PHARMACOECONOMICAL ASPECTS OF SELF-MEDICATION; A COMMUNITY PHARMACY SURVEY IN NORTHERN KERALA

Authors

  • NAINA LIZ PUTHIYEDAM Department of , College of Pharmaceutical Sciences, Government Medical College, Kannur, Kerala, India.
  • ANJANA SAJAN Department of , College of Pharmaceutical Sciences, Government Medical College, Kannur, Kerala, India. https://orcid.org/0000-0002-0689-8718
  • ARUNA T Department of , College of Pharmaceutical Sciences, Government Medical College, Kannur, Kerala, India.
  • VINEETH VS Department of , College of Pharmaceutical Sciences, Government Medical College, Kannur, Kerala, India.
  • KIRON SS Department of Pharmacy, Faculty of College of Pharmaceutical Sciences, Government Medical College, Kannur, Kerala, India.
  • SMRITHY SUNNY Department of Pharmacy, Faculty of College of Pharmaceutical Sciences, Government Medical College, Kannur, Kerala, India.

DOI:

https://doi.org/10.22159/ajpcr.2022.v15i12.45982

Keywords:

Self-medication, Community pharmacy, Health economics, Pharmacoeconomics, Cost minimization, Consequences

Abstract

Objectives: The main objectives of the study are to identify the socio-economic characteristics of lay persons who engage in self-medication activities, to determine the economic aspects of self-medication, to conduct cost minimization analysis, and to determine the consequences of self-medication.

Methods: A cross-sectional survey was conducted in community pharmacies throughout Northern Kerala for a period of 6 months from April 2021 to September 2021. A total of 300 participants were selected through consecutive sampling.

Results: 117 people were from upper middle class families based on Kuppuswamy’s scale. A majority of participants considered self-medication for economic benefits which confirmed that self-medication is closely related to the financial background of the respondents. The costs saved were measured by calculating the costs associated with hospital visits by them or family in the past 6 months for similar manifestations. During the study, the cost of branded drugs prescribed was determined as 70–1498.78% more than the generic versions. Hence, patients are spending much more on their treatment unaware about other alternative options. 117 participants experienced an adverse drug reaction after taking the medication, and 134 participants responded that their symptoms were not improving and 99 entrants had to visit the hospital who had an economic burden due to delay in detection of the disease.

Conclusion: Thus, the study concluded that there is a strong relationship between pharmacoeconomics and self-medication behavior.

Downloads

Download data is not yet available.

References

World Health Organization. WHO guidelines for the regulatory assessment of medicinal products for use in self-medication. In: WHO Drug Information. Vol. 14. Geneva: World Health Organization; 2001. p. 18-26.

Segall A. A community survey of self-medication activities. Med Care 1990;28:301-10. doi: 10.1097/00005650-199004000-00002, PMID 2319821

Noone J, Blanchette CM. The value of self medication: Summary of existing evidence. J Med Econ 2018;21:201-11. doi: 10.1080/13696998.2017.1390473, PMID 28994329

Alghanim SA. Self-medication practice among patients in a public health care system. East Mediterr Health J 2011;17:409-16. doi: 10.26719/2011.17.5.409, PMID 21796954

Hughes CM, McElnay JC, Fleming GF. Benefits and risks of self medication. Drug Saf 2001;24:1027-37. doi: 10.2165/00002018- 200124140-00002, PMID 11735659

Omar S, Sharm S. Pharmacoeconomic evaluation: Cost minimization analysis of different brands of calcium supplements in Kanpur. Pharma Innov J 2018;7:221-7.

Kumar S, Baldi A. Pharmacoeconomics: Principles, methods and economic evaluation of drug therapy. PhTechMed 2013;2:362-9.

Rascati KL. Essentials of Pharmaco-Economics. 2nd ed. Philadelphia, PA: Wolters Kluwer Health; ???. p. 15-35.

Chen GJ, Ferrucci L, Moran WP, Pahor M. A cost-minimization analysis of diuretic-based antihypertensive therapy reducing cardiovascular events in older adults with isolated systolic hypertension. Cost Eff Resour Alloc 2005;3:2. doi: 10.1186/1478-7547-3-2, PMID 15670330

Hayati H, Khosravi B, Kebriaeezadeh A, Khanizade M. Study of self-medication status among referring patients to Kashan pharmacies. JPPM 2015;1:45-8.

Asseray N, Ballereau F, Trombert-Paviot B, Bouget J, Foucher N, Renaud B, et al. Frequency and severity of adverse drug reactions due to self-medication: A cross-sectional multicentre survey in emergency departments. Drug Saf 2013;36:1159-68. doi: 10.1007/s40264-013- 0114-y, PMID 24163273

Drumaond M, Dubois D, Garattini L, Horisberger B, Jönssone B, Kristiansen IS, et al. Current trends in the use of pharmacoeconomics and outcomes research in Europe. Value Health 1999;2:323-32.

Schmiedl S, Rottenkolber M, Hasford J, Rottenkolber D, Farker K, Drewelow B, et al. Self-medication with over-the-counter and prescribed drugs causing adverse-drug-reaction-related hospital admissions: Results of a prospective, long-term multi-centre study. Drug Saf 2014;37:225-35. doi: 10.1007/s40264-014-0141-3, PMID 24550104

Lind BK, Lafferty WE, Tyree PT, Diehr PK. Comparison of health care expenditures among insured users and nonusers of complementary and alternative medicines in Washington State: A cost minimization analysis. J Altern Complement Med 2010;16:411-7. doi: 10.1089/ acm.2009.0261, PMID 20423210

Chen VK, Arguedas MR, Kilgore ML, Eloubeidi MA. A cost minimization analysis of alternative strategies in diagnosing pancreatic cancer. Gastrointest Endosc. 2004;55:138.

Jainam VS, Kalyani NP, Shrikalp SD. Pharmacoeconomics evaluation, cost minimization analysis of anti-diabetic therapy in Gujarat. Int J Med Res Health Sci 2016;5:34-43.

Zeinali F, Yousefi N, Peiravian F. Parental self-medication with antibiotics in Iran. JPPM 2018;2:60-3.

Sam AT, Nagesvararao NJ, Vampanan ND, Sharon TX, Arumugam D. Retrospective patient data analysis with respect to irresponsible self medication in a community pharmacy setting in Taiping (Malaysia). Indian J Pharm Pract 2009;2:19-30.

Jerez-Roig J, Medeiros LF, Silva VA, Bezerra CL, Cavalcante LA, Piuvezam G, et al. Prevalence of self-medication and associated factors in an elderly population: A systematic review. Drugs Aging 2014;31:883-96. doi: 10.1007/s40266-014-0217-x, PMID 25323057

Domingues PH, Galvão TF, de Andrade KR, de Sá PT, Silva MT, Pereira MG. Prevalence of self medication in the adult population of Brazil: A systematic review. Rev Saue Publica 2015;49:36.

Schafheutle EI, Cantrill JA, Nicolson M, Noyce PR. Insights into the choice between self-medication and a doctor’s prescription: A study of hay fever sufferers. Int J Pharm Pract 1996;4:156-61.

Pagán JA, Ross S, Yau J, Polsky D. Self medication and health insurance coverage in Mexico. Health Policy 2006;75:170-7. doi: 10.1016/j. healthpol.2005.03.007, PMID 16338480

Segall A. A community survey of self-medication activities. Med Care 1990;28:301-10. doi: 10.1097/00005650-199004000-00002, PMID 2319821

Akku S, Garg A, Khandarkar S. Cost minimization analysis of generic equivalents (bortezomib, decitabine and capecitabine) in comparison to the originator brand medicines in Colombia. GaBI J 2016;5:164.

Chaudhary RK, Philip MJ, Santhosh A, Karoli SS, Bhandari R, Ganachari MS. Health economics and effectiveness analysis of generic anti-diabetic medication from Jan Aushadhi. Diabetes Metab Synrdr 2021;15:102303.

Pattil R, Hooli TV, Aithal S. Economic evaluation of PPI prescription in patients: A cost minimization analysis. SJAMS 2015;3:2235-7.

Azami-Aghdash S, Mohseni M, Etemadi M, Royani S, Moosavi A, Nakhaee M. Prevalance and cause of self-medication in Iran: A systematic review and meta-analysis article. Iran J Public Health 2015;44:1580-93.

Patel M, Slack M, Cooley J, Bhattacharjee S. A cross-sectional survey of pharmacists to understand their personal preference of brand and generic over-the-counter medications used to treat common health conditions. J Pharm Policy Pract 2016;9:17. doi: 10.1186/s40545-016- 0066-6, PMID 27103997

Ramesh L. Economic evaluation of antibiotic prescriptions: A cost minimization analysis. J Appl Pharm Sci 2013;3:163.

Vaseem A, Ali M, Khan MM. A study to evaluate prescribing pattern and cost minimization analysis of antihistamines among patients of allergy. Int J Basic Clin Pharmacol 2016;5:2500-3.

Darden ME, Papageorge NW. Rational Self-Medication. Vol. 110. NBER Working Paper No. 25371. 2018. p. 112.

Published

07-12-2022

How to Cite

PUTHIYEDAM, N. L., A. SAJAN, A. T, V. VS, K. SS, and S. SUNNY. “PHARMACOECONOMICAL ASPECTS OF SELF-MEDICATION; A COMMUNITY PHARMACY SURVEY IN NORTHERN KERALA”. Asian Journal of Pharmaceutical and Clinical Research, vol. 15, no. 12, Dec. 2022, pp. 192-6, doi:10.22159/ajpcr.2022.v15i12.45982.

Issue

Section

Original Article(s)