Emergency department patient knowledge concerning acetaminophen (paracetamol) in over-the-counter and prescription analgesics

Fosnocht, David E.; Taylor, J; Caravati, E. Martin

doi:10.1136/emj.2007.053850

Cited by 45 publications

(41 citation statements)

References 17 publications

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“…But only 8 had the knowledge regarding the content of the brand and all except 9 had knowledge regarding the indication of the drug. Lack of knowledge regarding paracetamol content in the brands was quite similar to previous studies by Boudreau DM et al [15] who reported inadequate knowledge of drugs containing paracetamol and Fosnocht D [16] who reported that only 66-90% of 1009 patients in emergency department in a USA hospital had knowledge regarding the paracetamol contained in the common brands. But, the fact that our study participants were educated, contributed to their better awareness regarding the indication for use of the brand.…”

Section: Discussionsupporting

confidence: 86%

A Prospective Study for “Developing School Based Model for Mainstreaming Rational Use of Medicine”

Shetty¹,

Rege²,

Patil³

et al. 2016

BJPR

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Background and Objectives: For mainstreaming rational use of medicines (RUM), consumer education is a must. It was felt that a school based model, developed to empower teachers regarding RUM using a modular programme, can generate advocates to influence students as well as parents. The present study was undertaken to assess the baseline knowledge of school teachers about RUM and for pilot testing of some of the modules. Ed teachers were administered a validated questionnaire having total 60 questions, based on the information to be given to a doctor, sought from a doctor and enquiries to be made while purchasing medicines. Questions related to the attitude and behaviour like self prescribing, Shetty et al.; BJPR, 13(5): 1-9, 2016; Article no.BJPR.29470 2 antibiotics use, treatment for common diseases like cold, cough and diarrhoea, and use of multivitamins were also included. Participants were then given the above-information using powerpoint presentation, followed by group discussions and personal medicine inventory assessment. Post-test was conducted and the data was analysed using Wilcoxon matched pairs test. Results: 70/96 participants filled the personal inventory assessment proforma. Of these 63 carried drugs with them, crocin being the commonest. Of these, only 25 participants had knowledge of drug name in the brand they were using. The basal knowledge scores of 64±13.15 showed significant improvement to 74.78±11.66 post-workshop (p<0.05). This was mainly in areas like history giving of chronic disease/family disease (25%), pregnancy, contraception and habits (21%) and information to be sought about side effects and lifestyle modifications (20%). Awareness about rational injection use (31%) and treatment of diarrhoea and cough (15%) was also increased. The modules were well accepted. Desire for repeated training sessions was expressed by the participants. Conclusion: Knowledge of school teachers regarding appropriate use of medicines was insufficient but they were receptive towards training. Original Research Article

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Section: Discussionsupporting

confidence: 86%

A Prospective Study for “Developing School Based Model for Mainstreaming Rational Use of Medicine”

Shetty¹,

Rege²,

Patil³

et al. 2016

BJPR

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show abstract

“…Two previous US studies have shown that a significant proportion (6–25%) of those surveyed regularly exceed the maximum recommended daily dose of paracetamol 9 10. Additionally, patients have variable knowledge of which OTC and prescription analgesics contain acetaminophen (US generic name for paracetamol) 10.…”

Section: Introductionmentioning

confidence: 99%

Patient knowledge of the paracetamol content of over-the-counter (OTC) analgesics, cough/cold remedies and prescription medications

Wood

English

Butt

et al. 2010

Emergency Medicine Journal

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“…A few studies suggest many adults misinterpret OTC product instructions or not carefully heed them. [3][4][5][6] Recent attention has been focused on the unintentional misuse of OTC pain medication, and acetaminophen specifically, which is the most commonly-used OTC product in the U.S. with 19 % of adults reporting taking the drug in a given week. [7][8][9][10] Acetaminophen overdose is the leading cause of acute liver failure.…”

mentioning

confidence: 99%

Risk of Unintentional Overdose with Non-Prescription Acetaminophen Products

et al. 2012

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BACKGROUND: There is increasing concern over the risk of consumer unintentional misuse of non-prescription (a.k.a. 'over-the-counter') medications containing acetaminophen, which could lead to acute liver failure. OBJECTIVE: To determine the prevalence of potential misuse and overdose of over-the-counter medications containing acetaminophen, either alone or in combination. DESIGN: Cross-sectional, structured interviews with literacy assessment. SETTING: One academic and one community-based general internal medicine practice in Chicago, IL, and one academic general internal medicine practice and a public hospital clinic in Atlanta, GA. PATIENTS: Five hundred adults seeking primary care, ages 18-80. MEASUREMENT: Demonstration of how and when patients would take over-the-counter medications containing acetaminophen, alone or in combination with one another, over a 24-hour period. RESULTS: Overall, 23.8 % of participants demonstrated they would overdose on a single over-the-counter acetaminophen product by exceeding a dose of four grams in a 24-hour period; 5.2 % made serious errors by dosing out more than six grams. In addition, 45.6 % of adults demonstrated they would overdose by 'double-dipping' with two acetaminophen-containing products. In multivariable analyses, limited literacy (Relative Risk Ratio (RR) 1.65, 95 % Confidence Interval (CI) 1.03-2.66) and heavy acetaminophen use in the past six months (RR 1.70, 95 % CI 1.10-2.64) were independently associated with overdosing over-the-counter products. CONCLUSION: Misunderstanding of the active ingredient and proper instructions for over-the-counter medications containing acetaminophen is common. The potential for errors and adverse events associated with unintentional misuse of these products is substantial, particularly among heavy users of acetaminophen and those with limited literacy.

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Emergency department patient knowledge concerning acetaminophen (paracetamol) in over-the-counter and prescription analgesics

Abstract: Patient knowledge of the acetaminophen content of commonly used analgesic medications and its maximum recommended daily dose is limited. This may contribute to unintentional repeated supratherapeutic ingestion (RSTI) of acetaminophen, or overdose.

Cited by 45 publications

References 17 publications

A Prospective Study for “Developing School Based Model for Mainstreaming Rational Use of Medicine”

A Prospective Study for “Developing School Based Model for Mainstreaming Rational Use of Medicine”

Patient knowledge of the paracetamol content of over-the-counter (OTC) analgesics, cough/cold remedies and prescription medications

Risk of Unintentional Overdose with Non-Prescription Acetaminophen Products

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