Situation of media about medications on TikTok

Main Article Content

Kanyanat Chanthorndee
Kawisara Chatakarn
Kittikarn Mongkolsiri
Surarong Chinwong
Dujrudee Chinwong

Abstract

The objective of this study is to explore the situation of medication-related media on TikTok in terms of content and legal compliance. Methodology: This study was conducted as a qualitative study. Medication-related media on TikTok were collected using Thai Search keywords including “medicine”, “pharmacist recommendation”, “doctor recommendation”, “use of medicine”, “selling medicine” and TikTok’s algorithm. A total of 30 media samples were collected between November and December 2024. The content of each post was recorded in a structured data collection form and analyzed using Qualitative Content Analysis. If the collected post was identified as an advertisement, it was further assessed for legal compliance with the Drug Act B.E. 2510 (1967). Results: A total of 30 medication-related TikTok media were analyzed, comprising 21 advertisements and 9 educational videos. Most presenters (21 videos, 70%) identified themselves as healthcare professionals. Dangerous drugs were the most frequently mentioned category (18 videos, 58%), with anti-infective agents such as antibacterial, antifungal, and antiparasitic drugs being the most common indication group (10 videos, 29.4%). Most videos were under one minute in duration (16 videos, 53.3%). None of the advertisements displayed a license number, thus all violated Section 88 (1) of the Drug Act B.E. 2510 (1967) prohibiting unauthorized drug advertising. Conclusion: Most medication-related media on TikTok are advertisements that violate regulations on unauthorized drug promotion. As they are not reviewed before publication, they may affect public understanding and medication-related behaviors. Authorities should regulate such media to prevent the spread of inaccurate health information.

Article Details

Section
Pharmaceutical Practice

References

Drug Act B.E. 2510. Royal Gazette. 1967 Oct 20;84 (pt 101 special).

Drug Division, Food and Drug Administration, Ministry of Public Health. Definition of the term “advertisement” [Internet]. 2023 Mar 20 [cited 2025 Mar 6]. Available from: https://drug.fda.moph.go.th/sale-faq/drug-advertising

Drug-related media content (TikTok) [Internet]. 2024 Jan 1 [cited 2024 Jan].

Fillgoods Technology Co. L. Answering the question: What is TikTok, Why has it suddenly become a popular platform [Internet]. 2022 [cited 2024 Feb 2]. Available from: https://cmu.to/o3md8

Food and Drug Administration, Thailand. Regulations of the Food and Drug Administration on Criteria for Drug Advertising B.E. 2545 (2002) [Internet]. Bangkok: Ministry of Public Health; 2002 [cited 2025 Oct 8]. Available from: https://drug.fda.moph.go.th/sale-related-laws/2545/

Kumnooy P. Illegal drug advertisings and strategy. Thai Food and Drug J. 2020;27(1):41-53.

Mahaprom T, et al. Situation of medical advertisements broadcasted on radios in rural districts of northern Thailand. Thai J Pharm Pract. 2019;11(4):841-9.

Maimon P. Survey of drug selling over popular shopping websites in Thailand. Thai J Pharm Pract. 2019;2:369-77.

Meltwater; We Are Social. DIGITAL 2023 THAILAND from We Are Social and Meltwater insightERA2023 [Internet]. 2023 [cited 2023 Dec 16]. Available from: https://www.insightera.co.th/digital-2023-thailand/

Ministry of Public Health, Thailand. Announcement of the Ministry of Public Health on diseases or conditions prohibited from being advertised as treatable, alleviable, curable or preventable [Internet]. 6 Jan 1977 [cited 2025 Oct 8]. Available from: https://drug.fda.moph.go.th/announcement-ministry/law03-14

NIPA Agency. Understand the principles and workings of TikTok Algorithm 2024 [Internet]. Bangkok: NIPA Agency; 24 Jan 2024 [cited 2025 Oct 6]. Available from: https://nipa.co.th/article/digital-marketing/new-structure-of-tiktok-algorithm

O'Sullivan NJ, Nason G, Manecksha RP, O'Kelly F. The unintentional spread of misinformation on 'TikTok'; a paediatric urological perspective. J Pediatr Urol. 2022;18(3):371-5.

Song S, Zhao YC, Yao X, Ba Z, Zhu Q. Short video apps as a health information source: an investigation of affordances, user experience and users’ intention to continue the use of TikTok. Emerald Publ Ltd. 2020;31(6):1066-2243.

Thakar NS, Nakhoul NN, Norman RW. The unintentional spread of misinformation on 'TikTok'; a paediatric urological perspective. J Pediatr Urol. 2022 Aug;18(4):492.e1-492.e5.