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“A SURVEY ON SELF MEDICATION PRACTICES

 AMONG PHARMACY STUDENTS IN SATARA

   COLLEGE OF PHARMACY, SATARA”

                By

      Mr. BIRUDEV BAPU KALE

          B. PHARM (SEM-VIII)


         Under the guidance of

     Asstt. Prof. Mrs. A. K. SALUNKHE

          M. PHARM (PHARMACEUTICS)
CONTENTS

1. Introduction
2. Need of present a Survey
3. Objectives
4. Review of Literature
5. Methodology
6. Result & Discussion
7. Conclusions
8. REFERENCES
Introduction
 Definition of self medication:

 The selection and use of medicines by individuals to treat self-
    recognized illnesses or symptoms.

 Advantages of Self Medication:

   Time saving.
   Convenient.
   Enable patients to control their own chronic conditions.
   Economical.
   Useful for mild illness.
   Reduce the pressure on medical services where health care
    personnel are insufficient.
 Disadvantages of Self Medication:

Adverse Drug Reactions.
Lack of knowledge about dose.
Chances of using wrong medication.
Risk of disease aggravation.
 Drug interactions.
Common drugs used for Self Medication:
         Sr. No.           Drug / drug group            Brand names

           1                   Analgesics      Saridon
                                               Disprin
           2                  Antipyretics     Calpol
                                               Crocin
           3                                   D cold total

                          Cough Preparations   Glycodin
                                               Corex
                                               Benadryl
           4                  Antibiotics      Amoxil
                                               Trimox
           5                 Anti-allergics    Levorid
                                               Cetzine
           6                                   Gelusil

                               Antacids        Rantac
                                               Zinetac
NEED OF PRESENT A SURVEY:

 In economically deprived countries most episodes of
  illness are treated by self-medication. In a number of
  developing countries many drugs are dispensed over the
  counter without medical supervision. In this case, self-
  medication provides a lower cost-alternative for people
  who cannot afford the cost of clinical service.
Objectives

 To assess the self-medication practice.


 To assess common types of illnesses.


 To identify frequently used drugs and
  determinants of self-medication.
REVIEW OF LITERATURE:

 Verma Rohit K. et. al., (2010) studied self medication among
  professional students in North India. Samples of 1175 young
  students belonging to different regions of North India were
  selected randomly from two institutions of U. P. Technical
  University.
 Widayati Aris et.al., (2011) studied self medication with
  antibiotics in Yogyakarta City Indonesia. A total of 559
  questionnaires were analyzed (response rate = 90%).
METHODOLOGY

 Study site:
  Study was carried out in Satara College of Pharmacy, Satara. It is the
  health professional training institute in Satara. It was established in
  1999. The college is a pioneer in training Health Professionals. Since
  then, the college is expanding its scope of activities and currently it is
  training students in Pharmacy Profession.
 Study population:
  The cross-sectional study was conducted on 100 volunteers
  (students and teaching staff) taken as a sample from a total of 500
  volunteers (students and teaching staff) in Satara College of
  Pharmacy Satara. A random sampling method was used to choose
  the respective number of volunteers (students and teachers).
Data collection and analysis:

A study with six month illness recall was conducted.
The pre-tested, semi-structured questionnaire was prepared. Data was collected
from January 15 to February 21, 2012. The study subjects were informed that the
information collected would be anonymous; and participation would be totally
voluntary. The age, sex, and year of study were noted. The information regarding
the type of medication, illness for which the medication was used and the reason
for not consulting a doctor was collected. The pattern of drug use over a six-
month period preceding the study was noted. Their attitude toward self-
medication and source of information for those who practiced self-medication
were also recorded. Data were analyzed using Microsoft Excel and the results
were presented using absolute figures and percentages.
Questionnaire:

1. Demographic data:
   Gender
   Age
   Class
2. How many minutes of walking does it take for you to reach the nearest health
post or medical store?
3. How many episodes of illness have you had in the preceding six months?
4. What were the main symptoms of your illness?
5. Were there any associated complaints?
6. Have you used medicines on your own without consulting a doctor in the
preceding six months?
7. What type of medicine(s) did you use? Please give their Brand name(s).
8. What was your main reason for not consulting a doctor?
9. If you were not recovered by above medicine, have you consulted a Physician
in the preceding six months?
RESULT AND DISCUSSION
Demographic characteristics of volunteers who reported illness in the last
six months in Satara college of Pharmacy, Satara, in 2011:

     Sr.                                                              Percentage
                         Variable                     Frequency
     No.                                                                 (%)
                         Sex
     1                   Male (n = 53)                   53              53
                         Female (n = 47)                 47              47
                         Age
     2                   18-20                           23              23

                         21 – 24 (n = 57)                57              57

                         25 and above                    20              20

                         Year
     3
                         B. Pharm I year (n = 2)         02              02

                         B. Pharm II year (n = 6)        06              06

                         B. Pharm III year (n = 12)      12              12

                         B. Pharm IV year (n = 45)       45              45

                         I year Diploma(n=3)             03              03

                                                                         07
                         II year Diploma(n=7)            07

                         M. Pharm (n=10)                 10              10

                         Teaching staff
                                                         15
                         (n = 15)                                        15
Frequency of reported symptoms / disease:

    Sr. No.         Type of
                  symptoms/         Frequency   Percentage (%)
                   diseases
      1        Fever / Headache
                                       53            53
               / Body ache
      2        Cough          and
                                       12            12
               Common cold
      3        Hyperacidity            27            27
      4        Diarrhea/
                                        4             4
               Dysentery
      5        Eye/ Ear/ Skin
                                        4             4
               infections
Measures taken by students who reported an illness:


     Sr. No.
               Measure
                             Drug source            Frequency   Percentage
               taken
                                                                   (%)
                             Pharmacy         or
        1      Visiting      drug shop with             5           5
               physician     prescription
                             Pharmacy or
        2      Self-         drug           shop       92          92
               medication    without
                             prescription
                             Drugs           left
                             over           from        3           3
                             prior use
Drugs or drug groups used by the volunteers for self-medication:


         Sr. No.     Drugs/drug
                                        Frequency        Percentage (%)
                     groups

            1        NSAIDs                 39                41.05

            2        Anti-allergics         17                17.89

            3        Anti-tussives          4                  4.21

            4        Antacids               22                23.15

            5        Eye/ Ear drops         2                  2.10

            6        Anti-amoebics          2                  2.10

            7        Anti-biotics           9                  9.47
Factors for self-medication:



  Sr. No.     Reason           Frequency   Percentage (%)
     1        Prior
                                  27           28.42
              experience

     2        Non-serious
                                  47           49.47
              illness
     3
              Emergency use       10           10.52

     4        Cost-
                                  11           11.57
              effectiveness
Information source for those who practiced self-medication:


    Sr. No.          Information                              Percentage
                                         Frequency
                     source                                      (%)
              1      Reading
                                             43                 45.26
                     material

              2      Advice       from
                                             32                 33.68
                     pharmacist
              3      Advice       from
                                             14                 14.73
                     friend

              4
                     Others                   6                  6.31
Attitude of volunteers toward self medication practice:



         Sr. No.      Attitude           Frequency        Percent(%)
            1
                      Agree                   91             91


            2
                      Disagree                05              5

            3         Others      (no
                                              04              4
                      comment)
CONCLUSIONS

Students in Satara College of Pharmacy Satara,
95%,     practiced    self-medication.   NSAIDs
(e.g.Paracetamol) were the drugs most commonly
used. Prescription drugs such as antibiotics were
involved in self-medication practice. Prior
experience and non-seriousness of the illness
were the most common reasons for self-
medication. Although the self-medication practice
is inevitable; drug authorities and health
professionals need to educate students about the
pros and cons of self medication
REFERENCES:
 World Health Organization. The Role of pharmacist in Heath Care
    System; 1998. Available from:
    http://www.apps.who.int/medicinedocs/en/d/Jwhozip32e
    Shankar PR, Partha P, Shenoy N. Self-medication and non-doctor
    prescription practices in Pokhara valley, Western Nepal: A
    questionnaire-based study. BMC Fam Pract. 2002; 3:17.
   Mandavi Pramil Tiwarl and Vinay Kapur. Indian J. Pharm .pract1 (1),
    Oct-Dec, 2008
   V. D. Phalke, D. B. Phalke, P. M. Durgawale. Indian Journal of
    Community Medicine Vol31, No.1, Jan-Mar, 2006.
   Greenhalgh T. Drug prescription and self-medication in India: an
    exploratory survey. Soc Sci Med. 1987; 25:307–318. doi:
    10.1016/0277-9536(87)90233-4.
   Sharma HB, Gautam RP, Vaidya S., Eds. District development profile
    of Nepal. Kathmandu, Informal sector research and study center.
    2001.
THANK YOU!

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Self Medication Practices

  • 1.
  • 2. “A SURVEY ON SELF MEDICATION PRACTICES AMONG PHARMACY STUDENTS IN SATARA COLLEGE OF PHARMACY, SATARA” By Mr. BIRUDEV BAPU KALE B. PHARM (SEM-VIII) Under the guidance of Asstt. Prof. Mrs. A. K. SALUNKHE M. PHARM (PHARMACEUTICS)
  • 3. CONTENTS 1. Introduction 2. Need of present a Survey 3. Objectives 4. Review of Literature 5. Methodology 6. Result & Discussion 7. Conclusions 8. REFERENCES
  • 4. Introduction  Definition of self medication:  The selection and use of medicines by individuals to treat self- recognized illnesses or symptoms.  Advantages of Self Medication:  Time saving.  Convenient.  Enable patients to control their own chronic conditions.  Economical.  Useful for mild illness.  Reduce the pressure on medical services where health care personnel are insufficient.
  • 5.  Disadvantages of Self Medication: Adverse Drug Reactions. Lack of knowledge about dose. Chances of using wrong medication. Risk of disease aggravation.  Drug interactions.
  • 6. Common drugs used for Self Medication: Sr. No. Drug / drug group Brand names 1 Analgesics Saridon Disprin 2 Antipyretics Calpol Crocin 3 D cold total Cough Preparations Glycodin Corex Benadryl 4 Antibiotics Amoxil Trimox 5 Anti-allergics Levorid Cetzine 6 Gelusil Antacids Rantac Zinetac
  • 7. NEED OF PRESENT A SURVEY:  In economically deprived countries most episodes of illness are treated by self-medication. In a number of developing countries many drugs are dispensed over the counter without medical supervision. In this case, self- medication provides a lower cost-alternative for people who cannot afford the cost of clinical service.
  • 8. Objectives  To assess the self-medication practice.  To assess common types of illnesses.  To identify frequently used drugs and determinants of self-medication.
  • 9. REVIEW OF LITERATURE:  Verma Rohit K. et. al., (2010) studied self medication among professional students in North India. Samples of 1175 young students belonging to different regions of North India were selected randomly from two institutions of U. P. Technical University.  Widayati Aris et.al., (2011) studied self medication with antibiotics in Yogyakarta City Indonesia. A total of 559 questionnaires were analyzed (response rate = 90%).
  • 10. METHODOLOGY  Study site: Study was carried out in Satara College of Pharmacy, Satara. It is the health professional training institute in Satara. It was established in 1999. The college is a pioneer in training Health Professionals. Since then, the college is expanding its scope of activities and currently it is training students in Pharmacy Profession.  Study population: The cross-sectional study was conducted on 100 volunteers (students and teaching staff) taken as a sample from a total of 500 volunteers (students and teaching staff) in Satara College of Pharmacy Satara. A random sampling method was used to choose the respective number of volunteers (students and teachers).
  • 11. Data collection and analysis: A study with six month illness recall was conducted. The pre-tested, semi-structured questionnaire was prepared. Data was collected from January 15 to February 21, 2012. The study subjects were informed that the information collected would be anonymous; and participation would be totally voluntary. The age, sex, and year of study were noted. The information regarding the type of medication, illness for which the medication was used and the reason for not consulting a doctor was collected. The pattern of drug use over a six- month period preceding the study was noted. Their attitude toward self- medication and source of information for those who practiced self-medication were also recorded. Data were analyzed using Microsoft Excel and the results were presented using absolute figures and percentages.
  • 12. Questionnaire: 1. Demographic data: Gender Age Class 2. How many minutes of walking does it take for you to reach the nearest health post or medical store? 3. How many episodes of illness have you had in the preceding six months? 4. What were the main symptoms of your illness? 5. Were there any associated complaints? 6. Have you used medicines on your own without consulting a doctor in the preceding six months? 7. What type of medicine(s) did you use? Please give their Brand name(s). 8. What was your main reason for not consulting a doctor? 9. If you were not recovered by above medicine, have you consulted a Physician in the preceding six months?
  • 14. Demographic characteristics of volunteers who reported illness in the last six months in Satara college of Pharmacy, Satara, in 2011: Sr. Percentage Variable Frequency No. (%) Sex 1 Male (n = 53) 53 53 Female (n = 47) 47 47 Age 2 18-20 23 23 21 – 24 (n = 57) 57 57 25 and above 20 20 Year 3 B. Pharm I year (n = 2) 02 02 B. Pharm II year (n = 6) 06 06 B. Pharm III year (n = 12) 12 12 B. Pharm IV year (n = 45) 45 45 I year Diploma(n=3) 03 03 07 II year Diploma(n=7) 07 M. Pharm (n=10) 10 10 Teaching staff 15 (n = 15) 15
  • 15. Frequency of reported symptoms / disease: Sr. No. Type of symptoms/ Frequency Percentage (%) diseases 1 Fever / Headache 53 53 / Body ache 2 Cough and 12 12 Common cold 3 Hyperacidity 27 27 4 Diarrhea/ 4 4 Dysentery 5 Eye/ Ear/ Skin 4 4 infections
  • 16. Measures taken by students who reported an illness: Sr. No. Measure Drug source Frequency Percentage taken (%) Pharmacy or 1 Visiting drug shop with 5 5 physician prescription Pharmacy or 2 Self- drug shop 92 92 medication without prescription Drugs left over from 3 3 prior use
  • 17. Drugs or drug groups used by the volunteers for self-medication: Sr. No. Drugs/drug Frequency Percentage (%) groups 1 NSAIDs 39 41.05 2 Anti-allergics 17 17.89 3 Anti-tussives 4 4.21 4 Antacids 22 23.15 5 Eye/ Ear drops 2 2.10 6 Anti-amoebics 2 2.10 7 Anti-biotics 9 9.47
  • 18. Factors for self-medication: Sr. No. Reason Frequency Percentage (%) 1 Prior 27 28.42 experience 2 Non-serious 47 49.47 illness 3 Emergency use 10 10.52 4 Cost- 11 11.57 effectiveness
  • 19. Information source for those who practiced self-medication: Sr. No. Information Percentage Frequency source (%) 1 Reading 43 45.26 material 2 Advice from 32 33.68 pharmacist 3 Advice from 14 14.73 friend 4 Others 6 6.31
  • 20. Attitude of volunteers toward self medication practice: Sr. No. Attitude Frequency Percent(%) 1 Agree 91 91 2 Disagree 05 5 3 Others (no 04 4 comment)
  • 21. CONCLUSIONS Students in Satara College of Pharmacy Satara, 95%, practiced self-medication. NSAIDs (e.g.Paracetamol) were the drugs most commonly used. Prescription drugs such as antibiotics were involved in self-medication practice. Prior experience and non-seriousness of the illness were the most common reasons for self- medication. Although the self-medication practice is inevitable; drug authorities and health professionals need to educate students about the pros and cons of self medication
  • 22. REFERENCES:  World Health Organization. The Role of pharmacist in Heath Care System; 1998. Available from: http://www.apps.who.int/medicinedocs/en/d/Jwhozip32e  Shankar PR, Partha P, Shenoy N. Self-medication and non-doctor prescription practices in Pokhara valley, Western Nepal: A questionnaire-based study. BMC Fam Pract. 2002; 3:17.  Mandavi Pramil Tiwarl and Vinay Kapur. Indian J. Pharm .pract1 (1), Oct-Dec, 2008  V. D. Phalke, D. B. Phalke, P. M. Durgawale. Indian Journal of Community Medicine Vol31, No.1, Jan-Mar, 2006.  Greenhalgh T. Drug prescription and self-medication in India: an exploratory survey. Soc Sci Med. 1987; 25:307–318. doi: 10.1016/0277-9536(87)90233-4.  Sharma HB, Gautam RP, Vaidya S., Eds. District development profile of Nepal. Kathmandu, Informal sector research and study center. 2001.

Editor's Notes

  1. WELCOME
  2. “A SURVEY ON SELF MEDICATION PRACTICES AMONG PHARMACY STUDENTS IN SATARA COLLEGE OF PHARMACY, SATARA”
  3. INTRODUCTIONOBJECTIVESMETHODOLOGYRESULT & DISCUSSIONCONCLUSION
  4. Questionnaire21. Demographic data:GenderAgeClass 2. How many minutes of walking does it take for you to reach the nearest health post or medical store?3. How many episodes of illness have you had in the preceding six months?4. What were the main symptoms of your illness?5. Were there any associated complaints?6. Have you used medicines on your own without consulting a doctor in the preceding six months?7. What type of medicine(s) did you use? Please give their Brand name(s).8. What was your main reason for not consulting a doctor?9. If you were not recovered by above medicine, have you consulted a Physician in the preceding six months?
  5. RESULT AND DISCUSSION
  6. Demographic characteristics of volunteers who reported illness in the last six months in Satara college of Pharmacy, Satara, in 2011