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A Community Pharmacy Study Based on Medications Sold Over the Counter for Chronic Disorders in Mysore City.

Authors:Raghav, Jaidev Kumar*, Umesh, Madhusudhan
Int J Biol Med Res. 2019; 10(2): 6724-6729  |  PDF File

Abstract

Introduction: Over the counter (OTC) medications are those drugs that can be bought from the pharmacy without the aid of a prescription. In India almost all drugs can be bought over the counter without prescriptions. This leads to misuse of drugs especially antibiotics and other potent drugs. OTC drugs enable people to relieve many annoying symptoms and to cure some diseases simply and without the cost of seeing a doctor. Therefore the research investigators thought that this type of research study may be more helpful for elderly patients suffering from chronic disorders and it can also recognise the role of community pharmacist creating a more awareness to the general public with regarding to over the counter medications in chronic disorders.Objective of the Study: To enlist the medicines which is sold over the counter for chronic disorders? Methodology: This was a prospective observational cross sectional study carried out in private community pharmacy of Mysuru city over a period of eight months. Subjects who met study criteria were enrolled in this research study. 4-hr duration (From 4pm- 8pm) visit was made to a private community pharmacy selected to carry out this study. Data collection form was used to collect details from the subjects selected for the study. Demographic details of the subjects, name and details of medications purchased were recorded. Results& Discussion: Total number of subjects visited the pharmacy were 728, among them 434 purchased medications without a medical prescription with chronic disorders during study hours.The details of different medications purchased without prescription by therapeutic categories are Analgesics 74(17.05%), antibiotics 198(45.62%) and medication used to treat gastrointestinal conditions56 (12.90%)were the most commonly purchased medications. Conclusion: Our research study concluded that most commonly purchased medications without a medical prescription was analgesics such as aceclofenac + paracetamol followed by antibiotics such as azithromycin. 1. Introduction Over the counter (OTC) medications are those drugs that can be bought from the pharmacy without the aid of a prescription.In India almost all drugs can be bought over the counter without prescriptions.This leads to misuse of drugs especially antibiotics and other potent drugs. OTC drugs enable people to relieve many annoying symptoms and to cure some diseases simply and without the cost of seeing a doctor. They can treat their common and troublesome conditions with easily recognised symptoms, such as hay fever and cold sores. In India any drug can be purchased without prescription as there are no stringent policies by drug regulatory authorities which is leading lot of problems to most of the patients which goes unnoticed. Patients with more comorbiditieswill always be receiving more number of medications,which needs more screening of over the counter medications while dispensing for example NSAIDs should never be dispensed to patients suffering gastric ulcer, gastrointestinal bleeding as it can worsen the existing medical condition. Therefore any over the counter medications that needs to be dispensed for patients suffering from chronic disorders requires proper evaluation before dispensing. In India most of the dispensing pharmacists are having qualification status of D.Pharm where they don't have adequate knowledge of pharmacotherapeutics due to poor teaching curriculum framed by Pharmacy Council of India and at the same time they have not underwent any continuing professional development programmes. Dispensing pharmacists with lower qualification status will always have lack of confidence about the subject and poor professional skills due to lack of training. BioMedSciDirect Publications Int J Biol Med Res.2019 ;10(2):6724-6729 Contents lists available at BioMedSciDirect Publications Journal homepage: www.biomedscidirect.com International Journal of Biological & Medical Research International Journal of BIOLOGICAL AND MEDICAL RESEARCH Int J Biol Med Res www.biomedscidirect.com Volume 10, Issue 2, April 2019 Copyright 2010 BioMedSciDirect Publications IJBMR