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Responsible self-medication: perceived risks and benefits of over-the-counter analgesic use.

机译:负责任的自我用药:非处方镇痛药使用的感知风险和收益。

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OBJECTIVES: This study examines awareness of the potential risks associated with over-the-counter (OTC) use of paracetamol and non-steroidal anti-inflammatory drugs (NSAIDs) among Australian consumers to better understand patterns of usage of these products. METHODS: We employed two self-reported cross-sectional surveys (conducted in 2001 and 2009) using computer-aided telephone interviewing. Both survey samples were weighted to match national population proportions; data were collected for 3702 respondents (study 1, 2001, n=1901; study 2, 2009, n=1801). The inclusion criteria were age over 18 years and willingness to participate in the survey. KEY FINDINGS: Self-reported regular use (once or more per month) of OTC analgesics declined between 2001 (67.5%) and 2009 (55.0%; P<0.05). In 2009 42.0% of regular OTC analgesic users were purchasing NSAIDs outside the pharmacy setting (compared with none in 2001). Stated awareness of potential risks has increased slightly among regular paracetamol users (from 49.0% in 2001 to 52.0% in 2009) and regular NSAID users (from 25.0% in 2001 to 41.0% in 2009). Regular OTC analgesic users were considered to be using the product appropriately if there were no contraindications, warnings, precautions or potential drug interactions to the analgesic that they had used. In 2001, significantly more people were using paracetamol appropriately than were using NSAIDs appropriately (98.3 compared with 79.3%; P<0.05). Corresponding figures for 2009 were 96.4 and 69.1% (P<0.5). CONCLUSIONS: Increasing consumer awareness of the need to consider potential risks prior to taking OTC analgesics is a positive sign. However, this has not translated to an increase in appropriate use of OTC NSAIDs; since ibuprofen has become available outside the pharmacy setting in Australia fewer people are using NSAIDs appropriately according to the label. The quality use of medicines, in particular OTC NSAIDs, is becoming increasingly reliant on product labelling and the ability of consumers to understand and self-assess risk.
机译:目的:本研究旨在调查对澳大利亚消费者中与非处方药对乙酰氨基酚和非甾体类抗炎药(NSAIDs)的非处方(OTC)使用相关的潜在风险的认识,以更好地了解这些产品的使用方式。方法:我们采用计算机辅助电话访问进行了两次自我报告的横断面调查(于2001年和2009年进行)。两个调查样本均经过加权,以匹配全国人口比例;收集了3702名受访者的数据(研究1,2001,n = 1901;研究2,2009,n = 1801)。入选标准为年龄超过18岁并愿意参加调查。主要发现:在2001年(67.5%)和2009年(55.0%; P <0.05)之间,自我报告的定期使用OTC镇痛药(每月一次或多次)下降。 2009年,有42.0%的常规OTC镇痛药使用者在药房以外购买了NSAID(与2001年相比没有购买)。常规对乙酰氨基酚使用者(从2001年的49.0%增加到2009年的52.0%)和非甾体抗炎药的定期使用者(从2001年的25.0%增加到2009年的41.0%),已表明的潜在风险意识有所提高。如果没有禁忌,警告,注意事项或与其使用的镇痛药没有潜在的药物相互作用,则认为常规的OTC镇痛药使用者应正确使用该产品。 2001年,适当使用对乙酰氨基酚的人数明显多于适当使用NSAID的人数(98.3比79.3%; P <0.05)。 2009年的相应数字为96.4%和69.1%(P <0.5)。结论:增加消费者对在服用非处方镇痛药之前需要考虑潜在风险的认识是一个积极信号。但是,这并没有增加对非处方药非甾体抗炎药的适当使用;由于布洛芬已在澳大利亚以外的药房销售,因此根据标签正确使用NSAID的人越来越少。药品,特别是非处方非甾体类抗炎药的质量使用,越来越依赖于产品标签和消费者理解和自我评估风险的能力。

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