Self-medication in ophthalmology - a northern Indian tertiary hospital experience
Keywords:Eye medicines, Self-medication, Tertiary eye care centre
Background: The objective of the study was to identify practice and pattern of self-medication use among new patients attending ophthalmology OPD in a tertiary care hospital of north India. Self-medication practice is a common phenomenon all over the world but it has been reported to be very common in the developing countries especially in India. When consumers self-medicate without consulting the eye care giver, the issues of safety and irrational use of drugs arise.
Methods: A cross-sectional questionnaire based, observational study was planned among the patients reporting for the first time to Ophthalmology OPD in ASCOMS, Jammu. The patients enrolled in the study were randomly selected in the age group ≥18 years. Detailed history regarding self-medication prior to reporting to OPD was obtained. A questionnaire elucidating details of self-medication regarding history of ocular self-medication, type of ocular medication used, their reasons for resorting to ocular self-medication etc. was provided to them. All participants were informed about the scope and purpose of the study. An informed consent was obtained in every case prior to being given the questionnaire.
Results: A total of 296 responders were interviewed. Among these 122 (41.2%) admitted to have used eye medicines before coming to hospital. Redness in 38 (31.1%) cases was the most common complaint for which the patients opted self-medication. 49 (40.2%) patients did not know what drug they had used. Among the various drugs used, the commonest was the antibiotic eye medication in 33 (27%) patients followed by steroids 13 (10.7%). Among the responders 9 (7.3%) experienced side-effects after self-medication. Main factors influencing self-medication were advice from friends/relatives, living far from hospital and high cost of treatment at the hospital.
Conclusions: Self-medication with eye medicines is common among the population interviewed. Educating the public about the dangers of self-diagnosis and treatment, possibly leading to delay in detection of more serious underlying ailments is essential.
World Health Organization/Drug Action Program (WHO/DAP). Public Education in Rational Drug Use; Report of an informal Consultation, 23-26 November 1993, Geneva.
Montastruct JL, Bagheri H, Geraud T, and Lapeyre-Mestre M. Pharmacovigilance of Self-medication. Therapie. 1997;52(2):105-10.
Shankar PR, Partha P, Shenoy N. Self-medication and non doctor prescription practices in Pokhara valley, Western Nepal: A questionnaire based study. BMC Fam Pract. 2002;3:17.
Paulo LG, Zanini AC. Self-medication in Brazil. AMB Rev Assoc Med Bras. 1988;34:69-75.
Arrais PS, Coelho HL, Batista Mdo C, Carvalho ML, Righi RE. Profile of self-medication in Brazil. Rev Saude Publica. 1997;31:71-7.
Loyola Filho AI, Lima-Costa MF, Uchoa E. Bambui Project: a qualitative approach to self-medication. Cad Saude Publica. 2004;20:1661-9.
Langefeld S, Press UP, Frentz M, Kompa S, Schrage N. Use of lavage fluid containing diphoterine for irrigation of eyes in first aid emergency treatment. Ophthalmologee. 2003;100(9):727-31.
Fraunfelder FT, Meyer SM. Ocular toxicology update. Aust J Ophthalmol. 1984;12:391-4.
Fasina O, Ubah JN. Pattern of pre-hospital consultation among ophthalmic patients seen in a tertiary hospital of in South West Nigeria. Afr J Med Sci. 2009;38(2):173-7.
Eze BI, Chuka-Okosa CM, Uche JN. Traditional eye medicine use by newly presenting ophthalmic patients to a teaching hospital in south-eastern Nigeria: socio-demographic and clinical correlates. BMC Complement Altern Med. 2009;9:40.
Kadri R, Hegde S, Kudva A, Achar A, Shenoy S. Self-medication with over-the- counter ophthalmic preparations: is it safe? Int J Biol Med Res. 2011;2:528-30.
Tayanithi P, Aramwit P. Self-medicated over the counter ophthalmic solutions in central Bangkok. J Med Assoc Thai. 2005;88(4):S330-4.
Kagashe GAB, Msela BB. Self-medication among patients seen at four hospitals in daressalaam Tanzania IOSR Journal of Pharmacy. 2012;2(5):21-5.
Ajayi IA, Omotype OJ, Ajite KO, Fadamiro CO. Self-Medication Practices Among Patients Seen In a Suburban Tertiary Eye Care Centre in Nigeria. Asian J Med Sci. 2014;5(2):85-90.
Berzanskyte A, Valinteliene R, Haaijer-Ruskamp FM, Gurevicius R, Grigoryan L. Self-medication with antibiotics in Lithuania. Int J Occup Med Environ Health. 2006;19(4):246-53.
AI-Azzam SI, AI-Husein BA, Alzoubi F, Masadeh MM, AL-Horani MA. Self-medication with antibiotics in Jordanian population. Int J Occup Med Environ Health. 2007;20(4):373-80.
World Health Day 2011-Antibiotic resistance: No action today means no cure tomorrow. Statement by WHO Director General-Margaret Chan downloaded 1st October 2012.
Marquez GE, Pineros-Heilbron H, Sanchez VM, Torres VE, Gramajo AL. Eye Drop Self-medication: Comparative Questionnaire-based Study of Two Latin American Cities. J Clin Exp Ophthalmol. 2014;5:330.