“Complex Simplicity”: Social Meanings of Paracetamol Usage within Life Context among People in A Province in Central Region

Main Article Content

Phafan Kitingern
Panoopat Poompruek

Abstract

Objective: To study the set of experiences and meaning of paracetamol use from the perspective of people through sociological and anthropological views in order to expand the phenomena of paracetamol use outside medical boundaries. Methods: This qualitative study collected information from 43 informants. The study employed various methods for collecting the data including focus group discussion, in-depth interviews, and observations, over 7 months from July 2021 to January 2022. The data were categorized and content analysis was conducted. The conclusion was drawn using thematic analysis. Results: People employed their set of experiences to determine how to use paracetamol leading to different patterns of uses including 1) paracetamol as a tool to manage life, 2) paracetamol as prevention of problems in life, 3) extension of paracetamol’s indications according to personal experiences, and 4) dose adjustment depending on immediate life context. Moreover, paracetamol was given meaning different from medical definition. It became a sign of commonality and familiarity. People associated its effectiveness with being cured, onset of action, numbers of tablets, frequency of drug taking, sources of drugs, price, advertisement and brand name. Conclusion: When paracetamol was in the hands of people, it transformed from an object for treating, easing and curing illnesses into cultural object being used for managing life depending on life context and experiences of individuals. Paracetamol hence is a common medicine with an underlying complexity.

Article Details

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Research Articles

References

Public Health Ministerial Declaration in 1978 on dangerous drugs. Royal Gazette No. 95, Part 68 (Jul 4, 1978).

Public Health Ministerial Declaration in 2008 on dangerous drugs (Issue 22). Royal Gazette No. 125, Part 166D special (Oct 17, 2008).

Angtragoon P, Yoongthong W, Wongpoowarak P, Thanawuth N, Kitikannakorn N, Assawamakin A, et al. The development of risk management of medicines in Thailand: A case study of paracetamol. Thai Food and Drug Journal 2017; 24: 61-74.

Drug Act, B.E. 2510. Royal Gazette No. 84, Part 101 special (Oct 20, 1967).

Public Health Ministerial Declaration in 1999 on household remedies. Royal Gazette No. 116, Part 38D (May 13, 1999).

Jaksupan P, Suteeprasert T, Soonthorn S, Komolmalai W, Laisuwannachart P. Factors related to paracetamol consumption among the elderly in Saohai district, Saraburi province. Journal of Health Science 2021; 30: 781-789.

Charoensuk N. Almsgiving [online]. 2014 [cited Dec 9, 2021]. Available from: www.stou.ac.th/schools/sh s/booklet/book572/Culture572.pdf.

Nation. Reminder to Thai people to consume para cetamol sparingly [online]. 2014 [cited Dec 9, 2021]. Available from: www.nationtv.tv/main/content/37841 2495/.

Health Product Vigilance Center, Food and Drug Administration. Spontaneous reports of ADRs 2013 [online]. 2014 [cited Dec 9, 2021]. Available from: thaihpvc.fda.moph.go.th/thaihvc/Public/News/uploads/hpvc_1_3_4_100520.pdf.

Health Product Vigilance Center, Food and Drug Administration. Spontaneous reports of ADRs 2014 [online]. 2015 [cited Dec 9, 2021]. Available from: thaihpvc.fda.moph.go.th/thaihvc/Public/News/uploads/hpvc_1_3_4_100538.pdf.

Health Product Vigilance Center, Food and Drug Administration. Spontaneous reports of ADRs 2015 [online]. 2016 [cited Dec 9, 2021]. Available from: thaihpvc.fda.moph.go.th/thaihvc/Public/News/uploads/hpvc_1_3_4_100626.pdf.

Health Product Vigilance Center, Food and Drug Administration. Spontaneous reports of ADRs 2016 [online]. 2017 [cited Dec 9, 2021]. Available from: thaihpvc.fda.moph.go.th/thaihvc/Public/News/uploads/hpvc_1_3_4_100718.pdf.

Health Product Vigilance Center, Food and Drug Administration. Spontaneous reports of ADRs 2017 [online]. 2018 [cited Dec 9, 2021]. Available from: thaihpvc.fda.moph.go.th/thaihvc/Public/News/uploads/hpvc_1_3_4_100797.pdf.

Public Health Ministerial Declaration in 2017 on household remedies (Issue 7). Royal Gazette No. 134, Part 97D special (Apr 4, 2017).

Meesawatsom P. Does paracetamol really cure all the pain? [online]. 2013 [cited Dec 9, 2021]. Available from: shorturl.at/diBQ4.

National Rational Drug Use Subcommittee. Rational drug use hospital manual. Bangkok: Printing Agriculture Cooperatives of Thailand; 2015.

Health product vigilance center, Food and drug administration. Spontaneous reports of ADRs 2021 [online]. 2022 [cited Jun 15, 2022]. Available from: hpvcth.fda.moph.go.th/spontaneous-2020/.

WHO. International Conference on Improving Use of Medicines. Essential drugs monitor 1997; 23:6-12.

Takran T, Chartrungruang B, Somhom S, Tantra- nont N. Developing Thai homestay standard evaluation form for the development of evaluating recommendation systems to acquire Thai homestay standard certification. The 3rd Kamphaeng Phet Rajabhat University National Conference 2016; 127-140.

MIMS. Paracetamol [online]. 2020 [cited Dec 9, 2021]. Available from: www.mims.com/thailand/drug /info/paracetamol/?type=brief

Lacy CF, Armstrong LL, Goldman MP, Lance LL. Drug information handbook. 12th ed. Canada: Lexi-Comp; 2005.

Sriuttha P, Suwannaprom P, Niwatananun K. Drug use behaviors and potential risk of hepatotoxicity: a case study of paracetamol in Chiang Mai. Thai Bulletin of Pharmaceutical Sciences 2018; 13: 25-40.

Chandler CIR, Hutchinson E, Hutchison C. Addressing antimicrobial resistance through social theory: an anthropologically oriented report. London: London School of Hygiene & Tropical Medicine; 2016.

Appadurai A. The thing itself. Public Culture 2006; 18: 15-21.

Dokken W. Analgesic use of people in Chanthuek community Nongsarai sub-district Pakchong district, Nakhonratchasima province. Community Health Development Quarterly Khon Kaen University 2017; 5: 475-86.

Suksusin J, Saelee N, Chuemongkon W. Knowledge and behavior regarding paracetamol usage among residents of Nawamin sub-district, Bueng Kum district, Bangkok. Srinagarind Medical Journal 2021; 36: 451-59.