scholarly journals Over-the-counter self-medication leading to intracranial hypertension in a young lady

2014 ◽  
Vol 05 (04) ◽  
pp. 384-386 ◽  
Author(s):  
A. M. Ramana Reddy ◽  
L. K. Prashanth ◽  
G. G. Sharat Kumar ◽  
G. Chandana ◽  
Rakesh Jadav

ABSTRACTIntracranial hypertension (idiopathic-IIH and secondary) is a potentially treatable condition. Although various factors such as female gender and obesity, certain drugs have been implicated as risk factors for IIH, there remains a lack of clarity in the exact causal-effect relationship. In India, self-medication by obtaining drugs over the counter due to lack of adequate drug regulation and ignorance of the public is a very common practice with a potential for severe adverse effects. We present a case of a young lady who has developed intracranial hypertension possibly due to self-medication with steroids and cyproheptadine, obtained over the counter.

Author(s):  
Pamayyagari Kalpana

Self-medication is a wide spread behavior, particularly among elderly patients. Self-medication involves not only the consumption of over-the-counter products but also the re-use of formerly prescribed drugs without medical supervision. This practice may lead to severe adverse health events. Here we report a case of old female, presented with cushingoid face and hyperglycemia due to self-medication of high dose Prednisolone for longer duration. Symptomatic treatment was given to stabilize the patient. Patient was warned regarding the adverse effects of drugs and strictly advised to use medication only under medical supervision.


Healthcare ◽  
2021 ◽  
Vol 9 (2) ◽  
pp. 123
Author(s):  
Patrycja Oleszkiewicz ◽  
Jerzy Krysinski ◽  
Urszula Religioni ◽  
Piotr Merks

Non-pharmacy trade concerns the sale of medicinal products outside of pharmacies, such as limited-service pharmacies, supermarkets, petrol stations, shops open to the public, and kiosks. Access to medicinal products via non-pharmacy outlets varies across the European countries, with a general deregulation of this market area observable. Increasing the availability of medicines by allowing patients to obtain them outside of pharmacies contributes to the spread of self-medication. The aim of this article was to review the legal regulations enabling the non-pharmacy trade in OTC (over the counter) medicinal products in European countries, with particular emphasis on the analysis of active substances contained in medicines available in the non-pharmacy trade. This analysis has made it possible to distinguish three categories of countries: (1) where there is a non-pharmacy trade in OTC medicinal products, (2) where there is a limited non-pharmacy trade in OTC medicines, (3) where there is only a pharmacy trade in OTC medicinal products. In the context of these considerations, we highlight the impact of patient access to medicinal products via non-pharmacy sources on raising the prevalence of self-medication. This article identifies the advantages and risks of self-medication, emphasising the role of the pharmacist as an advisor to patients within the scope of the therapies used.


2013 ◽  
Vol 2 (1) ◽  
pp. 15-20 ◽  
Author(s):  
Shamim Ara Begum ◽  
Mahmud Javed Hasan ◽  
Atia Sharmeen ◽  
Shamima Sultana

Self-medication is common in countries where prescription legislations are not strong enough and drugs are available over the counter. This study was conducted to assess the self-medication by antibiotics in Mymensingh Sadar Area population and determine the factors related to it. This descriptive study was conducted in Mymensingh Sadar Area between January 2010 and December 2010. Convenient sampling was used to select respondents from among those who came to the community pharmacies to purchase drugs for self-medication. Respondents were interviewed after they made their requests but before they were provided with information on the drugs they requested. Data were collected using structured questionnaire. Drug consumers consisted of all age categories of both genders; as well as different occupations of varying educational background levels. The most frequently reported illnesses that prompted self-medication of respondents were fever, dental pain, cough & common cold, dermatological and ENT problems. Over 42% of them made their requests by telling symptoms of illness and 32.3% obtained advice from traditional healers. The most common reasons reported for self-diagnosis and self-medication were cost of physician service and non-seriousness of the disease. More than 13 different types of antibiotics were requested, the most frequent category of antibiotics being ciprofloxacin/other FQS 21%, amoxicillin 16.5%, azithromycin/erythromycin 14% and cephalosporin 13.3%. Self-medication is widely practiced for a wide range of illnesses or symptoms of illnesses and for over-the-counter. The public as well as the health care providers have to be educated on the scopes of self-medication; i.e., the type of illnesses to be self-diagnosed and self-treated and the type of drug products to be used in order to promote responsible self-medication. DOI: http://dx.doi.org/10.3329/cbmj.v2i1.14176 Community Based Medical Journal Vol.2(1) 2013 15-20


Author(s):  
Gerald Ngo Teke ◽  
Sirri Letisia Nde ◽  
Mary Bi Suh

Background: Due to paucity of studies on the prevalence and pattern of self medication among Cameroonians and particularly dwellers of Bamenda City, in this research was undertaken to study the practice of self-drug administration among adult out patients at the Regional Hospital Bamenda; identify potential factors influencing self-medication practices; sources of drugs and/or information about medications and finally the reasons for self-drug administration.Methods: Participants (200) of age 18 years and above who came for external consultation during the study period were sampled conveniently after giving their consent. They were administered questionnaires on self-medication practices. Data was analyzed using SPSS version 19.0.Results: The prevalence of self-medication in this study was 86.50% (173/200). The females were more involved in the practice of self-medication (88.18%) than males (85.54%). Participants from deferent occupations had used various classes of drugs through self initiative. Analgesics were most commonly used (84.39%). This was followed by antimalarials (52.60%) and antibiotics (41.62%). While the least represented was the class of laxatives (1.73%). The factors promoting self medication practices were mainly due to mild nature of illness (36.50%) and longtime spent to see the doctor (22.50%). The leading source of information on self-medication prescription and administration came from doctors (78.61%) and pharmacists (34.42%). Over the counter drugs were the most commonly purchased from private pharmacies (76.88%).Conclusions: Self-medication is an important health issue in this area. This study shows the necessity to educate the public on health education and make regulation of pharmacies in limiting self-medication practices.


Author(s):  
Selma Škrbo ◽  
Semir Mehović ◽  
Naida Omerović ◽  
Anela Hadžifejzović Trnka ◽  
Nermina Žiga Smajić ◽  
...  

Aims: This study aimed to investigate whether the place of the survey makes a significant impact on the responses regarding the process of self-medication, as well as the present pharmacists’ engagement in this process in the Sarajevo Canton. Study Design: An anonymous questionnaire-based survey. Place and Duration of Study: One public pharmacy and various public places in the Sarajevo Canton, Bosnia and Herzegovina, for five months, February–June 2019. Methodology: A total of 312 respondents was included. The first group (165 respondents) was surveyed in the pharmacy after buying an over-the-counter (OTC) drug, and the second group (147 respondents) was surveyed outside the pharmacy. Results: Pharmacists instructed 65% of respondents (72.73% in the first group and 57.14% in the second group) on how to take the purchased OTC drug and checked whether 55% of respondents (70.91% in the first group and 38.1% in the second group) bought an appropriate drug for their health problem. Only 25% of respondents (36.36% in the first group and 12.24% in the second group) was informed about the adverse effects, whereas 29% of respondents (41.82% in the first group and 14.97% in the second group) was informed about the potential contraindications or interactions of the purchased OTC drug. The statistical analysis showed a significant relationship between the responses to the questions and the place of the survey about providing information on the adverse effects (P = .03), comorbidities (P = .049), and general information about the purchased OTC drug (P = .04). Conclusion: In the Sarajevo Canton, pharmacists should be more actively involved in the process of self-medication and provide the necessary advice to patients consuming OTC drugs. Further research is needed so general conclusions could be drawn.


2013 ◽  
Vol 154 (3) ◽  
pp. 83-92
Author(s):  
Mariann Harangi ◽  
Noémi Zsíros ◽  
Lilla Juhász ◽  
György Paragh

Statin therapy is considered to be safe and rarely associated with serious adverse events. However, a significant proportion of patients on statin therapy show some degree of intolerance which can lead to decreased adherence to statin therapy. The authors summarize the symptoms, signs and frequencies of the most common statin-induced adverse effects and their most important risk factors including some single nucleotide polymorphisms and gene mutations. Also, they review the available approaches to detect and manage the statin-intolerant patients. Orv. Hetil., 2013, 154, 83–92.


2021 ◽  
Author(s):  
Ekaterina Mosolova ◽  
Dmitry Sosin ◽  
Sergey Mosolov

During the COVID-19 pandemic, healthcare workers (HCWs) have been subject to increased workload while also exposed to many psychosocial stressors. In a systematic review we analyze the impact that the pandemic has had on HCWs mental state and associated risk factors. Most studies reported high levels of depression and anxiety among HCWs worldwide, however, due to a wide range of assessment tools, cut-off scores, and number of frontline participants in the studies, results were difficult to compare. Our study is based on two online surveys of 2195 HCWs from different regions of Russia during spring and autumn epidemic outbreaks revealed the rates of anxiety, stress, depression, emotional exhaustion and depersonalization and perceived stress as 32.3%, 31.1%, 45.5%, 74.2%, 37.7% ,67.8%, respectively. Moreover, 2.4% of HCWs reported suicidal thoughts. The most common risk factors include: female gender, nurse as an occupation, younger age, working for over 6 months, chronic diseases, smoking, high working demands, lack of personal protective equipment, low salary, lack of social support, isolation from families, the fear of relatives getting infected. These results demonstrate the need for urgent supportive programs for HCWs fighting COVID-19 that fall into higher risk factors groups.


1970 ◽  
Vol 5 (1) ◽  
pp. 35-44
Author(s):  
Daniele Cristina Braz Dos Santos ◽  
Alexandre Magno Batista Machado ◽  
Fábio Vieira Lacerda

Objetivo: O trabalho teve por objetivo mapear, quantificar e verificar a destinação dos medicamentos vencidos e em desuso, e contribuir com uma discussão sobre os problemas gerados com a destinação imprópria desses medicamentos e os impactos causados ao meio ambiente na cidade de Itajubá/MG. Materiais e Métodos: A pesquisa utilizou o método quantitativo de corte transversal, sendo realizada no período de maio a agosto de 2014. Participaram da pesquisa um total de trinta farmácias da cidade de Itajubá. As entrevistas foram realizadas com os responsáveis técnicos das farmácias (farmacêuticos), de forma individual, procurando identificar a forma de manejo e descarte dos fármacos. Do mesmo modo, procurou-se evidenciar como os colaboradores se comportam em relação a importância ecológica do descarte correto e como veem a importância de conscientizar a população. Resultados e Discussão: O consumo de medicamentos vem aumentando expressivamente nas últimas décadas, devido ao estímulo publicitário e à automedicação. Com isso, cada vez mais medicamentos são produzidos e descartados de forma inadequada, o que põe em risco o solo, os recursos hídricos e principalmente, a saúde humana. Por meio dos resultados obtidos pode-se perceber que poucos indivíduos possuem a conscientização do descarte correto dos medicamentos. Conclusão: A falta de colaboração por parte do poder público local em instruir a comunidade pode ser um dos motivos onde ainda existem muitas pessoas desinformadas. Apesar das farmácias estarem implementando um programa de destinação, poucas entendem ou sabem a destinação correta dos resíduos de medicamentos. Palavra-chave: Saúde. Medicamento. Destinação. ABSTRACTObjective: The study aimed to map, quantify and verify the allocation of accrued and unused medications, and contribute to a discussion of the problems created by improper disposal of these medications and the impacts to the environment in the Itajubá city state/MG. Materials and Methods: The research used a cross quantitative sectional study and was conducted in the period May to August 2014.  A total of 30 pharmacies from Itajubá participated. Interviews were conducted with the technical managers of the establishments surveyed, individually, seeking to identify the form of handling and disposal of medications. Similarly, sought to highlight how employees behave towards the ecological importance of proper disposal and how they see the importance to educate the public. Results and Discussion: The consumption of drugs has been increasing significantly in recent decades due to the advertising stimulus and self-medication. With this, more and more medications are produced and discarded improperly, putting the soil, water resources and especially human health at risk. Through the results obtained can be seen that few individuals possess the awareness of proper disposal of medications. Conclusion: The lack of cooperation from the local government to instruct the community can be one of the reasons where there are still many uninformed people. Although pharmacies are implementing a program allocation, few understand or know the proper disposal of waste medicines. Keywords: Health. Medicine. Destination


Sign in / Sign up

Export Citation Format

Share Document