Self-medication: A Harmful Practice and a Cause of Poisoning Admissions in a Tertiary Care Hospital in Eastern India
Background: The pattern of poisoning in India varies with socioeconomic status as well as region. A thorough understanding of the demographics and management of poisoning cases is essential for the development of well-informed policies, targeted interventions, and effective public awareness campaign...
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| Language: | English |
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Jaypee Brothers Medical Publisher
2024-07-01
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| Series: | Bengal Physician Journal |
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| Online Access: | https://www.apibpj.com/doi/BPJ/pdf/10.5005/jp-journals-10070-8050 |
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| author | Tanmoy Biswas Anurag Chaudhuri Suvro Ganguly Lopamudra D Chowdhury |
| author_facet | Tanmoy Biswas Anurag Chaudhuri Suvro Ganguly Lopamudra D Chowdhury |
| author_sort | Tanmoy Biswas |
| collection | DOAJ |
| description | Background: The pattern of poisoning in India varies with socioeconomic status as well as region. A thorough understanding of the demographics and management of poisoning cases is essential for the development of well-informed policies, targeted interventions, and effective public awareness campaigns. The indiscriminate practice of self-medication in developing countries like India often leads to cases of overdosing, which poses a significant alarm. The present study aimed to explore poisoning cases in a tertiary care setup and determine the prevalence of self-medication-related overdosing as a cause of poisoning.
Materials and methods: This cross-sectional observational study included emergency admission cases of poisoning in whom demographic data including age and gender were noted. Information on the type and cause of poisoning were noted based on clinical records and history elicitation from patients or their caregivers. In the case of drug overdose-related poisoning cases, the chemical nature of the drug and the mode of the drug procurement were probed. Data were analyzed statistically.
Results: The study observed that the age group of less than 20 years was the most vulnerable, while the age group of more than 70 years was the least vulnerable. Females were most affected. Among the types of poisoning observed, accidental (49%) and suicidal (48%) intent were almost the same. About 2.55% of cases were homicidal. Drugs were most commonly the causative agents (39%). Among the drug-causing poisonings, self-medication-related overdose was as high as 40.98%. Among the various causative agents, sedatives-hypnotics were the most common causative drugs, including alprazolam, chlordiazepoxide, diazepam, and zolpidem. This was followed by antihistaminics, antitussives, and antihypertensives. On the contrary, prescription drugs were responsible for 59.01% of drug poisoning cases.
Conclusion: The healthcare system including the healthcare professionals and various government programs must come forward to educate the masses regarding the hazards of self-medication. This will impart knowledge and understanding of the self-medication practices and will curb the associated menace. |
| format | Article |
| id | doaj-art-ca2d6a3d07da48a2b00e74e6bfd70517 |
| institution | Kabale University |
| issn | 2582-1202 |
| language | English |
| publishDate | 2024-07-01 |
| publisher | Jaypee Brothers Medical Publisher |
| record_format | Article |
| series | Bengal Physician Journal |
| spelling | doaj-art-ca2d6a3d07da48a2b00e74e6bfd705172025-08-20T03:41:31ZengJaypee Brothers Medical PublisherBengal Physician Journal2582-12022024-07-01112767910.5005/jp-journals-10070-80508Self-medication: A Harmful Practice and a Cause of Poisoning Admissions in a Tertiary Care Hospital in Eastern IndiaTanmoy Biswas0Anurag Chaudhuri1Suvro Ganguly2Lopamudra D Chowdhury3Tanmoy Biswas, Department of Clinical and Experimental Pharmacology, School of Tropical Medicine, Kolkata, West Bengal, India, Phone: +91 9732975314Department of Surgery, IQ City Medical College and Hospital, Kolkata, West Bengal, IndiaDepartment of Surgery, Santiniketan Medical College and Hospital, Kolkata, West Bengal, IndiaDepartment of Pharmacology, R. G. Kar Medical College and Hospital, Kolkata, West Bengal, IndiaBackground: The pattern of poisoning in India varies with socioeconomic status as well as region. A thorough understanding of the demographics and management of poisoning cases is essential for the development of well-informed policies, targeted interventions, and effective public awareness campaigns. The indiscriminate practice of self-medication in developing countries like India often leads to cases of overdosing, which poses a significant alarm. The present study aimed to explore poisoning cases in a tertiary care setup and determine the prevalence of self-medication-related overdosing as a cause of poisoning. Materials and methods: This cross-sectional observational study included emergency admission cases of poisoning in whom demographic data including age and gender were noted. Information on the type and cause of poisoning were noted based on clinical records and history elicitation from patients or their caregivers. In the case of drug overdose-related poisoning cases, the chemical nature of the drug and the mode of the drug procurement were probed. Data were analyzed statistically. Results: The study observed that the age group of less than 20 years was the most vulnerable, while the age group of more than 70 years was the least vulnerable. Females were most affected. Among the types of poisoning observed, accidental (49%) and suicidal (48%) intent were almost the same. About 2.55% of cases were homicidal. Drugs were most commonly the causative agents (39%). Among the drug-causing poisonings, self-medication-related overdose was as high as 40.98%. Among the various causative agents, sedatives-hypnotics were the most common causative drugs, including alprazolam, chlordiazepoxide, diazepam, and zolpidem. This was followed by antihistaminics, antitussives, and antihypertensives. On the contrary, prescription drugs were responsible for 59.01% of drug poisoning cases. Conclusion: The healthcare system including the healthcare professionals and various government programs must come forward to educate the masses regarding the hazards of self-medication. This will impart knowledge and understanding of the self-medication practices and will curb the associated menace.https://www.apibpj.com/doi/BPJ/pdf/10.5005/jp-journals-10070-8050emergency admissionspoisoningself-medication related overdosing |
| spellingShingle | Tanmoy Biswas Anurag Chaudhuri Suvro Ganguly Lopamudra D Chowdhury Self-medication: A Harmful Practice and a Cause of Poisoning Admissions in a Tertiary Care Hospital in Eastern India Bengal Physician Journal emergency admissions poisoning self-medication related overdosing |
| title | Self-medication: A Harmful Practice and a Cause of Poisoning Admissions in a Tertiary Care Hospital in Eastern India |
| title_full | Self-medication: A Harmful Practice and a Cause of Poisoning Admissions in a Tertiary Care Hospital in Eastern India |
| title_fullStr | Self-medication: A Harmful Practice and a Cause of Poisoning Admissions in a Tertiary Care Hospital in Eastern India |
| title_full_unstemmed | Self-medication: A Harmful Practice and a Cause of Poisoning Admissions in a Tertiary Care Hospital in Eastern India |
| title_short | Self-medication: A Harmful Practice and a Cause of Poisoning Admissions in a Tertiary Care Hospital in Eastern India |
| title_sort | self medication a harmful practice and a cause of poisoning admissions in a tertiary care hospital in eastern india |
| topic | emergency admissions poisoning self-medication related overdosing |
| url | https://www.apibpj.com/doi/BPJ/pdf/10.5005/jp-journals-10070-8050 |
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