay in seeking healthcare for under-five children with pneumonia. Hence, the government and other concerned stakeholders should give due emphasis to tackle on the identified causes of delay in seeking health care for the under five children with pneumonia.

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Herbal Therapy for Management Seborrheic Dermatitis: A Narrative Review

Recent Advances in Anti-Infective Drug Discovery ◽

10.2174/2772434416666211029113213 ◽

2021 ◽

Vol 16 ◽

Author(s):

Azin Ayatollahi ◽

Alireza Firooz ◽

Ensieh Lotfali ◽

Faraz Mojab ◽

Azam Fattahi

Keyword(s):

Side Effects ◽

Traditional Medicine ◽

Seborrheic Dermatitis ◽

Therapeutic Effects ◽

Herbal Extracts ◽

Herbal Products ◽

Search Terms ◽

Current Therapies ◽

Skin Conditions ◽

Conventional Antibiotics

Introduction: Dandruff and seborrheic dermatitis [SD] are similar skin conditions but have different severities. Because the current therapies are not able to completely remove dandruff, herbal extracts with better effectiveness and fewer side effects are being used in the pharmaceutical and cosmetic industries. Due to the adverse effects of chemical drugs, the use of natural products and traditional medicine has sharply increased over the past few decades. Therefore, in this review, we report herbs used as anti-dandruff agents in traditional medicine around the world. Methods: The review was conducted on the literature available on the medicinal utility of certain plants as antidandruff agents using PubMed and Google Scholar and the following search terms: Dandruff and Plants or Medicinal Plant and Dandruff treatment; and Essential oil and Dandruff. Results: Because the current therapies are not able to completely remove dandruff, herbal extracts with better effectiveness and fewer side effects are being used in the pharmaceutical and cosmetic industries. Nowadays, there are many different types of herbal antidandruff shampoo. They are effective and safe without the side effects of chemical agents. Recently, a large number of physicians have turned to herbal medicine. Clinical evidence of the therapeutic effects from herbal products has led to the study of many more herbs for their therapeutic roles. Conclusion: Herbal are now accepted to act a essential role in the development of favourable therapeutics, either alone or in combination with conventional antibiotics. However, the major challenges to this include finding compounds with satisfactorily lower MICs, low toxicity, and high bioavailability for effective and safe use in humans and animals.

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Reduction of Chemotherapy–Induced Side Effects by Complementary Medicine in Breast Cancer Patients

Austin Journal of Medical Oncology ◽

10.26420/austinjmedoncol.2021.1063 ◽

2021 ◽

Vol 8 (2) ◽

Author(s):

Beuth J ◽

◽

Böwe R ◽

Keyword(s):

Breast Cancer ◽

Side Effects ◽

Cancer Patients ◽

Complementary Medicine ◽

Sodium Selenite ◽

Lens Culinaris ◽

Proteolytic Enzymes ◽

Clinical Investigation ◽

Breast Cancer Patients ◽

Complementary Treatment

This clinical investigation was performed to evaluate the benefit of Complementary Medicine (CM) in breast cancer patients undergoing adjuvant Chemotherapy (ChT). Patients and Methods: The patients (n=668) were treated according to international guidelines with adjuvant ChT. As to reduce the side effects, the patients were complementarily treated with a combination of sodium selenite, proteolytic plant enzymes (bromelaine and papain) and Lens culinaris lectin. On Case Report Formulas (CRFs) assessment of side effects of ChT was documented at defined times during adjuvant ChT and additional complementary treatment. Validation was carried out by scoring from 1 (no side-effects/optimal tolerability) to 6 (extreme side-effects/extremely bad tolerability), however, only patients suffering from severe side effects (symptom scores 4 and higher) were enrolled into this investigation. Results: The severity of side-effects of ChT was significantly reduced by complementary treatment. Mean scores of symptoms declined for sleep disorder, fatigue, lack of drive (p<0.05) and for arthralgia, hot flushes, mucosal dryness, nausea, vomiting, diarrhea, loss of appetite, pain of tumour (p<0.001). Conclusion: This investigation confirms benefits of indication-based complementary treatment with the combination of sodium selenite, proteolytic enzymes and Lens culinaris lectin in breast cancer patients, e.g. reduction of side-effects of adjuvant ChT.

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Bee Venom—A Potential Complementary Medicine Candidate for SARS-CoV-2 Infections

Frontiers in Public Health ◽

10.3389/fpubh.2020.594458 ◽

2020 ◽

Vol 8 ◽

Author(s):

Keneth Iceland Kasozi ◽

Gniewko Niedbała ◽

Mohammed Alqarni ◽

Gerald Zirintunda ◽

Fred Ssempijja ◽

...

Keyword(s):

Complementary Medicine ◽

Neurological Diseases ◽

Complementary Therapy ◽

Interferon Γ ◽

Bee Venom ◽

Group Iii ◽

Humoral Immune ◽

Extracellular Signal ◽

Factor Α ◽

Protein Kinase Akt

Severe acute respiratory syndrome coronavirus 2 (SARS-CoV-2) is characterized by severe cytokine storm syndrome following inflammation. SARS-CoV-2 directly interacts with angiotensin-converting enzyme 2 (ACE-2) receptors in the human body. Complementary therapies that impact on expression of IgE and IgG antibodies, including administration of bee venom (BV), have efficacy in the management of arthritis, and Parkinson's disease. A recent epidemiological study in China showed that local beekeepers have a level of immunity against SARS-CoV-2 with and without previous exposure to virus. BV anti-inflammatory properties are associated with melittin and phospholipase A2 (PLA2), both of which show activity against enveloped and non-enveloped viruses, including H1N1 and HIV, with activity mediated through antagonist activity against interleukin-6 (IL-6), IL-8, interferon-γ (IFN-γ), and tumor necrosis factor-α (TNF-α). Melittin is associated with the underexpression of proinflammatory cytokines, including nuclear factor-kappa B (NF-κB), extracellular signal-regulated kinases (ERK1/2), and protein kinase Akt. BV therapy also involves group III secretory phospholipase A2 in the management of respiratory and neurological diseases. BV activation of the cellular and humoral immune systems should be explored for the application of complementary medicine for the management of SARS-CoV-2 infections. BV “vaccination” is used to immunize against cytomegalovirus and can suppress metastases through the PLA2 and phosphatidylinositol-(3,4)-bisphosphate pathways. That BV shows efficacy for HIV and H1NI offers opportunity as a candidate for complementary therapy for protection against SARS-CoV-2.

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Trends of Self-Medication Amongst the Patients Visiting the Out-Patient Department of Combined Military Hospital, Lahore

Esculapio ◽

10.51273/esc21.2516 ◽

2021 ◽

Vol 17 (1) ◽

pp. 30-33

Author(s):

Bushra Asif Ali Khan ◽

Faiza Muzahir ◽

Sahar Abdul Rauf ◽

Syeda Rubab Fatima ◽

Abida Pervaiz ◽

...

Keyword(s):

Public Awareness ◽

Cross Sectional Study ◽

Military Hospital ◽

Self Medication ◽

Related Factors ◽

Cross Sectional ◽

High Prevalence ◽

To Receive ◽

Previous Prescription ◽

Patient Department

Objective: The purpose of our study was to assess the trends of self-medication practices and to determine the prevalence, characteristics, related factors, and effects of self-medication among the patients conducted. Methods: This descriptive cross-sectional study was on patients of Combined Military Hospital Lahore on a sample size of 365. The data was collected and entered in a predesigned questionnaire about self-medication later analyzed using SPSS version 17.0. Results: The prevalence of self-medication was 95.3% and effectiveness was 87.7%. The common reasons for self-medication were prior knowledge of usefulness of remedy (63.3%), non-affordability of consultant charges (18.4%), and lack of time (21.9%). Frequently used medicines included antibiotics (30.1%), analgesics (69.6%), antipyretics (51.0%), and antihistamines (23.6%). Respondents claimed to receive information about these drugs from various sources including doctor (38.6%), previous prescription (31.8%), retailer seller (13.4%), family/friends (43.6%), media (7.9%) and other sources (1.6%). Conclusion: It had been concluded that there is a high prevalence of self-medication. There is a need to raise public awareness about the appropriate use in order to prevent potential hazards of self-medication. Key Words: trends, self-medication, out-patient department How to cite: Khan B.A.A, Muzahir F, Rauf S.A, Fatima S.R, Pervaiz A, Jamil S. Trends of self- medication amongst the patients visiting the out-patient department of Combined Military Hospital, Lahore. Esculapio.2021. 30-33

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RASIONALITAS PENGGUNAAN ANALGESIK DALAM SWAMEDIKASI NYERI DI KOTA DENPASAR

Jurnal Riset Kesehatan Nasional ◽

10.37294/jrkn.v5i1.315 ◽

2021 ◽

Vol 5 (1) ◽

pp. 66

Author(s):

Ni Putu Lydya ◽

Ni Putu Aryati Suryaningsih ◽

Ni made Umi Kartika Dewi

Keyword(s):

Low Income ◽

Therapeutic Index ◽

Descriptive Statistics ◽

Self Medication ◽

Cross Sectional ◽

Medication Practice ◽

Consecutive Sampling ◽

Cross Sectional Design ◽

The Right ◽

Analgesic Use

Latar Belakang: Nyeri merupakan keluhan terbanyak yang mendorong masyarakat untuk melakukan praktek swamedikasi. Analgesik efektif dan memiliki indeks terapi yang luas, namun dapat berpotensi untuk menimbulkan efek samping yang serius bahkan ketika digunakan dalam dosis yang tepat. Penelitian ini bertujuan untuk mengetahui gambaran terkait rasionalitas penggunaan analgesik dalam swamedikasi nyeri di Kota Denpasar. Metode: Studi ini menggunakan desain cross-sectional dan melibatkan 196 responden yang dipilih dengan consecutive sampling. Data dikumpulkan dengan menyebarkan kuesioner pada enam apotek di wilayah Kota Denpasar dan dianalisis secara deskriptif. Hasil: Penelitian ini menemukan bahwa 50,5% responden menggunakan analgesik secara tidak rasional dalam praktek swamedikasi nyeri. Mayoritas responden yang menggunakan analgesik dalam swamedikasi nyeri adalah perempuan, usia 17-25 tahun, tingkat pendidikan tinggi, bekerja dan memiliki tingkat pendapatan yang rendah. Kesimpulan: Setengah dari total responden menggunakan analgesik secara tidak rasional dalam praktek swamedikasi nyeri. Tingginya ketidakrasionalan penggunaan analgesik dapat menyebabkan peningkatkan biaya pengobatan dan dapat menimbulkan kondisi yang berbahaya. Kata kunci: Penggunaan analgesik, rasionalitas, swamedikasi AbstractBackground: Pain is the most complaints of illness that encourage communities to use analgesics in self-medication practice. Analgesics are effective and have a broad therapeutic index, but may have potentially serious side effects even when they used in the right dosage. This study aimed to determine the rationality of analgesic use in pain self-medication in Denpasar City. Method: A cross-sectional design was used, and involved 196 respondents selected through consecutive sampling. Data were collected from questionnaire distribution in six pharmacies in Denpasar City and analyzed by using descriptive statistics. Result: This study found that 50,5% respondents used analgesics irrationally in pain self-medication practice. The majority of respondents who used analgesics in pain self-medication were females, aged 17-25 years old, high education level, employed, and had low income. Conclusion: Half of the total respondents used analgesics irrationally in pain self-medication practice. High of irrational analgesic use can increase medical costs and lead to dangerous conditions. Keywords: Analgesic use, pain, rationality, self-medication

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