DOI: http://dx.doi.org/10.18203/2320-6012.ijrms20161207

Senior citizens and over the counter drugs: challenges in rural India

Sherin Susan Paul, Sam Marconi, Mrinmoy J Gohain, Arun Navin Bhatt

Abstract


Background: The geriatric population is on a rise in India, which is accompanied by an increase in their health care needs. As they are prone to have multiple diseases simultaneously the tendency for over the counter (OTC) or non-prescription drugs is much higher among the elderly population. A thorough knowledge about the medication practices among elderly is indispensable since the chances for adverse drugs events; drug interactions etc. are higher among them. The primary objective of the present study was to measure the prevalence of over the counter drug usage among those aged 60 years or above residing in a rural block of North Tamilnadu, India.

Methods: A community based cross sectional study was conducted among those aged 60 years or above using an interviewer administered questionnaire and data was collected from 100 consenting participants who were selected using multi stage sampling.

Results: The prevalence of the usage of over the counter drugs among the elderly population was found to be 51% (95% CI 41.1-60.9). It was shown that the usage of OTC drugs was associated with higher socio economic status (p value 0.015) and literacy (p value 0.003).

Conclusions: Further studies need to done to identify whether such high prevalence of OTC drug usage among elderly is a reflection of drug practices among general population and if proven otherwise should explore the various reasons for the same so that necessary measures can be implemented to alleviate the situation.

 


Keywords


Geriatric population, Over the counter drugs

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References


Population composition. Chap 2 - 2011.pdf . [cited 2015 Dec 17]. Available from: http://www.censusindia.gov.in/ vital_statistics/ SRS_Report/ 9Chap%202%20-%202011.pdf

Dey S, Nambiar D, Lakshmi JK, Sheikh K, Reddy KS. Health of the Elderly in India: Challenges of Access and Affordability. 2012 [cited 2016 Jan 15]; Available from: http://www.ncbi.nlm.nih.gov/ books/NBK109208/.

Nobili A, Garattini S, Mannucci PM. Multiple diseases and polypharmacy in the elderly: challenges for the internist of the third millennium. J Comorbidity. 2011;1(1):28-44.

Veehof LJG, Stewart RE, Haaijer-Ruskamp FM, Jong BM. The development of polypharmacy. A longitudinal study. Fam Pract. 2000;17(3):261-7.

Rajivlochan M. Improving Healthcare Services at Reduced Prices. Economic & Political Weekly. 2015;L(1):32-6.

Hooda SK. Health Insurance, Health Access and Financial Risk Protection. Econ Polit Wkly. 2015;50(50):63.

Mudur G. Abuse of OTC drugs rising in South Asia. BMJ. 1999;318(7183):556.

Amoako EP, Richardson-Campbell L, Kennedy-Malone L. Self-medication with over-the-counter drugs among elderly adults. J Gerontol Nurs. 2003;29(8):10-5.

Conn VS. Self-management of over-the-counter medications by older adults. Public Health Nurs Boston Mass. 1992;9(1):29-36.

Soller RW. Evolution of self-care with over-the-counter medications. Clin Ther. 1998;20Suppl C:C134-40.

Gupta MC. What are the Legal Aspects of Over-the-counter Sale of Allopathic Medicines? Indian J Clin Pract. 2013;23(12):864-5.

Qato DM, Alexander GC, Conti RM, Johnson M, Schumm P, Lindau ST. Use of Prescription and Over-the-counter Medications and Dietary Supplements Among Older Adults in the United States. JAMA J Am Med Assoc. 2008;300(24):2867-78.

Ahmad A, Patel I, Mohanta G, Balkrishnan R. Evaluation of Self Medication Practices in Rural Area of Town Sahaswan at Northern India. Ann Med Health Sci Res. 2014;4(Suppl 2):S73–8.

Keshari SS, Kesarwani P, Mishra M. Prevalence and Pattern of Self-medication Practices in Rural Area of Barabanki. Indian J Clin Pract. 2014;25(7):636-9.

Upadhyay J, Joshi Y. Observation of Drug utilization pattern and Prevalence of Diseases in Elderly Patients through Home Medication Review. Asian J Pharm Clin Res. 2011;4(1):143-5.

Mandavi, Tiwari P, Kapur V. Self medication pattern among elderly patients of north India public hospital: a hospital based questionnaire appraisal. Indian J Pharm Pract. 2008;1(1):26-9.

Balamurugan E, Ganesh K. Prevalence and Pattern of Self Medication use in coastal regions of South India. Br J Med Pract. 2011;4(3):a428.

Jain S, Malvi R, Purviya JK. Concept of Self Medication: A Review. Int J Pharm Biol Arch. 2011;2(3):831-6.

Human Development in India - 09HDinIndia.pdf [Internet]. [cited 2016 Jan 22]. Available from: http://ihds.umd.edu/IHDS_files/09HDinIndia.pdf.

Rajan SI. Internal migration and youth in India: main features, trends and emerging challenges. New Delhi: United Nations Educational, Scientific and Cultural Organization; 2013. 36 p.

Srinivasan P. Support systems for the elderly at home - The Hindu. Coimbatore. 2015 Sep 30 [cited 2016 Jan 22]; Available from: http://www.thehindu.com/ features/ metroplus/ support-systems-for-the-elderly-at home/ article7707036.ece.

Ruprail N. Silver Generation in India: A Bibliography Study, 1889-2000. Anamika Pub & Distributors; 2002. 728 p.

Jose J. Promoting drug safety in elderly-Needs a proactive approach. Indian J Med Res. 2012;136(3):362.

Nagaraj M, Chakraborty A, Srinivas B. A Study on the Dispensing Pattern of Over the Counter Drugs in Retail Pharmacies in Sarjapur Area, East Bangalore. J Clin Diagn Res JCDR. 2015;9(6):FC11-3.

Brahma DK, Wahlang JB, Marak MD, Ch. Sangma M. Adverse drug reactions in the elderly. J Pharmacol Pharmacother. 2013;4(2):91-4.

Daban F, Pasarín MI, Rodríguez-Sanz M, García-Altés A, Villalbí JR, Zara C, et al. Social determinants of prescribed and non-prescribed medicine use. Int J Equity Health. 2010;9:12.

Mayer S, Österle A. Socioeconomic determinants of prescribed and non-prescribed medicine consumption in Austria. Eur J Public Health. 2015;25(4):597-603.

Tobi H, Meijer WM, Tuinstra J, de Jong-van den Berg LT. Socio-economic differences in prescription and OTC drug use in Dutch adolescents. Pharm World Sci PWS. 2003;25(5):203-6.

Tripathi T. Unhealthy, Insecure, and Dependent Elders. Econ Polit Wkly. 2014;49(29):217-23.