A STUDY OF THE PREVALENCE OF SELF MEDICATION PATTERN FOR PRIMARY DYSMENORRHEA AMONG UNDERGRADUATE MEDICAL AND DENTAL STUDENTS IN A TEACHING HOSPITAL IN TELANGANA
DOI:
https://doi.org/10.22159/ijpps.2024v16i10.51783Keywords:
Primary dysmenorrhoea (PD), Self-medication, Over-the-counter drugs (OTC)Abstract
Objective: To study the prevalence of self-medication by using over-the-counter drugs and non-pharmacological methods for primary dysmenorrhoea.
Methods: A Cross-sectional descriptive study using a self-developed and structured questionnaire as a tool, was conducted among medical and dental students with dysmenorrhoea and in the age group of 18-22yrs. Statistical analysis was done using the Chi-Square test.
Results: Out of 203 respondents 30% were self-medicated by using Over-The-Counter (OTC) drugs and 70% have treated themselves by non-pharmacological methods like taking rest, and applying hot fomentation on the abdomen. Among the OTC, 56% of them used a single drug and 44% used a combination of drugs. The most commonly used single drug was mefenamic acid and the most commonly used combination of drugs was mefenamic acid + dicyclomine hydrochloride. Out of those respondents taking OTC only 5% sought gynaecologist advice. A significant number of students were taking rest [Chi-square value = 66.84 p <0.01 Highly significant] losing attendance in their academics.
Conclusion: Primary Dysmenorrhoea (PD) affects young girls irrespective of the regularity of cycles. The prevailing self-medication pattern is inappropriate, substantial proportion of girls have inadequate knowledge regarding treatment and the need for gynaecologist consultation.
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Mohapatra D, Mishra T, Behera M, Panda P. A study of relation between body mass index and dysmenorrhea and its impact on daily activities of medical students. Asian J Pharm Clin Res. 2016;9(Suppl 3):297-9. doi:10.22159/ajpcr. 2016.v9s3.14753.
Rapkin AJ, Howe NC. Pelvic pain and dysmenorrhea. In: Berek JS, editor. Novak’s Gynecology. 14th ed. Philadelphia: Lippincot Williams & Wilkins; 2007. p. 505-40.
Umland EM, Weinstein LC, Buchanan E. Menstruation related disorders. In: Dipiro JT, Talbert RL, Yee GC, Matzke GR, Wells BG, Posey LW, editors. Pharmacotherapy a pathophysiologic approach. 7th ed. New York: McGraw Hill; 2008. p. 1329-44.
Agarwal AK, Agarwal A. A study of dysmenorrhea during menstruation in adolescent girls. Indian J Community Med. 2010 Jan;35(1):159-64. doi: 10.4103/0970-0218.62586. PMID: 20606943; PMCID: PMC2888348.
MacKay HT. Dysmenorrhea. In: McPhee ST, Papadakis MA, Gonzales R, Zeiger R, editors. Current Medical Diagnosis and Treatment. 49th ed. New York: McGraw Hill Lange; 2010. pp. 655–86.
Sanfilippo J, Erb T. Evaluation and management of dysmenorrhea in adolescents. Clin Obstet Gynecol. 2008 Jun;51(2):257-67. doi: 10.1097/GRF.0b013e31816d2307. PMID: 18463457.
Harlianti, m. S., &widiastuti, r. D. (2021). Dysmenorrhea management by non-medical faculties students of universitas muhammadiyahsurakarta in 2019. International Journal of Applied Pharmaceutics, 13(1), 27–29. https://doi.org/10.22159/ijap.2021.v13s1.Y0084
Mishra PS, More S, Gupta K, Rastogi D, Vignan N. A cross-sectional study to assess self-medication for various conditions among medical, paramedical, and non-medical students. Asian J Pharm Clin Res. 2024;17(5):66-71. DOI:10.22159/ajpcr.2024v17i5.50491.
Andersch B, Milsom I. An epidemiologic study of young women with dysmenorrhea. Am J Obstet Gynecol. 1982 Nov 15;144(6):655-60. doi: 10.1016/0002-9378(82)90433-1. PMID: 7137249.
Campbell MA, McGrath PJ. Use of medication by adolescents for the management of menstrual discomfort. Arch PediatrAdolesc Med. 1997 Sep;151(9):905-13.doi: 10.1001/archpedi.1997.02170460043007. PMID: 9308868.
O'Connell K, Davis AR, Westhoff C. Self-treatment patterns among adolescent girls with dysmenorrhea. J PediatrAdolesc Gynecol. 2006 Aug;19(4):285-9. doi: 10.1016/j.jpag.2006.05.004. PMID: 16873033.
Abay SM, Amelo W. Assessment of self-medication practices among medical, pharmacy, and health science students in gondar university, ethiopia. J Young Pharm. 2010 Jul;2(3):306-10. doi: 10.4103/0975-1483.66798. PMID: 21042491; PMCID: PMC2964771.
Kolhe S, Deb S. Dysmenorrhoea. ObstetGynaecolReprod Med. 2011;21(11):311-316. doi:10.1016/j.ogrm.2011.09.006
Eryilmaz G, Ozdemir F. Evaluation of menstrual pain management approaches by Northeastern Anatolian adolescents. Pain Manag Nurs. 2009 Mar;10(1):40-7. doi: 10.1016/j.pmn.2008.09.001. PMID: 19264282.
Banikarim C, Chacko MR, Kelder SH. Prevalence and impact of dysmenorrhea on Hispanic female adolescents. Arch PediatrAdolesc Med. 2000 Dec;154(12):1226-9. doi: 10.1001/archpedi.154.12.1226. PMID: 11115307.
El-Gilany AH, Badawi K, El-Fedawy S. Epidemiology of dysmenorrhoea among adolescent students in Mansoura, Egypt. East Mediterr Health J. 2005 Jan-Mar;11(1-2):155-63. PMID: 16532684.
Tzafettas J. Painful menstruation. Pediatr Endocrinol Rev. 2006 Jan;3 Suppl 1:160-3. PMID: 16641851.
French L. Dysmenorrhea in adolescents: diagnosis and treatment. Paediatr Drugs. 2008;10(1):1-7. doi: 10.2165/00148581-200810010-00001. PMID: 18162003.
Patruno JE. Dysmenorrhea. In: Ehrenthal D, Hoffman MK, Hillard PJ, editors.
Menstrual disorders. USA: Versa Press; 2006. p. 97-125.
Bovill JG. Mechanisms of actions of opioids and non-steroidal anti-inflammatory drugs. Eur J Anaesthesiol Suppl. 1997 May; 15:9-15. doi: 10.1097/00003643-199705001-00003. PMID: 9202932.
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