Profile of drugs used for self-medication by elderly attended at a referral center

Oliveira, Samanta Bárbara Vieira de; Barroso, Soraya Coelho Costa; Bicalho, Maria Aparecida Camargos; Reis, Adriano Max Moreira

doi:10.31744/einstein_journal/2018ao4372

Cited by 22 publications

(22 citation statements)

References 19 publications

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“…Our results are consistent with those of other authors showing that the most frequently parentally administered medicines are analgesics, antitussives, and antidiarrheals [ 4 , 15 , 22 ]. Recent studies conducted in adults show that medications for the musculoskeletal and nervous systems rank at the top (NSAIDs and other analgesics despite the risk of gastrointestinal complications), followed by medications for digestive, respiratory, and cardiovascular symptoms [ 17 , 23 , 24 , 25 , 26 ]. Parental reports of antibiotic self-administration to their children were not common in our study, despite the fact that the consumption of antibiotics in Romania is very high in the community; among the most used antibiotics are penicillins, cephalosporins, and quinolones [ 27 ].…”

Section: Discussionmentioning

confidence: 99%

Patterns and Factors Associated with Self-Medication among the Pediatric Population in Romania

et al. 2020

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Background and objectives: Self-medication is a global phenomenon in both developed and emerging countries. At present, data regarding the practice, patterns, and factors associated with self-medication in Romanian patient groups of various ages and health are relatively scarce. A pilot study that uses a questionnaire was conducted to observe the attitudes as well as the behaviors of a group of Romanian parents related to self-medication, specifically their beliefs and perceived risks of the administration of medicine to their children without medical advice, frequency of self-medications, symptoms, and types of medications most commonly used without medical advice. Materials and Methods: The questionnaire was sent via e-mail or WhatsApp link on a mobile phone using the existing data at the general practitioner’s office together with the protection of data form and the informed consent form; some participants completed the questionnaire when they came for a regular visit at the general practitioner’s office. Of 246 applied questionnaires, we had a rate of responses of 98%. Results: We found a high percentage (70%) of parents who self-medicate their children. The data reveals a significant relation between parents’ beliefs on self-medication and their tendency to administrate drugs to their children without medical advice. A significant relation was also found between the likelihood of parental self-medication for their children and the number of illnesses experienced by their children over the six-month period prior to the survey. Even when parents have a correct understanding of self-medication risks, these are not aligned with actual behavior; therefore, parents continue to administer drugs to their children without medical advice. Conclusions: Our study helps to describe the patterns of parents’ decisions about self-medicating their children and to identify parents who are more predisposed to administering self-medication to their children.

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Section: Discussionmentioning

confidence: 99%

Patterns and Factors Associated with Self-Medication among the Pediatric Population in Romania

et al. 2020

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“…31,32 Com relação a polifarmácia, estudos anteriores corroboram com esse achado, nos quais houve relatos de prevalências que variaram entre 97,1% e 100%. 33,34 Não obstante a prática da polifarmácia seja bastante utilizada como medida clínica, objetivando uma melhor resposta e adesão ao tratamento, ela indica uma ameaça para a saúde do idoso, o que pode contribuir com os altos índices de mortalidade. 35,7 Dentre os fatores que obtiveram associação significativa com o uso de MPI nesta população, cabe destacar que a proporção de mulheres foi essencialmente maior que a dos homens, podendo explicar o fato de o sexo feminino estar mais exposto ao uso de MPI no presente estudo.…”

Section: Introdução (22%) Conclusionunclassified

Associated factors with the prescription of potentially inappropriate medication for older adult in a public hospital

Souza¹,

Santos²,

Cerqueira³

et al. 2021

Rev Bras Farm Hosp Serv Saude

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Objective: To evaluate the factors associated with the prescription of potentially inappropriate medications for the older adult (PIM) in a public hospital. Methods: A prospective cross-sectional study was carried out, whose data were collected from the medical records of older adult patients, admitted to the medical clinic of a public hospital, by a trained researcher, not a member of the staff. The collection took place between November 2018 and January 2019. The medical records of patients aged over 60 years, who were using at least one allopathic in-hospital medication, with a minimum of 48 hours of hospitalization, were included. Illegible prescriptions, or those containing only herbal medicines and / or vitamin supplements, were excluded. The PIMs were classified according to the Beers Criteria, 2019 update. Descriptive analysis of the data was performed using frequencies, means and standard deviation and bivariate analysis using the Chi-square and Fisher’s Exact tests, with a level of significance. p <0.05, using the software and SPSS® v.21.0. Results: 42 medical records of the older adult were analyzed, where a 100% prevalence of use of PIM and polypharmacy was identified. The number of PIMs per patient was significantly associated with females (p = 0.020), with a higher prevalence of older adult women who used between 1 and 4 PIMs (64.1%); diagnosis (p = 0.006), with a higher prevalence of older adult people with circulatory tract diseases (54.5% using 1-4 PIM), endocrine, nutritional and metabolic diseases (85.7% using 1-4 PIM) ) and diseases of the circulatory system (83.5% in use ≥5 PIM); polypharmacy (p = 0.002) with higher prevalence of older adult people who used ≥10 medications (52%, in use ≥ 5 PIM). The main therapeutic classes of PIM were of the alimentary tract and metabolism (46%) and nervous system (22%). Conclusion: It is concluded that the prescription of PIM was very high, where all the older adult in this study were exposed, being significantly associated with the female gender, polypharmacy, and diagnoses related to chronic comorbidities. It is necessary to raise the awareness of the team to adopt safer strategies and practices in the use of these drugs in order to minimize the exposure of the older adult to possible risks.

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“…Then, patients often buy OTC by themselves, thinking that OTC are safe and do not pay attention to potential drug risks, and it is more common for the elderly [ 16 , 17 ]. Self-medication of elderly patients, including OTC, can easily lead to ADR [ 18 , 19 ], PIM caused by the use of prescription drugs and OTC in elderly patients has attracted widespread attention [ 16 , 17 , 20 ]. A cross-sectional study conducted by the Health Counseling Center of a teaching hospital in Brazil, according to the Beers Criteria 2015, 80.5% of the elderly who self-medicate will purchase prescription and OTC without the supervision of professionals.…”

Section: Introductionmentioning

confidence: 99%

“…A cross-sectional study conducted by the Health Counseling Center of a teaching hospital in Brazil, according to the Beers Criteria 2015, 80.5% of the elderly who self-medicate will purchase prescription and OTC without the supervision of professionals. 55.5% of people used the drugs on the PIM list recognized by the Beers Criteria, and OTC accounted for 52.6% of these drugs [ 18 ]. In the elderly at risk of major adverse drug event (ADE), more than 50% of the events involve OTC [ 2 ].…”

Section: Introductionmentioning

confidence: 99%

Based on the Beers Criteria 2019 Edition Over-the-Counter Drugs Risk Confirmation of Elderly Chinese

Yang

Zhang

Huang

et al. 2021

BioMed Research International

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Objective. To explore OTC (over-the-counter drugs) in Chinese community pharmacies often causes ADE (adverse drug event) in elderly patients. Methods. Use the drugs in the Beers Criteria 2019 potentially inappropriate medication use (PIM) list as search terms. Search for drugs registered on the National Medical Products Administration of China website before December 2019 to determine the drugs containing PIM active ingredients and, then, search the Chinese OTC selection and conversion catalog database to determine it as OTC. Two databases are considered to be the same drug if they have the same drug composition. Results. The incidence of PIM in elderly patients in our community is relatively high, and the management of OTC may be related to risk factors. Statistics found that 71 OTC contained the Beers Criteria ingredients, including 65 chemicals and six Chinese patent medicines. Varieties of compound preparations accounted for 78.9% and cold medicines accounted for 47.9%. Conclusions. The high detection rate of the Beers Criteria in Chinese OTC suggests that medical practitioners in China, especially community pharmacists, should pay attention to the rational use of OTC in the elderly.

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Profile of drugs used for self-medication by elderly attended at a referral center

Cited by 22 publications

References 19 publications

Patterns and Factors Associated with Self-Medication among the Pediatric Population in Romania

Patterns and Factors Associated with Self-Medication among the Pediatric Population in Romania

Associated factors with the prescription of potentially inappropriate medication for older adult in a public hospital

Based on the Beers Criteria 2019 Edition Over-the-Counter Drugs Risk Confirmation of Elderly Chinese

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