Self-Medication With Analgesic Among Surabaya, East Java Communities
Self-medication is one of the patient's efforts to treat the symptoms or health problems with drug without using a prescription. The most often class of drugs used as self-medication is analgesic (36,2-59,0%). Aim of this study is to describe analgesic self-medication profile among East Surabaya communities, especially Mulyorejo subdistrict. This study is an observational descriptive study that involving 225 patients from 9 pharmacies. The data were collected by using validated questionnaire contains sociodemographic profiles, the frequency of using analgesic, and analgesic profiles purchased by the patients. The data analyze was perfomed by comparing the average of analgesic self-medication frequency based on the patients sociodemographic profiles. The results showed that the average frequency of analgesic used as self-medication is 10.71 (95% CI 8.81-12.60) times a month. The average frequency of analgesic used as self-medication may differ based on sociodemographic profiles. Male patients, elderly, low education level, unemployed, low income (< 2 million), living alone/ divorce, having history of smoking or drinking alcohol showed a higher average frequency of self-medication than the other groups. The results of the study related to analgesic profile showed the majority of patients (80.00%) bought 1 type of analgesic. The most common analgesic group (67.03%) purchased by the patient is Non-Steroidal Anti-Inflammatory Drugs (NSAIDs). Headache (42.22%) is a symptom that often encourages patients to use analgesic as self-medication. Based on the results of the study, education about the use of analgesic as self-medication can be more focused on groups of patients with a particular sociodemographic background and NSAIDs drug groups. It aims to avoid the less responsible use of analgesic as self-medication.
2. Drug Utilization Research Group. Multicenter study on self-medication and self-prescription in six Latin American countries. Clin Pharmacol Ther. 1997;61(4):488–93.
3. Agbor MA, Azodo CC. Self medication for oral health problems in Cameroon. Int Dent J. 2011;61:204–9.
4. Sugumar R, Krishnaiah V, Channaveera GS, Mruthyunjaya S. Comparison of the pattern , efficacy , and tolerability of self- medicated drugs in primary dysmenorrhea : A questionnaire based survey. Indian J Pharmacol. 2013;45(2).
5. Jain A, Bhaskar D, Gupta D, Agali C, Yadav P, Khurans R. Practice of Self-Medication for Dental Problems. Oral Heal Prev Dent. 2016;14(1):5–11.
6. Balbuena FR, Aranda AB, Figueras A. Self-Medication in Older Urban Mexicans. Drugs Aging. 2009;26(1):51–60.
7. Miguel AG, Herna V, Rey U, Carlos J. Predictive factors of self-medicated drug use among the Spanish adult population. Pharmacoepidemiol Drug Saf. 2008;17:193–9.
8. Badan Penelitian dan Pengembangan Kesehatan Kementerian Kesehatan RI. Riset Kesehatan Dasar. 2013;
9. Simon A, Rao A, Rajesh G, Shenoy R, Pai M. Trends in self-medication for dental conditions among patients attending oral health outreach programs in coastal Karnataka, India. Indian J Pharmacol. 2015;47(5):524–9.
10. Brewer C, Bentley J, Hallam J, Woodyard C, Waddell D. Use of analgesics for exercise-associated pain: prevalence and predictors of use in recreationally trained college- aged students. J Strength Cond Res. 2013;28(1):74–81.
11. Wojta-Kempa M, Krzyzanowski D. Correlates of Abusing and Misusing Over-the-Counter Pain Relievers Among Adult Population of Wrocław (Poland). Adv Clin Exp Med. 2016;25(2):349–60.
12. French DP, James DH. Reasons for the use of mild analgesics among English students. Pharm World Sci. 2008;30:79–85.
13. Pottegard A, Kvicsgaard A, Hesse U, Moreno S, Hansen J. Patient characteristics among users of analgesic over-the-counter aspirin in a Danish pharmacy setting. Int J Clin Pharm. 2014;
14. Albarran K, Zapata L. Analysis and quantification of self-medication patterns of customers in community pharmacies in southern Chile. Pharm World Sci. 2008;30:863–8.
15. Matoulkova P, Dosedel M, Ruzkova B, Kubena A. Information and awarness concerning ibuprofen as an ingredient in over the counter analgesics: a questionnaire-based survey of residents of retirement communities. Acta Pol Pharm - Drug Res. 2013;70(2):333–8.
16. Wilcox CM, Cryer B, Triadafilopoulos G, Wilcox CMEL, Cryer B, Triadafilopoulos G. Patterns of Use and Public Perception of Over-the- Counter Pain Relievers : Focus on Nonsteroidal Antiinflammatory Drugs. J Rheumatol. 2005;32(11):2218–24.
17. Anderson C, Rolfe P, Brennan-hunter A, Anderson C, Rolfe P, Brennan-hunter A. Journal of Community Health Nursing Administration of Over-the-Counter Medication to Children at Home — A Survey of Parents from Community Health Centers Administration of Over-the-Counter Medication to Children at Home — A Survey of Parents from Communit. J Community Health Nurs. 2013;30(3):143–54.
18. Ferrari A, Stefani M, Sternieri S, Bertolotti M, Sternieri E. Analgesic Drug Taking : Beliefs and Behavior Among Headache Patients. Headache. 1997;37:88–94.
19. James DH, French D. The development of the Self-Medicating Scale ( SMS ): a scale to measure people ’ s beliefs about self-medication. Pharm World Sci. 2008;30:794–800.
20. Bohio R, Brohi ZP, Bohio F. Utilization of over the counter medication among pregnant women ; a cross-sectional study conducted at Isra University Hospital , Hyderabad. J Pak Med Assoc. 2016;66(1):68–71.
21. Sarahroodi S, Maleki-jamshid A, Sawalha AF, Mikaili P, Safaeian L. Pattern of self-medication with analgesics among Iranian University students in central Iran. J Fam Community Med. 2012;19(2):125–30.
22. World Self Medication Industry. Guiding principles in self-medication. United Kingdom; 2014.
23. World Health Organization. Guidelines for the regulatory assessment of medicinal products for use in self medication. 2000;
24. Mcdonald DD, Amendola MG, Interlandi E, Wall K, Lewchik B, Polouse L, et al. Effect of Reading Additional Safety Information on Planned Use of Over-the-Counter Analgesics. Public Health Nurs. 2007;24(3):230–8.
25. Hallas J, Jensen KB, Grodum E, Damsbo N, Gram LF, Jensen KB, et al. Drug-Related Admissions to a Department of Medical Gastroenterology : The Role of Self- Medicated and Prescribed Drugs Drug-Related Admissions to a Department of Medical Gastroenterology The Role of Self-Medicated and Prescribed Drugs. Scand J Gastroenterol. 2009;26(2):174–80.
26. Petric M, Tasic L, Sukljevic S. Nonsteroidal Anti-Inflammatory Drug Usage and Gastrointestinal Outcomes in the Republic of Serbia. J Pain Palliat Care Pharmacother. 2009;23(1):40–7.
27. Yahya K, Nugroho MA. Analisis pengelompokan dan pemetaan kecamatan sebagai dasar program untuk mengatasi masalah-masalah sosial-ekonomi di kota Surabaya. Surabaya; 2010.
28. Badan Pusat Statistik Kota Surabaya. Statistik daerah kecamatan mulyorejo. Surabaya; 2016.
29. Petrini L, Matthiesen ST, Arendt-nielsen L. The effect of age and gender on pressure pain thresholds and suprathreshold stimuli. Perception. 2015;44:587–96.
30. Premchand V. A Study of the level of stress among employed and unemployed youth. New Man Int J Multidiciplinary Stud. 2015;2(8):28–32.
31. Lumley M, Cohen J, Keefe F. Pain and emotion: a biopsychosocial review of recent research. J Clin Psycology. 2011;67(9):942–68.
32. Widayati A. Swamedikasi di Kalangan Masyarakat Perkotaan di Kota Yogyakarta Self-Medication among Urban Population in Yogyakarta. J Farm Klin Indones. 2013;2(4):145–52.
33. Alldredge BK, Corelli RL, Ernst ME, Guglielmo BJ, Jacobson PA, Kradjan WA, et al. Applied Therapeutics The Clinical Use of Drugs. 10th ed. Philadelphia: Lippincott Williams & Wilkins; 2013.
34. Armstrong L, Goldman M, Lacy C. Drug Information Handbook. 22th ed. North America: Lexicomp; 2015.
35. Dipiro JT, Talbert RL, Yee GC, Matzke GR, Wells BG, Posey LM. Pharmacotherapy A Pathophysiologic Approach. 7th ed. Statewide Agricultural Land Use Baseline 2015. United States: The McGraw-Hill Companies, Inc.; 2008. 1-2597 p.
36. Katzung BG, Masters SB, Trevor AJ. Basic and Clinical Pharmacology. 12th ed. United States: The McGraw-Hill Companies, Inc.; 2012. 1-1245 p.
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