Study on prevalence of self medication in a south Indian district

English philosopher-physician Sir William Osler (1849-1919) said, "One of the first duties of the physician is to educate the masses when not to take medicines". Self medication is a positive change that provides a number of benefits to the individual as well as the society. But, it is also important to draw a line somewhere while choosing for a remedy appropriate for the condition.The present work aimed to assess the prevalence of self-medication with analgesic and anti-pyretic drugs in Kollam district, Kerala and to identify the determination of self-medication. 100 families were selected, which contributed to a total sample population of 309 subjects. A structural and pre-tested questionnaire was used for collecting information from the participants.

The prevalence of self-medication with analgesic and anti-pyretic was found to be 41.7%, 95% CI, p<0.05. The prevalence was more among women (48.1%) than men (31.1%). Higher the educational status, higher was the prevalence (49.7%). Higher the socioeconomic status, higher was the prevalence (39.5%). Many (79%) was using these drugs for the treatment of fever, followed by headache (63.2%). Paracetamol was the choice of drug for the majority (93.2%) of the sample population. 68.0% were aware of the name of the drug. About 40% of those who were unaware of it identified the drug by its physical appearance. Previous prescription remained as the major source (37.5%) of self-medication. Only 27.5% obtained counseling from the concerned pharmacist. A majority of 51.0% of the subjects were advising their family member, friend and colleagues about the drugs to be administered in certain ailments. World Self Medication Industry (WSMI) aims to convey the social and economic value of responsible self-medication to health professionals, health authorities, consumers and others. Better Patient-Pharmacist-Physician relationship can lead to responsible self-medication