Over the counter (OTC) sell of sex enhancer drugs: an emerging public health issue in India

Samadhan Prakashrao Debaje, Renuka C. Hiremath


Background: As a result of lack of skilled service providers/doctors, there is increasing trend of over the counter (OTC) sell of medicine in India. Among these OTC drugs, sell of sex enhancer medicine is an emerging problem as these medicines are being advertised on large scale using mass media like Television, newspapers and Radio without any approval from drug controlling authority ‘Central Drugs and Standards Control Organization’. Purpose of current study was to study the trend of over the counter sell of sex enhancer drugs in India & to study health seeking behavior of patients with self-diagnosed ED in terms of self-medication.

Methods: This cross-sectional study include interview schedule of 74 patients coming on 10 medical stores selected randomly in Jodhpur city in September 2013.

Results: So 10% were found to buying sex enhancer drugs. Thirty eight percent among those buying sex enhancer medicines were Unmarried and 62% were married.92% buying sex enhancer medicine were Hindu and 8% were Muslim patients. Only 9.46% patients had consulted allopathic doctors and 12.16% consulted to Ayurveda Vaidya, 4.05% consulted local Quack and 8.11% consulted to friends but 66.22 % patients had not consulted anybody for Medication; but they are buying by self for self-diagnosed ED

Conclusions: This study therefor confirms that there is significant association between self-diagnosed ED and OTC sell of sex enhancer medicine in India. TV & newspapers, poster/banners are significantly important in providing information of sex enhancer medicines to self-diagnosed patients of ED.



Over the counter (OTC), Sex enhancer medicines, Self-medication, Erectile dysfunction

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Pawaskar MD, Balkrishnan R. Switching from prescription to over the counter medications: a consumer and managed care perspective. Manag Care Interface 2007;20:40-1.

Pray WS. A History of Non-prescription Product Regulation. New York, NY: The Haworth Press, Inc.; 2003: 5.

Health quackery. Spotting health scams. National Institute on Aging, 2005. Available at: www.niapublications.org/agepages/healthqy.asp.

Erectile glossary - MUSC Health, 2006. Available at: http://www.muschealth.com/gs/HealthTopic.aspx?action=showTopic&pageid=P00703.

Montague DK, Jarow JP, Broderick GA, et al. The management of erectile dysfunction: an AUA update". J Urol. 2005 July;174(1):230-9.

Ji Kan Ryu, Kang Su Cho, Su Jin Kim, Kyung Jin Oh, Sung Chul Kam, Kyung Keun Seo, Hong Seok Shin,7 and SooWoong Kim Korean Society for Sexual Medicine and Andrology (KSSMA) Guideline on Erectile Dysfunction. World J Mens Health. 2013 August;31(2):83-102.

Richard J. Cooper. Over-the-counter medicine abuse - a review of the literature. J Sub Use. 2013 April;18(2):82-107.

M. M. Babu. Factors contributing to the purchase of Over the Counter (OTC) drugs in Bangladesh: An Empirical study. The Internet Journal of Third World Medicine 2008;6:20.

Kiyingi KS, Lauwo JA. Drugs in the home: danger and waste. World Health Forum. 1993;14(4):381-4.

Lam CL, Tse MH, Munro C. A Study on the practice of self-medication in Hong Kong. Hong Kong Pract. 1989;11:272-86.

World Health Organization (WHO). The use of essential drugs. World Health Organ Tech Rep Ser. 1983;685:44-5.

Joydeb Nath, et al. Market research and recommendation on packaging and labeling of various OTC (Over The Counter) drugs available in Bangladesh. The Experiment, 2013 May;10(3):651-66.

Jyoti Kaushal, Mahesh C. Gupta, Pooja Jindal, Savita Verma. Self-Medication Patterns and Drug Use Behaviour in Housewives Belonging to the Middle Income Group in a City in Northern India. Indian J Community Med. 2012 Jan-Mar;37(1):16-9.

Sex health matter, the website of the Sexual Medicine Society of North America, Inc., 2012. Available at: http://www.sexhealthmatters.org/sex-health-blog/the-dangers-of-over-the-counter-male-enchancement. Accessed 23 September 2013.

Story from BBC news, 2007. Available at http://news.bbc.co.uk/go/ pr/fr/-/2/hi/health/6351171.stm.