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1.
Front Digit Health ; 5: 1173229, 2023.
Article in English | MEDLINE | ID: covidwho-20243607

ABSTRACT

Introduction: Since the enactment of the revised Pharmaceutical Affairs Act in Japan in 2009, self-medication practices have increased in the country. However, studies report that consumers pay little attention to the medication facts and risks indicated on the packages of over-the-counter (OTC) medicines, which could be a potential risk. Since the COVID-19 pandemic, the digital transformation of purchasing OTC medicines has progressed. As an appropriate design for the digital transformation is likely to improve consumers' literacy and them obtaining medical information, this study systematically examines Japanese consumers' attitudes toward the digital transformation of OTC medicine purchase behavior and its correlation to eHealth literacy, exploring an appropriate digital experience design in purchasing OTC medicine. Methods: Participants from the Greater Tokyo Area of Japan participated in an online survey. Consumers' current behavior and preferences in accessing OTC medicine, receiving medication guidance, and obtaining medical information were examined. eHealth literacy was assessed using the J-eHEALS. Descriptive statistics, text mining, and thematic analysis were conducted to answer research questions. Results: Over 89% of the respondents who had experience in purchasing OTC medicines preferred local pharmacies or stores rather than online purchasing, p < 0.001. Obtaining medicine guidance in pharmacies or stores was the main preference over other approaches, p < 0.001. Furthermore, most of the participants accepted selecting medicine on shelves and digital screens in-store. However, they were accustomed to using smartphones to obtain additional information at the pharmacy or drug store, p < 0.001; this behavior was positively correlated with eHealth literacy, p < 0.001. Conclusions: Japanese consumers are seeking a combination of conventional and digital behaviors for purchasing OTC medicine rather than opting for a particular method. Most consumers prefer purchasing and receiving instructions in-store while searching for additional decision-making information online. eHealth literacy is positively associated with digital behaviors of OTC medicine information acquisition but less associated with medicine purchases and selections. The hybrid digital experience design may enhance the OTC medicine purchase experience and reduce potential risks by providing appropriate information.

2.
JIMD Rep ; 64(3): 233-237, 2023 May.
Article in English | MEDLINE | ID: covidwho-2314587

ABSTRACT

Urea cycle disorders (UCDs) comprise a group of inborn errors of metabolism with impaired ammonia clearance and an incidence of ~1:35 000 individuals. First described in the 1970s, the diagnosis and management of these disorders has evolved dramatically. We report on a 59-year-old woman with a UCD who contributed to advances in the understanding and treatment of this group of disorders. This individual was diagnosed with carbamoyl phosphate synthetase 1 deficiency based on a biochemical assay under a research context predating genetic sequencing, treated longitudinally as having this metabolic disorder, and was among the first participants to trial UCD pharmaceutical therapies. She ultimately succumbed to a SARS-CoV-2 infection while maintaining unexpectedly normal ammonium levels. Postmortem genetic testing revealed ornithine transcarbamylase deficiency. This individual's contributions to the field of UCDs is discussed herein.

3.
Gesundheitsoekonomie Und Qualitaetsmanagement ; 27(06):331-340, 2022.
Article in English | Web of Science | ID: covidwho-2311503

ABSTRACT

Published studies from 2021 found that acetylsalicylic acid (ASA) can improve the course of disease in hospitalized covid-19 patients and that these patients were less likely to suffer from covid-19 infection. Based on this, a retrospective data collection of 866 covid-19 patients who received treatment with OTC drugs and their disease course was collected using a survey (2021/2022).The group of patients receiving treatment with ASA was significantly older and more severely baseline ill than the comparison groups of patients treated with either ibuprofen, acetaminophen, or no OTC drugs. Although the SARS-CoV-2 patients with ASA were older and more severely predisposed, the course of treatment was comparable to younger and more mildly predisposed patients. Symptoms such as limb pain and chills, for example, were documented more frequently in the subgroup (treatment with ibuprofen and acetaminophen, respectively). Likewise, purely from the relative values, patients with ASA treatment were mostly better off when it came to the accumulation of outpatient treatments, emergency treatments, hospitalizations, and specialist referrals. A significant difference could be shown regarding outpatient treatments and emergency treatments of patients with ASA treatment compared with patients treated with acetaminophen. The results are indications that ASA may promote a milder course of disease in patients suffering from SARS-CoV-2 infection.

4.
Healthcare (Basel) ; 11(8)2023 Apr 18.
Article in English | MEDLINE | ID: covidwho-2304574

ABSTRACT

Designing an over-the-counter medication electronic health record (OTC-EHR) may help improve OTC usage. An online survey for the conceptual OTC-EHR design examined participant characteristics, attitudes towards obtaining user-shared OTC medication information, health-related application usage, and the inclination to share anonymized health information. Descriptive statistics, tests to assess statistical significance, and text mining were used to analyze the results. The findings revealed that Japanese consumers, particularly those with high eHealth literacy and women, possess relatively positive attitudes towards obtaining user-shared OTC medication information than those with low eHealth literacy (t (280.71) = -4.11, p < 0.001) and men (t (262.26) = -2.78, p = 0.006), respectively. Most consumers own smartphones but do not use health-related applications. A minority held positive attitudes about sharing anonymized health information. The perceived helpfulness of OTC-EHR was positively associated with the usage of health-related applications (χ2 (4) = 18.35, p = 0.001) and attitude towards sharing anonymized health information (χ2 (3) = 19.78, p < 0.001). The study findings contribute towards OTC-EHR's design to enhance consumers' self-medication and reduce risks, while the psychological barriers to sharing anonymized health information should be improved by increasing the OTC-EHR's penetration rate and engaging in appropriate information design.

5.
International Journal of Pharmaceutical Sciences and Research ; 13(9):3768-3777, 2022.
Article in English | EMBASE | ID: covidwho-2267086

ABSTRACT

December 2019 has become one of the most surprising days in the whole world in light of the flare-up of a most infectious sickness brought about by novel Covid or Severe Acute Respiratory Syndrome Corona virus 2 (SARS-CoV-2). This study is conducted to assess the benefits of the use of home remedies to prevent the cause of Covid-19 and evaluate the assessment of dietary changes and physical activity in the prevention of Covid-19. A questionnaire-based online survey is conducted using Google forms consisting of multiple-choice questions about home remedies, lifestyle and dietary changes made by the people during this pandemic. These home remedies included using different types of herbal preparations, steam inhalation, physical exercise and OTC medications for prophylaxis. Questions likewise included about being infected by Coronavirus-19(during first wave or second) and their recovery period, additionally collected their viewpoint for changes made, for example how much they are useful in the prevention of the attack and whenever encountered any undesirable impacts. Total responses were 210, among which 121(57.6%) responses were from females and 89(42.4%) from males. 65 people tested Covid positive (42 during the first wave and 23 during the second wave). 118(56.2%) of people think these changes are very beneficial. (Rated 4 and 5 out of 5 points). From our survey, we concluded that different herbal preparations of their composition, which they thought are helpful, and steam inhalations have been used. Rating regarding the use and effectiveness was also found to be average. Further studies are needed to prove and provide clear evidence about adverse and side effects associated with the use of herbal products.Copyright © 2022 Society of Pharmaceutical Sciences and Research. All rights reserved.

6.
J Am Pharm Assoc (2003) ; 2022 Oct 15.
Article in English | MEDLINE | ID: covidwho-2228233

ABSTRACT

BACKGROUND: Coronavirus disease 2019 (COVID-19) lockdowns disrupted access to harm reduction supplies and services known to be effective in overdose prevention and contributed to a worsening of the opioid crisis. However, because pharmacies can provide naloxone and sell over-the-counter (OTC) sterile syringes, their continued operation throughout the pandemic potentially reinforced a public health role as a distribution hub for safer use supplies. OBJECTIVES: The objective of this analysis was to examine patterns of naloxone and OTC syringe sale volume at 463 community pharmacies in 2 states with high overdose rates during the COVID-19 pandemic. METHODS: We analyzed weekly pharmacy-level dispensing data from January 5, 2020, to December 31, 2020, from one corporate community pharmacy chain in Massachusetts (n = 415 pharmacies) and New Hampshire (n = 48 pharmacies). Descriptive statistics and visualizations over the analytical period were generated as initial explorations of the outcome. Zero-inflated Poisson and negative binomial models were used to analyze distribution data along with county-level COVID-19 case rates and store-level COVID-19 testing location status during the same time. Interactions tested the effect of COVID-19 case rates on naloxone and OTC syringe sales. RESULTS: Pharmacies that reported selling nonprescription syringes and dispensing naloxone during the study period averaged 210.13 OTC syringes sold and 0.53 naloxone prescriptions per week. Pharmacies in communities that experienced greater COVID-19 case burden also exhibited higher naloxone dispensing and OTC syringe sales during this period. The odds of selling OTC syringes increased over time but naloxone dispensing remained constant over the pandemic year. Pharmacies hosting COVID-19 testing tended to have lower OTC syringe sales and naloxone provision than nontesting sites. CONCLUSION: During the COVID-19 pandemic, pharmacies provided harm reduction services and dispensed lifesaving medications by quickly adapting to fulfill community needs without disrupting co-located services for COVID-19 response.

7.
Clin Epidemiol Glob Health ; 20: 101243, 2023.
Article in English | MEDLINE | ID: covidwho-2209934

ABSTRACT

Problem considered: Coronavirus disease(COVID-19) outbroke towards the end of December 2019 in China, soon it started spreading rapidly to various countries leading to an outburst of pandemic. Due to the restrictions imposed to control the spread of the infection, globally the manufacturing, import and export of medicine and the healthcare services to patients with chronic illness had been affected. This study aimed to explore the perspectives of the pharmacists on the medicine supply chain for patients with chronic diseases during COVID-19 pandemic in India. Methods: This study is a prospective, qualitative research involving telephonic, semi-structured in-depth interviews. An interview guide for pharmacists was prepared and validated using "Interview Protocol Refinement" method. Purposive sampling method was used to recruit the pharmacists; a telephonic oral consent was obtained. The interview session was audio recorded and the recordings were transcribed verbatim. Further, transcripts were validated and later analysed using NVivo software. Results: A total of 8 participants were interviewed during our study. Thematic analysis of the transcripts resulted in seven main themes. The study showed that there was deficiency in medicine supply during the COVID-19 pandemic and the pharmacists faced several challenges in procuring and storing the medication, arranging for unavailable medicines, medication dispensing and provision of the services such as medicine delivery, patient counselling. There was also scarcity of manpower leading to extra workload and working overtime. Conclusion: Uninterrupted supply of essential medicine is the backbone of health care system. An effective plan and appropriate strategies are vital to combat such future emergencies.

8.
International Journal of Healthcare Management ; 2023.
Article in English | Web of Science | ID: covidwho-2187717

ABSTRACT

The digital transformation movement persuaded many pharma companies towards greater adoption of digital marketing and e-commerce. This was accelerated even more by the COVID-19 crisis. Therefore, this study aims to explore the general perception and attitude of consumers in Malaysia regarding the use of online shopping and digital marketing tactics for OTC drugs. Thirteen in-depth interviews were conducted between September and November 2020. A thematic content analysis approach was used to analyse the qualitative data. Key themes emerging from the interviews included: (1) general perception of OTC drug consumers regarding digital marketing;(2) attitude of consumers towards the purchase of OTC drugs;(3) factors affecting OTC drug consumer behaviour;and (4) perception of consumers towards online advertisements for OTC drugs. The majority of the study participants believe that digital marketing has a direct or indirect impact on their purchasing decisions as OTC consumers. Although most rely mainly on offline purchases for OTC products, they have shown a willingness to increase their adoption of online purchasing methods, particularly in the aftermath of the COVID-19 outbreak. These findings can be useful to public and private healthcare managers on a practical level.

9.
Gesundheitsokonomie und Qualitatsmanagement ; 27(6):331-340, 2022.
Article in German | EMBASE | ID: covidwho-2186336

ABSTRACT

Published studies from 2021 found that acetylsalicylic acid (ASA) can improve the course of disease in hospitalized covid-19 patients and that these patients were less likely to suffer from covid-19 infection. Based on this, a retrospective data collection of 866 covid-19 patients who received treatment with OTC drugs and their disease course was collected using a survey (2021/2022). The group of patients receiving treatment with ASA was significantly older and more severely baseline ill than the comparison groups of patients treated with either ibuprofen, acetaminophen, or no OTC drugs. Although the SARS-CoV-2 patients with ASA were older and more severely predisposed, the course of treatment was comparable to younger and more mildly predisposed patients. Symptoms such as limb pain and chills, for example, were documented more frequently in the subgroup (treatment with ibuprofen and acetaminophen, respectively). Likewise, purely from the relative values, patients with ASA treatment were mostly better off when it came to the accumulation of outpatient treatments, emergency treatments, hospitalizations, and specialist referrals. A significant difference could be shown regarding outpatient treatments and emergency treatments of patients with ASA treatment compared with patients treated with acetaminophen. The results are indications that ASA may promote a milder course of disease in patients suffering from SARS-CoV-2 infection. Copyright © 2022 Georg Thieme Verlag. All rights reserved.

10.
Pain Manag ; 13(1): 61-69, 2023 Jan.
Article in English | MEDLINE | ID: covidwho-2162826

ABSTRACT

COVID-19, an infection caused by SARS-CoV-2, had a devastating impact on people's lives. The pandemic placed a heavy burden on healthcare systems and impacted the care of patients, including those with pain. This narrative review aims to highlight the challenges in managing pain and fever resulting from COVID-19 and pre-existing conditions, and to discuss the role of over the counter analgesics as a key part of the COVID-19 treatment regimen. As most patients with COVID-19 are being managed in the outpatient setting, lifestyle interventions and over the counter analgesics are readily available options to effectively treat pain and fever, which can help to decrease the burden on the healthcare system during the COVID-19 pandemic.


COVID-19 is an infection caused by SARS-CoV-2. The COVID-19 pandemic not only affects patient lives, but also heavily impacts healthcare systems. This review aims to discuss the available literature on how to manage pain from COVID-19 and encourage a consensus meeting for recommendations. As most patients with COVID-19 are being managed in the outpatient setting, lifestyle interventions and over the counter analgesics are readily available options to effectively treat pain and fever, which can help to decrease the demand on the healthcare system during the COVID-19 pandemic.


Subject(s)
COVID-19 , Humans , COVID-19/complications , SARS-CoV-2 , Pain Management/methods , Pandemics , COVID-19 Drug Treatment , Pain , Analgesics/therapeutic use
11.
Journal of Pharmaceutical Negative Results ; 13:1905-1911, 2022.
Article in English | EMBASE | ID: covidwho-2156342

ABSTRACT

Introduction: Over the Counter (OTC) Medicines usage for common ailments like fever, cough cold or gastro intestinal complaints have been common in Indian setting and also increasing in other countries as well. Although these medications can be effective, can cause adverse effects especially in paediatric age group if administered in improper dosage or method. This study is an attempt to identify the parental beliefs and methods regarding usage of OTC drugs in their children. Aim(s): To identify parental perceptions, knowledge, applications and practice of using OTC drugs in their children. Material(s) and Method(s): This cross-sectional questionnaire-based study was conducted at Saveetha Medical College Hospital, Chennai, Tamil Nadu, India (tertiary care centre) from May 2022 to September 2022. Parents of children aged up to 14 years were subjected to a validated questionnaire;respondents mostly being mothers. The questionnaire had 3 parts with questions pertaining to socio - demographic details (part 1), knowledge application and practice of using OTC drugs and impact of the covid - 19 pandemic on parents seeking healthcare for their children. The data was tabulated onto excel sheets and analysed using SPSS software for windows. Result(s): A total of 83 children participated in the study. Majority of the study population was greater than 1 year. Upon analysing the responses, 74 (89%) of the respondents had OTC drugs at home with most common being drugs for fever (51.4%) followed by cough and cold (33.8%), with the major source of OTC drugs being the nearby pharmacy (97.3%) which was statistically significant amongst educated mothers purchasing OTC medications with a p value of 0.05. Parents did not have much knowledge about the side effects or how the drugs work. With the outlook of visiting a hospital, 50% of the parents still felt it is necessary to visit a hospital for their children's illness. Among those who were apprehensive to visit a hospital, the primary concern was fear of infection in case they visited a hospital which was statistically significant with a p value of 0.001. Overall, parents felt that despite OTC drugs, it is the treatment of a doctor that plays a role in the overall recovery of their child. Conclusion(s): This study showed majority of the parents have OTC drugs in their home and use self-medication to treat illness in their children. However, knowledge and awareness in regarding drug dosage, adverse effects and drug actions was found to be less even amongst educated parents. Parental education during hospital visits by treating doctors and information on the drug labels will help the parents to use these medications as a temporary measure until their child meets the doctor and also help to avoid any possible adverse effects due to improper OTC drug administration. Copyright © 2022 Wolters Kluwer Medknow Publications. All rights reserved.

12.
Virol J ; 19(1): 202, 2022 Dec 01.
Article in English | MEDLINE | ID: covidwho-2153609

ABSTRACT

BACKGROUND: The objective of our investigation was to better understand barriers to implementation of self-administered antigen screening testing for SARS-CoV-2 at institutions of higher education (IHE). METHODS: Using the Quidel QuickVue At-Home COVID-19 Test, 1347 IHE students and staff were asked to test twice weekly for seven weeks. We assessed seroconversion using baseline and endline serum specimens. Online surveys assessed acceptability. RESULTS: Participants reported 9971 self-administered antigen test results. Among participants who were not antibody positive at baseline, the median number of tests reported was eight. Among 324 participants seronegative at baseline, with endline antibody results and ≥ 1 self-administered antigen test results, there were five COVID-19 infections; only one was detected by self-administered antigen test (sensitivity = 20%). Acceptability of self-administered antigen tests was high. CONCLUSIONS: Twice-weekly serial self-administered antigen testing in a low prevalence period had low utility in this investigation. Issues of testing fatigue will be important to address in future testing strategies.


Subject(s)
COVID-19 , Humans , COVID-19/diagnosis , SARS-CoV-2 , Students , Immunologic Tests , Seroconversion
13.
Journal of Pharmaceutical Health Services Research ; 2022.
Article in English | Web of Science | ID: covidwho-2123081

ABSTRACT

Objectives Early investments in new diagnostic technologies that allow for rapid and decentralized testing were critical in reducing SARS-CoV-2's detrimental health and economic effects. This study evaluates public knowledge about, acceptance of and willingness to use COVID-19 self-testing kits. Methods An online descriptive cross-sectional questionnaire was used in this study. The final study population included all contacted national and resident adults, age 18 and over, who were willing to engage in the study. The survey was divided according to participants' demographic information and 11 questions assessed the respondents' understanding of and willingness to use COVID-19 self-testing kits. The statistical analysis was carried out using SPSS version 24. Multivariate linear regression models were used to identify the factors influencing respondents' knowledge of and attitudes toward the acceptability of self-testing kits for COVID-19 and their willingness to use these kits. Key findings A total of 876 respondents participated in the study and completed the whole questionnaire. The average knowledge score on the acceptability of and willingness to use self-testing kits for COVID-19 was 70.2%, with a 95% confidence interval (CI) [69.1%, 71.4%]. Participants who were postgraduate, female and vaccinated against COVID-19, as well as employees and older participants, were jointly highly associated with higher levels of knowledge about, acceptance of and willingness to use self-testing kits for COVID-19. Moreover, participants who had been infected with COVID-19, were vaccinated against COVID-19 or were female, employees, older, Western or Arabic were jointly highly associated with positive attitudes about the acceptability of and willingness to use self-testing kits for COVID-19. Conclusions The majority of the respondents have acceptable levels of knowledge about, acceptance of and willingness to use self-testing kits for COVID-19. Nonetheless, future studies should consider the issues of pre- and post-test counselling, false negative results and the sale of unregulated testing kits. Additional information should be communicated so that people can make informed decisions and be protected from possible abuse of COVID-19 self-testing kits when they become available in pharmacies.

14.
Health Sci Rep ; 5(4): e716, 2022 Jul.
Article in English | MEDLINE | ID: covidwho-1925927

ABSTRACT

Background and Aims: Over-the-counter (OTC) dietary supplements gained popularity during the COVID-19 pandemic as a preventive measure. Lack of complete understanding among the general population of the pathophysiologic mechanisms underlying the severity and progression of infection with coronavirus disease 2019 (COVID-19) has further encouraged the use of supplements. The present study aimed to assess the perceptions of the general public toward the efficacy and safety of the use of OTC dietary supplements as immune enhancers during the COVID-19 pandemic. The factors impacting these perceptions were also explored. Methods: This was an online survey-based, cross-sectional study conducted in Jordan over 4 months. A validated survey which comprised 28 questions covering aspects related to the respondents' demographic characteristics, their perceptions toward the efficacy of OTC dietary supplements and their awareness regarding the safety of popular OTC supplements and healthy dietary habits was used to collect responses. Associations between patient characteristics with perception and awareness were explored. Results: A total of 1487 responses were included in the analysis. Ascorbic acid, zinc, and vitamin D were the most popular OTC supplements, as indicated by the percentages of users (48.8%, 38.6%, and 34.6%, respectively). Perceptions toward OTC supplement use were suboptimal, with a reported mean perception score of 27.82 ± 8.56 (range 0-45). The multivariate analysis showed that participants who were of older age (>65 years) (AOR = 6.29, 95% CI = 2.2-17.9), had an income level >1500 (AOR = 1.84, 95% CI = 1.80-3.56), and used chronic medications had better perceptions than did younger participants, those with no income, and non-users of chronic medications, respectively. The mean safety awareness score was 5.36 ± 1.58 (maximum 7), with a significant direct relationship identified between perceptions and safety awareness scores (Spearman's correlation = 0.136, p < 0.001). Conclusion: This study highlighted the needs to organize educational campaigns that promote general public perceptions toward the safe use of OTC supplements to enhance immunity during COVID-19.

15.
Int J Environ Res Public Health ; 19(12)2022 06 18.
Article in English | MEDLINE | ID: covidwho-1896872

ABSTRACT

BACKGROUND AND AIM: The use of dietary supplements (DS) and over-the-counter (OTC) drugs is increasing every year. The COVID-19 pandemic might additionally influence the use of such preparations. The study aimed to investigate factors influencing the use of dietary supplements (DS), including stress-relieving supplements, by the students. METHODS: In the cross-sectional study, 624 students of the Wroclaw Medical University in Poland, from the second to the last year of studies, completed the anonymous questionnaire, consisting of 22 items, about the use of DS/OTC drugs during the academic year 2020/2021. Obtained data were analyzed using Pearson's chi-square test, the U-Mann Whitney test, the Kruskal-Wallis test with the post-hoc analysis, and with logistic regression. RESULTS: About 70% of students declared the use of any DS, 33% used DS for stress, anxiety, depression, or sleeping problems, and 59% used other DS. The most important factors influencing the decision to take any kind of DS were Division (p = 0.0001, odds ratio [OR]: 0.35, and confidence interval [CI]: 0.21-0.59), a self-estimated level of stress (p = 0.014, OR: 1.13, CI: 1.03-1.25), and self-estimated level of knowledge about DS (p = 0.0000, OR: 1.31, CI: 1.19-1.36). In the case of students taking DS for stress, anxiety, depression, or sleeping problems, the level of stress and the declared knowledge had the greatest impact on the decision for such a use of DS (p = 0.0001, OD: 1.24, CI: 1.11-1.39 and p = 0.0000, OD: 1.35, CI: 1.22-1.5, respectively). The COVID-19 pandemic did not change the pattern of DS/OTC drug usage in about 33% of students. Those who started taking DS during the pandemic accounted for 19% of all students. CONCLUSIONS: The use of DS is common among Wroclaw Medical University students with some differences between subgroups of respondents. Additionally, despite declared good knowledge about DS, most students declare the need to learn more about them.


Subject(s)
COVID-19 , Sleep Wake Disorders , Students, Medical , COVID-19/epidemiology , Cross-Sectional Studies , Depression , Dietary Supplements , Humans , Nonprescription Drugs/therapeutic use , Pandemics , Poland/epidemiology , Universities
16.
Acta Poloniae Pharmaceutica ; 79(1):137-144, 2022.
Article in English | English Web of Science | ID: covidwho-1884962

ABSTRACT

The COVID-19 pandemic, the burden on the health system, and reduced access to health services have led to an increase in the purchase of over-the-counter (OTC) medicines. The research was conducted in the Benu pharmacy in Belgrade, with 200 users of pharmacy services. The questionnaire for patients through 25 questions grouped into 5 dimensions provided an overview of the influence of various factors on the decision to purchase OTC medicines: the price of a medical examination, pharmacist recommendations, the influence of family and friends, previous experiences, and advertising. The analysis revealed a statistically significant difference between the scores in the claims of the respondents before and during the COVID-19 pandemic in the domains: the price of a medical examination (t = 2.592;df = 198;p < 0.05) and information on OTC medicines (t = 2.549;df=198;p < 0.05). The Questionnaire for patients defines the factors that influence the choice of OTC medicines for the self-medication process and is a good guideline for considering the shortcomings in the trade of OTC medicines.

17.
Toxicol Rep ; 9: 541-548, 2022.
Article in English | MEDLINE | ID: covidwho-1829588

ABSTRACT

Paracetamol/Acetaminophen was widely used as a first-line antipyretic and analgesic for COVID-19 patients without giving any attention to the potential risk of related toxicities. A survey was conducted on 176 Egyptians using an online survey portal to assess their knowledge, and attitude regarding potential risk of paracetamol toxicities and whether COVID-19 pandemic affected their practices regarding safe use of paracetamol. The self-administered questionnaire was developed by the researchers and was validated by expert opinions. A pilot testing of the questionnaire was done. Alpha Cronbach test used to assess the internal consistency reliability of the survey revealed good reliability. Overall percent-score revealed that only 24.4% of participants had good knowledge about paracetamol and its related potential toxicities. 62.5% of participants considered paracetamol safer than other medications of the same indications. 42.6% of participants could advise others to use paracetamol without prescription. According to the participants' responses, physicians were less concerned to give instructions about possibility of overdosage. Our results also revealed that participants' administration of paracetamol without physician prescription was more during COVID-19. Practice of paracetamol administration more than the allowed number of tablets/day was significantly more evident during the pandemic. We concluded that the unsupervised use of paracetamol is an alarming sign that should be addressed as this could lead to a high rate of accidental paracetamol toxicity. A lesson learnt from COVID-19 pandemic is the need to implement behavior change measures to mitigate the risk of accidental paracetamol toxicity.

18.
J Evid Based Integr Med ; 26: 2515690X211026193, 2021.
Article in English | MEDLINE | ID: covidwho-1298011

ABSTRACT

OBJECTIVES AND SETTING.: As the lethal COVID-19 pandemic enters its second year, the need for effective modalities of alleviation remains urgent. This includes modalities that can readily be used by the public to reduce disease spread and severity. Such preventive measures and early-stage treatments may temper the immediacy of demand for advanced anti-COVID measures (drugs, antibodies, vaccines) and help relieve strain also on other health system resources. DESIGN AND PARTICIPANTS.: We present results of a clinical study with a multi-component OTC "core formulation" regimen used in a multiply exposed adult population. Analysis of clinical outcome data from our sample of over 100 subjects - comprised of roughly equal sized regimen-compliant (test) and non-compliant (control) groups meeting equivalent inclusion criteria - demonstrates a strong statistical significance in favor of use of the core formulations. RESULTS.: While both groups were moderate in size, the difference between them in outcomes over the 20-week study period was large and stark: Just under 4% of the compliant test group presented flu-like symptoms, but none of the test group was COVID-positive; whereas 20% of the non-compliant control group presented flu-like symptoms, three-quarters of whom (15% overall of the control group) were COVID-positive. CONCLUSIONS.: Offering a low cost, readily implemented anti-viral approach, the study regimen may serve, at the least, as a stopgap modality and, perhaps, as a useful tool in combatting the pandemic.


Subject(s)
Antiviral Agents/therapeutic use , COVID-19 Drug Treatment , Communicable Disease Control , Dietary Supplements , Pandemics , Adult , COVID-19/virology , Cinchona , Female , Humans , Ionophores/therapeutic use , Lysine/therapeutic use , Male , Middle Aged , Nonprescription Drugs , Quercetin/therapeutic use , SARS-CoV-2 , Severity of Illness Index , Treatment Outcome , Vitamins/therapeutic use , Zinc/therapeutic use
19.
Int J Environ Res Public Health ; 18(11)2021 05 21.
Article in English | MEDLINE | ID: covidwho-1266713

ABSTRACT

Recently, there has been an increase in the use of over-the-counter (OTC) drugs. The consumption of these medicines can be unsafe, as incorrect self-diagnosis or the ingestion of inappropriate doses can lead to side effects and the occurrence of adverse reactions and drug-drug interactions. A cross-sectional descriptive observational study was carried out, targeting the entire Spanish population by using an online questionnaire. The results showed that 78.9% of the subjects had previously taken or were currently taking OTC drugs. This consumption decreased as the age of the subjects increased, with a prevalence of 36.4% of subjects aged ≥ 71 taking OTC drugs. Analgesics were the most consumed OTC drugs (49.1%) especially in women, youngsters with non-formal educational qualifications, and individuals of a low-medium socioeconomic level residing in urban areas. Measures should be implemented to optimize the safe use of OTC drugs in order to avoid the occurrence of secondary events associated with the lack of knowledge related to their the usage.


Subject(s)
Drug-Related Side Effects and Adverse Reactions , Nonprescription Drugs , Analgesics/therapeutic use , Cross-Sectional Studies , Female , Humans , Prevalence , Self Medication
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