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Silvan, Merlin Thaipparambil
- Study on Determinants of Self Medication Practice amongst Consumers in Parts of East Bengaluru
Authors
1 Department of Pharmacy Practice, Krupanidhi College of Pharmacy, Bengaluru, IN
2 Krupanidhi College of Pharmacy, Bengaluru, IN
3 Department of Community Medicine, MVJ Medical College and Research Hospital, Bengaluru, IN
Source
Journal of Pharmaceutical Research, Vol 14, No Special Ed (2015), Pagination: 56-56Abstract
INTRODUCTION: Self medication is the problem that has the potential to harm society due to irrational use of drugs. The nature and extend of practice of self medication depends upon many factors like nature of the disease, educational qualification of the person, non availability of the specialized person, cultural and social influences.AIM: To identify the socio demographic determinants associated with selfmedication practice in the population of selected area.
METHODOLOGY: A community based cross sectional study was conducted in East Bengaluru area over the period of 6 months using pre tested semi structured questionnaire.The subjects were asked to recollect self medication practice for one year recall period.
RESULTS& DISCUSSION: The data on socio demographic characteristics and practice of self medication were collected from 427 study participants. A significant correlation was observed particular age group ( 24 - 30 years)[Prob>F = 0.0056, Prob>|t| = <0.0001]; while a moderate correlation for education[Prob>|t| = <0.0001], occupation [Prob>|t| = <0.0001] and economic status[Prob>|t| = <0.0001] of the survey respondents. And no particular correlation was observed for gender, familial types and the area of domicile of the participants.
The frequency of self medication use ranged from minimum of one time to all the time.Fever (68.67%), pain (54.56%), and cough (42.15%) were the most common illnesses where self-medication is common. Pain killers (68.85%) and antipyretics (50.58%) were the most commonly used self medicating drugs. Telling the symptoms to pharmacist (89.69%) was the commonest method adopted to procure drugs by the users. The major reason for self medication was lack of time to visit doctor (32.31). Only 33.34% of the subjects agree self medication is harmful; but most of them (66.97%) did not advise others to use self-medication drugs.
CONCLUSION: Self medication is more prevalent among the younger population of the respondents, irrespective of their educational backgrounds andeconomic status. A newer approach to connect with andeducating these consumers is essential.
Keywords
Self Medication, Community Pharmacist, OTC Medications.- Nimesulide Induced Stevens Johnson Syndrome: A Case Report
Authors
1 Department of Pharmacy Practice, Krupanidhi College of Pharmacy, Bengaluru, IN
2 Department of Dermatology, MVJ Medical College and Research Hospital, Bengaluru, IN
3 Krupanidhi College of Pharmacy, Bengaluru, IN
Source
Journal of Pharmaceutical Research, Vol 14, No Special Ed (2015), Pagination: 69-69Abstract
Stevens-Johnson Syndrome (SJS) and toxic epidermal necrolysis (TEN) are rare, life-threatening mucocutaneous reaction that predominantly involve the skin and mucous membranes and which is most often elicited by drugs and occasionally by infections. SJS and TEN are considered to be the same condition on two ends of a spectrum, differing only by the extent of epidermal detachment. Several drugs are at high risk of implicating TEN/SJS including: antimicrobials like sulfonamide followed by nonsteroidal anti-inflammatory drugs (NSAIDs), anticonvulsant drugs, and anti-gout drug etc.Here report a case of TEN in 23 year old male following the ingestion of Tab. Nimesulide. Nimesulide is a nonsteroidal antiinflammatory (NSAID) drug with antipyretic and analgesic properties. There have been very few previous reports of SJS/TEN induced by the ingestion of Nimesulide in the medical literature.
The patient was managed aggressively with parenteral corticosteroids, antimicrobial drugs, emollients, nutritional supplement and palliative care. This case highlights the importance of Nimesulide and other NSAIDS as the possible cause of SJS/TEN. Nimesulide has never been approved for use in countries like USA, UK, Canada, Australia, New Zealand, Japan and other countries in view of concerns over its safety profile.
However, in India, due to paucity of data, the drug is rampantly used and available as OTC product. Government of India and Regulatory Authorities should createawareness among practitioners to report all the ADRs to the Adverse Drug Reactions Reporting Centers.