Non-steroidal anti-inflammatory drugs misuse: an epidemiological study in Misr El-Kadima District; Cairo, Egypt [2002-2003]

Non steroidal anti-inflammatory drugs, [NSAlDs] are the most commonly consumed Over the counter [OTC] preparations worldwide. In Egypt community based research to estimate problem of NSAlDs misuse is lacking. The current study Is a community based household survey to assess the problem of NSAIDs misuse, pattern of use as well as co morbidity associated with NSAIDs use. The current work is implemented in one of the heavily populated districts in Cairo [Misr El Kadema]. Multistage random sample was designed. A total of 352 households [i,e families] were included, the total number of individuals above 18 years mount to 1239. NSAIDs users represent 24.5% of this population. The majority of users are females [242 out of 300 i,e 80.67%], illiterate and housewives. Nearly three fourths of users have duration of use for three years or more. Nearly two thirds [65%] of the users use NSAIDs without physicians' prescription. Aspirin is the most commonly used drugs, headache represent the main cause of NSAIDs. Grade I nephropathy was detected in 10. 3% of the sub sample subjected to ultrasonography. Depression represent the commonest mental health problem among subjects assessed for mental health status. The study recommends development of national guidelines for NSAIDs use health education program to raise the awareness of the public about NSAIDs use should be implemented. This program should target high risk groups specially women and illiterate