Self medication: a potentially avoidable cause of antibiotic misuse and resistance

Anant D. Patil


I read the article by Chawla S et al on buying patterns of drugs from pharmacies in Northern India with interest. Overall self medication was reported by close to one third (35.7%) study population. The results prompted me to write about burden of antibiotic self medication and measures to tackle this serious issue.Self medication with antibiotics is concern not only in India; several studies from different parts of world have shown antibiotics being misused and commonly consumed without prescription.


Antibiotic misuse, Antibiotic resistance, Self medication

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Chawla S, Agarwal M, Arora A. Audit of buying patterns of drugs from various pharmacies in Northern India. Int J Basic Clin Pharmacol 2013;2:326-9.

Skliros E, Merkouris P, Papazafiropoulou A, Gikas A, Matzouranis G, Papafragos C, et al. Self-medication with antibiotics in rural population in Greece: a cross-sectional multicenter study. BMC Family Practice 2010;11:58.

Awad A, Eltayeb I, Matowe L, Thalib L. Self-medication with Antibiotics and Antimalarials in the community of Khartoum State, Sudan. J Pharm Pharmaceut Sci. 2005;8:326-31.

Khan SJ, Amanullah, Khan S, Shah N. Self-medication with antibiotics in urban areas of Peshawar. Gomal Journal of Medical Sciences 2011;9:19-22.

Donkor ES, Tetteh-Quarcoo PB, Nartey P, Agyeman IO. Self-medication practices with antibiotics among tertiary level students in Accra, Ghana: a cross-sectional study. Int J Environ Res Public Health 2012;9:3519-29.

Pan H, Cui B, Zhang D, Farrar J, Law F, Ba-Thein W. Prior knowledge, older age, and higher allowance are risk factors for self-medication with antibiotics among university students in southern China. PLoS One. 2012;7:e41314.

Abasaeed A, Vlcek J, Abuelkhair M, Kubena A. Self-medication with antibiotics by the community of Abu Dhabi Emirate, United Arab Emirates. Infect Dev Ctries 2009;3(7):491-7.

Grigoryan L, Monnet DL, Haaijer-Ruskamp FM, Bonten MJ, Lundborg S. Verheij TJ. Self-medication with antibiotics in Europe: a case for action. Curr Drug Saf. 2010;5:329-32.

Dreser A, Vázquez-Vélez E, Treviño S, Wirtz VJ. Regulation of antibiotic sales in Mexico: an analysis of printed media coverage and stakeholder participation. BMC Public Health 2012 12:1051.

Planta MB. The role of poverty in antimicrobial resistance. J Am Board Fam Med 2007;20:533-9.