Medication Use in the Community: Comparison between Urban and Rural Home Pharmacies

Authors

  • Mina Maričić, dr Faculty of Medicine, University of Novi Sad, Vojvodina, Novi Sad 21000, Serbia.
  • Milica Paut Kusturica Department of Pharmacology and Toxicology, Faculty of Medicine, University of Novi Sad, Vojvodina, Novi Sad 21000, Serbia.
  • Mia Manojlović Faculty of Medicine, University of Novi Sad, Vojvodina, Novi Sad 21000, Serbia.
  • Ana D Tomas Department of Pharmacology and Toxicology, Faculty of Medicine, University of Novi Sad, Vojvodina, Novi Sad 21000, Serbia.
  • Olga Horvat Department of Pharmacology and Toxicology, Faculty of Medicine, University of Novi Sad, Vojvodina, Novi Sad 21000, Serbia.
  • Svetlana Goločorbin Kon Department of Pharmacy, Faculty of Medicine, University of Novi Sad, Vojvodina, Novi Sad 21000, Serbia.
  • Zdenko Tomić Department of Pharmacology and Toxicology, Faculty of Medicine, University of Novi Sad, Vojvodina, Novi Sad 21000, Serbia.
  • Ana Sabo Department of Pharmacology and Toxicology, Faculty of Medicine, University of Novi Sad, Vojvodina, Novi Sad 21000, Serbia.

DOI:

https://doi.org/10.31584/jhsmr.201953

Keywords:

consumer safety, expiration date, self-medication, storage and disposal

Abstract

Objective: This study aimed to examine the contents of home pharmacies and medication use, as well as storage and disposal habits in urban and rural households in Serbia.
Material and Methods: This prospective research was conducted within 70 households in Novi Sad (urban setting) and Laćarak (rural setting) from October 1, 2015 to January 15, 2016. The data were collected using a standardized questionnaire, as well as by direct examination of drugs stored in households.
Results: The most common groups of drugs stored were cardiovascular drugs, drugs for the nervous system, antirheumatic products and antimicrobials. A high percentage of drugs for the alimentary tract were found stored in Laćarak, while drugs for the respiratory tract were discovered in Novi Sad. Prescription only medications (POMs) made up 69.7% of all medications in Laćarak and 60.6% in Novi Sad. POMs were purchased independently in high amounts (13.2% in Laćarak and 9.1% in Novi Sad). Presence of expired medications was higher in Laćarak (12.0%) than Novi Sad (5.8%). Over two-thirds of the households stored medications properly; however, only 10.0% of respondents reported the proper disposal of unused medications.
Conclusion: The structures of home pharmacies in Novi Sad and Laćarak differ, which implies different healthcare needs. The practice of self-medicating was noted both in Novi Sad and Laćarak. While Laćarak residents rely more on the advice of friends and family, Novi Sad residents buy medicine mostly without any consultation. Medications in both environments are stored properly in the majority of households, but mostly disposed of improperly together with household waste.

References

1. Tomas A, Kusturica MP, Tomić Z, Horvat O, Koprivica DD, Bukumirić D, et al. Self-medication with antibiotics in Serbian households: a case for action? Int J Clin Pharm 2017;39:507-13.

2. Aljinović-Vučić V, Trkulja V, Lacković Z. Content of home pharmacies and self-medication practices in households of pharmacy and medical students in Zagreb, Croatia: findings in 2001 with a reference to 1977. Croat Med J 2005;46:74-80.

3. Mölstad S, Lundborg CS, Karlsson AK, Cars O. Antibiotic prescription rates vary markedly between 13 European countries. Scand J Infect Dis 2002;34:366–71.

4. Ministry of Health of the Republic of Serbia. Law on medicinal products and medical devices. Official Gazette of the Republic of Serbia No. 30/2010. 2010;30.

5. Lal A. Pharmaceutical drug promotion: how it is being practiced in India? J Assoc Physicians India 2001;49:266-73.

6. Paut-Kusturica M, Tomić Z, Bukumirić Z, Ninković LJ, Tomas A, Stilinović N, et al. Home pharmacies in Serbia: an insight into self-medication practice. Int J Clin Pharm 2015;37:373-8.

7. Kusturica MP, Tomas A, Tomić Z, Bukumirić D, Corac A, Horvat O, et al. Analysis of expired medications in Serbian households. Zdr Varst 2016;55:195-201.

8. Martins AP, Miranda AC, Mendes Z, Soares MA, Ferreira P, Nogueira A. Self-medication in a Portugese urban population: a prevalence study. Pharmacoepidemiol Drug Saf 2002;11:409-14.

9. Divac N, Jašović-Gašić M, Đukić LJ, Vujnović M, Babić D, Bajčetić M, et al. Benzodiazepines utilization and self medication as correlates of stress in the population of Serbia. Pharmacoepidemiol Drug Saf 2012;13:315-22.

10. Grigoryan L, Burgerhof JG, Degener JE, Deschepper R, Lundborg CS, Monnet DL, et al. Determinants of self medication with antibiotics in Europe: the impact of beliefs, country wealth and the healthcare system. J Antimicrob Chemother 2008;61:1172-9.

11. Cameron K. Medication safety in the home: the need for pharmacist involvement. Can Pharm J 2007;140:47-9.

12. Kyingi KS, Lauvo JA. Drugs in the home: danger and waste. World Health Forum 1993;14:381–4.

13. Beirens TM, van Beeck EF, Dekker R, Brug J, Raat H. Unsafe storage of poisons in homes with toddlers. Accid Anal Prev 2006;38:772–6.

14. Franklin RL, Rodgers GB. Unintentional child poisoning treated in United States hospital emergency departments: national estimates of incident cases, population-based poisoning rates, and product involvement. Pediatrics 2008;122: 1244–51.

15. Morgado MP, Morgado SR, Mendes LC, Pereira LJ, Castelo Branco M. Pharmacist interventions to enhance blood pressure control and adherence to antihypertensive therapy: review and meta-analysis. Am J Health Syst Pharm 2011;68:241–53.

16. Abahussain EA, Ball DE. Disposal of unwanted medicines from households in Kuwait. Pharm World Sci 2007;29:368–73.

17. Paut Kusturica M, Sabo A, Tomic Z, Horvat O, Šolak Z. Storage and disposal of unused medications: knowledge, behavior, and attitudes among Serbian people. Int J Clin Pharm 2012;34:604–10.

18. De Bolle L, Mehuys E, Adriaens E, Remon JP, Van Bortel L, Christiaens T. Home medication cabinets and self-medication: a source of potential health threats? Ann Pharmacother 2008;42:572–9.

19. Aljinovic-Vucic V, Trkulja V, Lackovic Z. Content of home pharmacies and self-medication practices in households of pharmacy and medical students in Zagreb, Croatia: findings in 2001 with a reference to 1977. Croat Med J 2005;46:74-80.

20. World Health Organization. World report on child injury prevention [monograph on the Internet]. Geneva: WHO; 2008 [cited 2018 Dec 12]. Available from: http://apps.who. int/iris/bitstream/handle/10665/43851/9789241563574_eng.pdf

21. Sanz EJ, Bush PJ, Garcia M, Ahonen R, Almars Dottir AB, Aramburuzabala P, et al. Medicines at home: the contents of medicine cabinets in eight countries. In: Bush PJ, Trakas DJ, Sanz EJ, Wirsing R, Waskilampi T, Prout A, editors. Children, medicines, and culture. New York: Pharmaceutical Product Press; 1996;p.77-104.

22. Boxall AB. The environmental side effects of medication. EMBO Rep 2004;5:1110–6.

Downloads

Published

2019-06-08

How to Cite

1.
Maričić M, Paut Kusturica M, Manojlović M, Tomas AD, Horvat O, Goločorbin Kon S, Tomić Z, Sabo A. Medication Use in the Community: Comparison between Urban and Rural Home Pharmacies. J Health Sci Med Res [Internet]. 2019 Jun. 8 [cited 2024 Dec. 23];37(3):197-206. Available from: https://he01.tci-thaijo.org/index.php/jhsmr/article/view/160750

Issue

Section

Original Article