Managing sleep problems using non-prescription medications and the role of community pharmacists: older adults’ perspectives

Abraham, Olufunmilola; Schleiden, Loren J.; Amanda, Brothers,; Albert, Steven M.

doi:10.1111/ijpp.12334

Cited by 18 publications

(23 citation statements)

References 30 publications

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“…This could be partially caused by older persons’ belief that pharmacists are primarily responsible for all matters pertaining to prescribed medications, and not dispensing health advice and recommendations for OTC drugs and nutritional supplements. 46 …”

Section: Discussionmentioning

confidence: 99%

Preferences and attitudes of older adults of Bialystok, Poland toward the use of over-the-counter drugs

Cybulski¹,

Cybulski²,

Krajewska-Kułak³

et al. 2018

CIA

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PurposeThe aim of the study was to assess preferences and attitudes toward the use of over-the-counter (OTC) drugs among residents of Bialystok aged 60 or older.Patients and methodsThe study included 170 people, inhabitants of Bialystok aged over 60: 85 students of the University of a Healthy Senior and the University of Psychogeriatric Prophylaxis, and 85 students of the University of the Third Age in Bialystok. The study made use of a diagnostic survey conducted via a questionnaire prepared by the authors.ResultsThe vast majority of respondents bought OTC drugs for own use. About one-third of the respondents from each analyzed group bought OTC drugs less often than once every 3 months. Over half of the respondents bought OTC drugs due to a cold. A majority of the respondents were of the opinion that OTC drugs should be sold only in pharmacies. Over 40% of seniors took 1 OTC drug regularly. Most respondents also took vitamins and supplements. The main sources of information on OTC drugs for the studied seniors were their doctor and pharmacist. Respondents did not always consult the treatment method with a doctor or pharmacist. Over half of the respondents familiarized themselves with the contents of the OTC drug package leaflet. Over three-quarters of the respondents were familiar with drug disposal methods; however, despite declarations of being familiar with these principles, a significant percentage did not bring back medication to a pharmacy or clinic, or threw the drugs into the trash.ConclusionOur study found that in our sample there were many OTC drug consumers who did not always demonstrate responsible attitudes toward using this group of drugs. Thus, older people should be educated on the possible adverse effects of taking OTC drugs without consulting a doctor or pharmacist as well as basic drug disposal principles. Furthermore, legislation should be introduced that will limit the wide availability of OTC drugs, particularly to the elderly; and thus, lower the costs of hospitalization and outpatient treatment of this age group. Also, a wider-reaching study should be conducted. It should include a larger group of elderly people as well as information on intake of prescribed medications in order to be able to determine the frequency of drug consumption in this population, as well as seniors’ preferences and attitudes in this regard.

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Section: Discussionmentioning

confidence: 99%

Preferences and attitudes of older adults of Bialystok, Poland toward the use of over-the-counter drugs

Cybulski¹,

Cybulski²,

Krajewska-Kułak³

et al. 2018

CIA

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“…Transplant recipients are educated not to take over-the-counter medicines or herbal supplements without first discussing them with the transplant clinician [ 46 ]. In the general population, use of over-the-counter sleep aids (e.g., herbal pills, melatonin or antihystamines) is common [ 47 ]. However herbal formulations with an anxiolytic and sedative effect might precipitate liver failure [ 48 ].…”

Section: Discussionmentioning

confidence: 99%

Change of sleep quality from pre- to 3 years post-solid organ transplantation: The Swiss Transplant Cohort Study

et al. 2017

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BackgroundPoor sleep quality (SQ) is common after solid organ transplantation; however, very little is known about its natural history. We assessed the changes in SQ from pre- to 3 years post-transplant in adult heart, kidney, liver and lung recipients included in the prospective nation-wide Swiss Transplant Cohort Study. We explored associations with selected variables in patients suffering persistent poor SQ compared to those with good or variable SQ.MethodsAdult single organ transplant recipients enrolled in the Swiss Transplant Cohort Study with pre-transplant and at least 3 post-transplant SQ assessment data were included. SQ was self-reported pre-transplant (at listing), then at 6, 12, 24 and 36 months post-transplant. A single SQ item was used to identify poor (0–5) and good sleepers (6–10). Between organ groups, SQ was compared via logistic regression analysis with generalized estimating equations. Within the group reporting persistently poor SQ, we used logistic regression or Kaplan-Meier analysis as appropriate to check for differences in global quality of life and survival.ResultsIn a sample of 1173 transplant patients (age: 52.1±13.2 years; 65% males; 66% kidney, 17% liver, 10% lung, 7% heart) transplanted between 2008 and 2012, pre- transplant poor SQ was highest in liver (50%) and heart (49%) recipients. Overall, poor SQ decreased significantly from pre-transplant (38%) to 24 months post-transplant (26%) and remained stable at 3 years (29%). Patients reporting persistently poor SQ had significantly more depressive symptomatology and lower global quality of life.ConclusionBecause self-reported poor SQ is related to poorer global quality of life, these results emphasize the need for further studies to find suitable treatment options for poor SQ in transplant recipients.

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“…Exercise, particularly low-impact activity like walking, is beneficial in addressing fatigue and sleep disorders (Chiu, Huang, Chen, Hou, & Tsai, 2015;Juvet et al, 2017;Payne, Held, Thorpe, & Shaw, 2008). Older adults often report using nonprescription sleep aids and may use them inappropriately by not following label directions (Abraham, Schleiden, Brothers, & Albert, 2017). Prescription sleep medications contribute to falls in older adults (Min et al, 2016).…”

Section: Implications For Nursingmentioning

confidence: 99%

Factors Associated With Poor Sleep in Older Women Diagnosed With Breast Cancer

Overcash

Tan

Patel

et al. 2018

ONF

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Managing sleep problems using non-prescription medications and the role of community pharmacists: older adults’ perspectives

Cited by 18 publications

References 30 publications

Preferences and attitudes of older adults of Bialystok, Poland toward the use of over-the-counter drugs

Preferences and attitudes of older adults of Bialystok, Poland toward the use of over-the-counter drugs

Change of sleep quality from pre- to 3 years post-solid organ transplantation: The Swiss Transplant Cohort Study

Factors Associated With Poor Sleep in Older Women Diagnosed With Breast Cancer

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