Determinants of self-medication with NSAIDs in a Portuguese community pharmacy
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| Formato: | Artículo científico |
| Lenguaje: | en |
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Centro de investigaciones y Publicaciones Farmacéuticas
2016
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| _version_ | 1876441334569500672 |
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| author | Ana P. Nunes |
| author_facet | Ana P. Nunes |
| contents | Determinants of self-medication with NSAIDs in a Portuguese community pharmacy Ana P. Nunes Isabel M. Costa Filipa A. Costa Medicina Non Anti Drug Cross Portugal Background : Non-steroid anti-inflammatory drugs (NSAIDs) are a widely used therapeutic group in the world, and particularly in the Portuguese population. Objective : To compare NSAID’s use by prescription and self-medication acquisition and to determine the pattern of indication of NSAIDs, their usage profile and possible implications for patients’ safety. Methods : A cross-sectional design was used where individuals presenting at a community pharmacy requesting NSAIDs during the study period (one month) were invited to answer a face-to-face interview where socio-demographic characterist ics, the indication pattern and previous experience of si de effects were assessed. A follow-up interview was performed one week later to assess the incidence of adverse effects. The study was ethically approved. Results : A sample of 130 NSAIDs users was recruited, comprising mostly women (n=87; 66.9%), actively employed (n=77; 59.2%) and presenting a mean age of 49.5 years old (SD=20.49). An equal proportion of individuals acquired NSAIDs by self-medication and with medical prescription (n=65; 50%). Over 4/5 of patients (n=57; 87.7%) acquiring NSAIDs without a prescription were self-medicated by their own initiative, and only 10.8% (n=7) had been advised by the pharmacist. The most commonly acquired active s ubstances were ibuprofen and diclofenac. Self-medicated us ers more frequently resorted to topical NSAIDs following short term treatments. The major underlying condition motivating NSAIDs sought were musculoskeletal disorders (45.0%), regardless of the regimen. An important proportion of prevalent users of NSAIDs reported previous exper ience of adverse effects (11.3%). One week after initiating NSAID therapy, a small proportion of patients reported incidence of adverse effects. Conclusion : Self-medication with NSAIDs is sought for numerous medical conditions. Reported adverse effects (prevalent and incident) confirm the need for a more rational use of NSAIDs and ongoing pharmacovigilance. 2016 artículo científico 1885-642X https://www.redalyc.org/articulo.oa?id=69044429004 https://www.redalyc.org/journal/690/69044429004/ https://www.redalyc.org/journal/690/69044429004/html/ https://www.redalyc.org/journal/690/69044429004/69044429004.epub https://www.redalyc.org/journal/690/69044429004/movil en http://www.redalyc.org/revista.oa?id=690 Pharmacy Practice application/pdf Centro de investigaciones y Publicaciones Farmacéuticas Pharmacy Practice (España) Num.1 Vol.14 |
| format | Artículo científico |
| id | redalyc_69044429004 |
| institution | Redalyc |
| language | en |
| publishDate | 2016 |
| publisher | Centro de investigaciones y Publicaciones Farmacéuticas |
| spellingShingle | Determinants of self-medication with NSAIDs in a Portuguese community pharmacy Ana P. Nunes Medicina Non Anti Drug Cross Portugal Determinants of self-medication with NSAIDs in a Portuguese community pharmacy Ana P. Nunes Isabel M. Costa Filipa A. Costa Medicina Non Anti Drug Cross Portugal Background : Non-steroid anti-inflammatory drugs (NSAIDs) are a widely used therapeutic group in the world, and particularly in the Portuguese population. Objective : To compare NSAID’s use by prescription and self-medication acquisition and to determine the pattern of indication of NSAIDs, their usage profile and possible implications for patients’ safety. Methods : A cross-sectional design was used where individuals presenting at a community pharmacy requesting NSAIDs during the study period (one month) were invited to answer a face-to-face interview where socio-demographic characterist ics, the indication pattern and previous experience of si de effects were assessed. A follow-up interview was performed one week later to assess the incidence of adverse effects. The study was ethically approved. Results : A sample of 130 NSAIDs users was recruited, comprising mostly women (n=87; 66.9%), actively employed (n=77; 59.2%) and presenting a mean age of 49.5 years old (SD=20.49). An equal proportion of individuals acquired NSAIDs by self-medication and with medical prescription (n=65; 50%). Over 4/5 of patients (n=57; 87.7%) acquiring NSAIDs without a prescription were self-medicated by their own initiative, and only 10.8% (n=7) had been advised by the pharmacist. The most commonly acquired active s ubstances were ibuprofen and diclofenac. Self-medicated us ers more frequently resorted to topical NSAIDs following short term treatments. The major underlying condition motivating NSAIDs sought were musculoskeletal disorders (45.0%), regardless of the regimen. An important proportion of prevalent users of NSAIDs reported previous exper ience of adverse effects (11.3%). One week after initiating NSAID therapy, a small proportion of patients reported incidence of adverse effects. Conclusion : Self-medication with NSAIDs is sought for numerous medical conditions. Reported adverse effects (prevalent and incident) confirm the need for a more rational use of NSAIDs and ongoing pharmacovigilance. 2016 artículo científico 1885-642X https://www.redalyc.org/articulo.oa?id=69044429004 https://www.redalyc.org/journal/690/69044429004/ https://www.redalyc.org/journal/690/69044429004/html/ https://www.redalyc.org/journal/690/69044429004/69044429004.epub https://www.redalyc.org/journal/690/69044429004/movil en http://www.redalyc.org/revista.oa?id=690 Pharmacy Practice application/pdf Centro de investigaciones y Publicaciones Farmacéuticas Pharmacy Practice (España) Num.1 Vol.14 |
| title | Determinants of self-medication with NSAIDs in a Portuguese community pharmacy |
| topic | Medicina Non Anti Drug Cross Portugal |
| url | https://www.redalyc.org/articulo.oa?id=69044429004 https://www.redalyc.org/journal/690/69044429004/ https://www.redalyc.org/journal/690/69044429004/html/ https://www.redalyc.org/journal/690/69044429004/69044429004.epub https://www.redalyc.org/journal/690/69044429004/movil |