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Nature and frequency of drug-related problems in self-medication (over-the-counter drugs) in daily community pharmacy practice in Germany
Pharmacoepidemiology and drug safety, 2012-03, Vol.21 (3), p.254-260
Eickhoff, Christiane
Hämmerlein, Andrea
Griese, Nina
Schulz, Martin
2012
Details
Autor(en) / Beteiligte
Eickhoff, Christiane
Hämmerlein, Andrea
Griese, Nina
Schulz, Martin
Titel
Nature and frequency of drug-related problems in self-medication (over-the-counter drugs) in daily community pharmacy practice in Germany
Ist Teil von
Pharmacoepidemiology and drug safety, 2012-03, Vol.21 (3), p.254-260
Ort / Verlag
Chichester, UK: John Wiley & Sons, Ltd
Erscheinungsjahr
2012
Link zum Volltext
Quelle
Wiley Online Library Journals Frontfile Complete
Beschreibungen/Notizen
ABSTRACT Purpose To quantify drug‐related problems (DRPs) in self‐medication (over‐the‐counter [OTC] drug use) identified by community pharmacists (CPs) in Germany at the time the drug is dispensed. Methods One hundred CPs were asked to document 100 consecutive customers presenting symptoms or requesting OTC drugs using a standardized documentation form. The number of 10 000 encounters seemed reasonable to evaluate the set objective. For each encounter, data such as age, sex, and first or repeated request and the availability of a patient file in the pharmacy including drug history were documented. Furthermore, identified DRPs, problem descriptions, and solutions were documented. Data were transcribed electronically, coded, checked for validity, and analyzed. Results In total, 109 CPs documented 12 567 encounters identifying DRPs in 17.6% of all cases. Four indications comprised more than 70% of all DRPs: pain, respiratory, gastrointestinal, and skin disorders. Four DRPs were responsible for almost 75% of all DRPs identified: self‐medication inappropriate (29.7%), requested product inappropriate (20.5%), intended duration of drug use too high including abuse (17.1%), and wrong dosage (6.8%). If a drug history was available, significantly more cases with wrong dosage (p < 0.05) and drug–drug interactions (p < 0.001) were detected. All patients with identified DRPs were counseled accordingly. Furthermore, the most frequent interventions were referral to a physician (39.5%) and switching to a more appropriate drug (28.1%). Conclusions In nearly one of five encounters, a direct pharmacist–patient interaction about self‐medication revealed relevant DRPs. Having access to patient files including data on prescription and OTC drugs may increase patient safety. Copyright © 2011 John Wiley & Sons, Ltd.
Sprache
Englisch
Identifikatoren
ISSN: 1053-8569
eISSN: 1099-1557
DOI: 10.1002/pds.2241
Titel-ID: cdi_proquest_miscellaneous_927833224
Format
–
Schlagworte
Adverse Drug Reaction Reporting Systems - standards
,
Adverse Drug Reaction Reporting Systems - statistics & numerical data
,
community pharmacy
,
Community Pharmacy Services - standards
,
Community Pharmacy Services - statistics & numerical data
,
drug-related problems
,
Drug-Related Side Effects and Adverse Reactions - chemically induced
,
Drug-Related Side Effects and Adverse Reactions - epidemiology
,
frequency
,
Germany
,
Humans
,
Nonprescription Drugs - adverse effects
,
OTC drug use
,
Pharmacists
,
pharmacy practice
,
Professional Role
,
Self Medication - adverse effects
,
Self Medication - statistics & numerical data
,
self-medication
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