Table of Contents  
RESEARCH LETTER
Year : 2016  |  Volume : 7  |  Issue : 4  |  Page : 182-183  

Analgesics self-medication among undergraduate students of a Rural Medical College


1 Department of Pharmacology, Narayan Medical College and Hospital, Sasaram, Bihar, India
2 Department of Physiology, Narayan Medical College and Hospital, Sasaram, Bihar, India
3 Department of Community Medicine, Narayan Medical College and Hospital, Sasaram, Bihar, India

Date of Submission11-Apr-2016
Date of Decision24-May-2016
Date of Acceptance26-Oct-2016
Date of Web Publication16-Dec-2016

Correspondence Address:
Amit Kumar
Department of Pharmacology, Narayan Medical College and Hospital, Sasaram - 821 305, Bihar
India
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Source of Support: None, Conflict of Interest: None


DOI: 10.4103/0976-500X.195903

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How to cite this article:
Kumar A, Vandana, Aslami AN. Analgesics self-medication among undergraduate students of a Rural Medical College. J Pharmacol Pharmacother 2016;7:182-3

How to cite this URL:
Kumar A, Vandana, Aslami AN. Analgesics self-medication among undergraduate students of a Rural Medical College. J Pharmacol Pharmacother [serial online] 2016 [cited 2017 Feb 28];7:182-3. Available from: http://www.jpharmacol.com/text.asp?2016/7/4/182/195903

Sir,

According to the WHO, self-medication is a part of self-care. [1] However, it may cause more harm than good due to any irresponsible use, especially by the young medical students who have easy access to all sort of drugs.

Pain is one of the most common sufferings of humankind which compels for analgesic self-medication with nonprescription drugs and students are no exception to this behavior. [2],[3] Due to paucity of literature regarding self-medication among medical students, this study was designed to know the prevalence and pattern of analgesic self-medication among the undergraduate students of a rural medical college in Bihar, India.

An observational cross-sectional study was conducted among students of all phases of MBBS. A predesigned semi-structured, validated, anonymous, and confidential questionnaire with voluntary participation was used to collect the relevant information after ethical clearance. Cronbach's alpha test was applied to test the reliability of the questionnaire and it was found to be 0.75. Questionnaire consists of close-ended questions related to personal and sociodemographic data, symptoms that led to analgesic use, type of most used analgesics, most important source of information, and frequency of analgesics use in last 1 month.

The data were analyzed by descriptive and inferential statistics. Odds ratio and Chi-square test were applied. The sum of percentages is not always 100% as some questions contained multiple responses.

A total of 308 completely filled questionnaires were evaluated out of 320 participants, giving a response rate of 96.25%. The mean age was 21.4 × 1.85 years with a male to female ratio of 1.33:1. The prevalence of analgesic self-medication was 49.7% (n = 153). Similar studies done on medical students in India showed prevalence of analgesic use ranging from 23%-90%. [2],[3],[4]

This study showed higher prevalence (54.2%) in males, similar to other studies, [5] but few others had found it more in females. [2],[3],[4],[6] Self-medication was significantly higher in age group ≥20 years as compared to age group ≤19 years [Table 1]. This might be due to increased exposure of students to clinical subjects as their curriculum progresses.
Table 1: Utilization pattern of analgesic self-medication among undergraduates (n=308)


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The most dominant symptom compelling self-medication was found to be headache (48.4%), followed by a cough, cold, and fever (44.4%) and bone and joint pain (39.9%). However, among females, dysmenorrhea was the most common (84.3%) reason for analgesic self-medication. These findings are supported by other researchers. [4],[6],[7],[8] About one-fifth of students admitted that they were taking analgesics for general well-being and just for relief of emotional discomfort, in the absence of any pain. The reason behind this behavior might be due to relief of work-related fatigue and easy availability of analgesics as over the counter drugs.

When asked about the reason for opting self-medication rather than doctor's consultation, about 49% revealed that their illnesses was too minor to be consulted and also there was a lack of time for consultation (20%) compelling them to take drugs for immediate relief. Other reasons mentioned were their previous exposure to self-medication without any untoward side effect (15%), self-diagnosis (8%), and privacy factors in females (6%).

The most commonly used analgesic for self-medication was acetaminophen (paracetamol), followed by fixed-dose combinations of paracetamol and other nonsteroidal anti-inflammatory drugs such as ibuprofen and diclofenac. Paracetamol is the most commonly available analgesic preparation with favorable side effect profile.

Evaluation of questionnaire also revealed that about 47% of students took decision for self-medication after obtaining information about the treatment from medical books and internet, whereas about 20% had taken advice from seniors/friends and about 13% from chemist.

There are certain limitations of this study. Recall bias cannot be completely ruled out and mutual influence between the students while filling the questionnaire is also possible. Attitude of students toward self-medication was also not tested.

The current study offers an insight about analgesic self-medication behaviors in students of a rural medical college. This information can be used for drug awareness programs to make students aware of potentially harmful side effects and to curtail their irresponsible analgesic self-medication behavior.

Acknowledgment

We would like to thank our Principal and Head of Pharmacology Department.

Financial support and sponsorship

Nil.

Conflicts of interest

There are no conflicts of interest.

 
   References Top

1.
World Health Organization (WHO) Regional Office for South-East Asia. Self-care in the Context of Primary Health Care: Report of the Regional Consultation Bangkok, Thailand, 7-9 January, 2009. New Delhi: WHO Regional Office for South-East Asia; 2009. Available from: http://www.searo.who.int/entity/primary_health_care/documents/sea_hsd_320.pdf. [Last accessed on 2016 Jul 23].  Back to cited text no. 1
    
2.
Kasulkar AA, Gupta M. Self medication practices among medical students of a private institute. Indian J Pharm Sci 2015;77:178-82.  Back to cited text no. 2
[PUBMED]  Medknow Journal  
3.
Banerjee I, Bhadury T. Self-medication practice among undergraduate medical students in a tertiary care medical college, West Bengal. J Postgrad Med 2012;58:127-31.  Back to cited text no. 3
  Medknow Journal  
4.
Kumar N, Kanchan T, Unnikrishnan B, Rekha T, Mithra P, Kulkarni V, et al. Perceptions and practices of self-medication among medical students in coastal South India. PLoS One 2013;8:e72247.  Back to cited text no. 4
    
5.
El Ezz NF, Ez-Elarab HS. Knowledge, attitude and practice of medical students towards self medication at Ain Shams University, Egypt. J Prev Med Hyg 2011;52:196-200.  Back to cited text no. 5
    
6.
Sarahroodi S, Maleki-Jamshid A, Sawalha AF, Mikaili P, Safaeian L. Pattern of self-medication with analgesics among Iranian University students in central Iran. J Family Community Med 2012;19:125-9.  Back to cited text no. 6
    
7.
Badiger S, Kundapur R, Jain A, Kumar A, Pattanshetty S, Thakolkaran N, et al. Self-medication patterns among medical students in South India. Australas Med J 2012;5:217-20.  Back to cited text no. 7
    
8.
Shukla AK, Anand M, Chugh Y, Sharma A, Yadav VS, Charausia RC. Self-medication pattern among medical students in MLN medical college, Allahabad. Indian J Pharmacol 2008;40:S61-2.  Back to cited text no. 8
    



 
 
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