1.Surveilance of drugs using status of households at some communes of Hue City
Journal of Vietnamese Medicine 2003;291(12):9-14
300 households in Hue city underwent an inquiry using a questionary concerning the knowledge, the attitude of common civilian on the medicaments. Results showed a rate of 89% of population had used the physician prescription, 90% consumed antibiotics, 94% consumed antipyretics, anti-inflammation pain relief and pain relief agents, 89% vitamines, usually people took medicines to treat common diseases and conditions, such as fever (71%), cough (28%), asthenia (30%), diarrhoe (33%). In 6%, there is an abnormal complication in using medicine at home
Pharmaceutical Preparations
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Drugs, Non-Prescription
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drugs
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epidemiology
2.Socioeconomic disparities in hypertension medication adherence in Quezon City: A cross-sectional study
Jamee G. Lanag ; Carolyn A. Lavadia ; Daniel Royce Lee ; Richelle Anne L. Matias ; Johanna Arndriella M. Mendoza ; Marianne Claire M. Morales ; Ina Mulingbayan ; Jose Ronilo Juangco ; Norbert Lingling D. Uy
Health Sciences Journal 2024;13(2):63-68
INTRODUCTION:
Hypertension is a major risk factor for cardiovascular diseases, with adherence to treatment often influenced by socioeconomic status. This study assessed adherence to hypertension medication among patients in Quezon City across economic classes from August to October 2023.
METHODS:
An analytical cross-sectional design was employed, surveying 116 hypertensive Filipinos aged 18-64 years using the Brief Medication Questionnaire-1 (BMQ-1) and socioeconomic classifications based on multiples of the poverty line.
RESULTS:
Findings revealed that 50.9% of respondents were adherent or probably adherent to treatment, while 49.1% exhibited low or probable low adherence. Those who are low adherent and probable low adherent are 1.399 times more likely to belong to the “Low Income and Below.”, though this association was not statistically significant.
CONCLUSION
Adherence to hypertension treatment among the respondents was suboptimal, particularly among the lower-income groups. While the association between socioeconomic status and adherence was not statistically significant, the findings underscore the need for interventions targeting financial barriers and improving healthcare accessibility. Addressing these challenges can enhance adherence levels and reduce the burden of hypertension and cardiovascular risks across socioeconomic strata.
Cardiovascular diseases
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hypertension
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prescription drugs
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medication adherence
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developing countries
3.Comparative Analysis of Ethical-the-counter Drugs and Over-the-counter Drugs for the Adverse Events from the Community Pharmacy.
Mo Se LEE ; So Hee PARK ; Na Young KIM ; In Sun OH ; Jung Min LEE ; Eui Kyung LEE ; Ju Young SHIN
Korean Journal of Clinical Pharmacy 2018;28(3):230-237
OBJECTIVE: To compare adverse event reporting patterns between ethical-the-counter and over-the-counter drugs from community pharmacies and outpatient settings. METHODS: We conducted a descriptive study using the adverse event reporting database, wherein data were collected from the regional pharmacovigilance centers of the Korean Pharmaceutical Association between January 1, 2016 and December 31, 2016. The reported drugs were classified into either ethical-the-counter or over-thecounter drugs, and we compared the distribution of patient age and gender, frequent adverse events and medications, serious adverse events, and causality assessment results, where causality assessments were performed according to the World Health Organization-The Uppsala Monitoring Centre's system. RESULTS: We included 17,570 reports (75,451 drug-adverse event pairs). Ethical-the-counter and over-the-counter drugs accounted for 81.4% and 18.6% of the total adverse event reports, respectively. The use of over-the-counter drugs was higher in females and patients aged <18 years, whereas the use of ethical-the-counter drugs was higher in those aged >65 years. Alimentary tract and metabolism drugs, and respiratory system drugs were the most frequent ethical-the-counter and over-the-counter drugs, respectively. From causality assessment results, “possible” (75.4%) was the most commonly assigned category for ethical-the-counter drugs, while “possible” (44.0%) and “unlikely” (47.7%) were the most common categories for over-the-counter drugs. The distribution of serious adverse events were similar for both ethical-thecounter and over-the-counter drugs. CONCLUSION: Differences were observed in age, gender, reported medications, and symptoms for both ethical-the-counter and over-the-counter drugs. Further pharmacovigilance activities considering the adverse event characteristics of over-the-counter drugs, which are comparable to ethical-the-counter drugs, should be performed.
Female
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Global Health
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Humans
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Metabolism
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Nonprescription Drugs*
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Outpatients
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Pharmacies*
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Pharmacovigilance
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Prescription Drugs
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Respiratory System
4.Drug Use in the Elderly.
Journal of Korean Academy of Fundamental Nursing 2008;15(2):195-205
PURPOSE: This study was conducted to identify drug use by elders. METHOD: There were 304 participants age 65 or older included in this study. Data were collected using a questionnaire about drug use in the past 4 weeks. The questionnaire, a modification of Uhm's (2005), Lee's (2001), and Ellor and Kurz's (1982) tools, consisted of 17 questions on general and health characteristics, 17 on drug usage and 9 on behaviors related to drug misuse. RESULTS: 85.5% of participants reported taking at least one type of prescription or non-prescription drug. 26.0% of participants reported taking only prescription drugs, 3.9% reported taking only non-prescription drugs, and 55.6% reported taking both prescription and non-prescription drugs. 17.1% of participants reported side effects from the drugs. The mean score for behaviors related to drug misuse was 7.53. Elders taking only non-prescription drugs showed more drug misuse than elders taking only prescription drugs or both. Women used more prescription, non-prescription drugs or both than man. Elders in rural areas used more non-prescription drugs than those in urban areas. CONCLUSION: Even though pharmacies were separated from medical practices in 2000, most older adults continue to use and misuse prescription and non-prescription drugs.
Adult
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Aged
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Female
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Humans
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Nonprescription Drugs
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Pharmacies
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Prescription Drugs
;
Prescriptions
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Surveys and Questionnaires
5.Comparison between Emergency Patient Poisoning Cases and the Tox-Info System Database.
Hyun Jong KIM ; Yang Weon KIM ; Hyun KIM ; Chang Bae PARK ; Byung Hak SO ; Kyeong Ryong LEE ; Kyung Woo LEE ; Kyung Won LEE ; Sung Woo LEE ; Jang Young LEE ; Gyu Chong CHO ; Junho CHO ; Sung Phil CHUNG
Journal of The Korean Society of Clinical Toxicology 2012;10(1):8-14
PURPOSE: The Tox-Info system is a poisonous substance information database developed by the Korean National Institute of Food and Drug Safety Evaluation. The aim of this study was to estimate the coverage effectiveness of the Tox-Info system by comparing the toxic substances included in the database with the distribution of the toxic substances implicated in the cases of intoxicated patients presenting to emergency departments. The secondary aim of the study was to propose any additional substances that should be added to the database. METHODS: We retrospectively reviewed the medical records of patients suffering with toxic exposure who had visited any of 12 selected emergency departments in Korea from January 2010 to December 2011. The identified toxic substances were classified into groups including prescription drugs, agricultural chemicals, household products, animals or plants, herbal drugs, and others. We calculated the coverage rate of the Tox-Info database relative to the number of intoxication cases and the type of toxic substances involved. RESULTS: A total of 5,840 intoxicated patient records were collected. Their mean age was 46.6+/-20.5 years and 56.2% were female. Of the total intoxication cases, 87.8% of the identified toxic substances were included in the Tox-Info database, while only 41.6% of all of the types of identified toxic substances were included. Broken down by category, 122 prescription drugs, 15 agricultural chemicals, 12 household products, 14 animals or plants and 2 herbal drugs involved in poisoning cases were not included in the Tox-info database. CONCLUSION: This study demonstrated the clinical usefulness of the Tox-Info system. While 87.8% of the substances involved in the cases were included in the Tox-Info database, the database should be continuously updated in order to include even the most uncommon toxic substances.
Agrochemicals
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Animals
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Emergencies
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Female
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Household Products
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Humans
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Korea
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Medical Records
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Prescription Drugs
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Retrospective Studies
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Stress, Psychological
6.Status of knowledge and behavior of drug use among residents in 5 provinces in China in 2011.
Yong LU ; Ying-hua LI ; Yu-lan CHENG ; Xue-qiong NIE ; Mu LI ; Xiang-yang TIAN ; Yu MA ; Nan-fang WEI ; Qun-an MAO
Chinese Journal of Preventive Medicine 2012;46(6):495-499
OBJECTIVETo understand the status of knowledge and behavior of drug use among urban and rural residents in 5 provinces in China to suggest priority intervention strategies and measures for drug use health education.
METHODSFrom March to May of 2011, 6159 urban and rural residents were selected from Beijing, Liaoning, Zhejiang, Yunnan, Shaanxi provinces by the multistage stratified sampling method and were investigated by the questionnaires on drug use knowledge and behavior.
RESULTSThe residents' average awareness rate for 11 pieces of basic drug use information was 48.3% (32,750/67,749). The residents' average awareness rate in the rural (40.3%, 9189/22 792) was lower than that in metropolitan (51.9%, 11 483/22 110) and small and middle-sized cities (52.9%, 12,078/22,847) and the differences had statistical significance (χ2=889.30, P<0.01). Overall, 77.0% (4742/6159) of residents purchased drug according to the doctors' prescription; 36.9% (2271/6159) of residents bought by their experiences; 33.3% (2049/6159) of residents did not know whether they had bought faked drugs; 32.7% (2016/6159) of residents did not read instructions carefully before using drug; 83.4% (5134/6159) of residents stored drugs in their house and only 29.2% (1798/6159) of residents would check up expired drugs regularly; 59.6% (3673/6159) of residents changed drug by themselves after suspected adverse reaction of drugs.
CONCLUSIONChinese urban and rural residents' knowledge level of drug use is inadequate and drug use behaviors are not optimistic. Drug use health education should be enhanced among urban and rural residents.
China ; Drug Therapy ; Health Education ; Health Knowledge, Attitudes, Practice ; Humans ; Prescription Drugs ; Surveys and Questionnaires
7.Comparisons of Perception on Direct-to-Consumer Advertisements of Prescription Drugs between Healthcare Providers and Consumers.
Jiwun OH ; Kitai KIM ; Sook Hee AN ; Hye Sun GWAK
Korean Journal of Clinical Pharmacy 2015;25(1):42-49
OBJECTIVE: The aim of this study was to investigate the difference of perception on direct-to-consumer advertisement (DTCA) of prescription drugs between healthcare providers and consumers. METHODS: The online and offline survey was conducted from May 26th to June 5th, 2013. The questionnaire was composed of 15 items about perception on DTCA of prescription drugs. RESULTS: A total of 215 healthcare providers and 202 consumers responded to the questionnaire. Consumers had an overall positive attitude on permitting DTCA of prescription drugs and carried favorable views about the influence of the DTCA of prescription drugs on providing drug information, promoting communications between healthcare providers and consumers, and improving images of healthcare providers. Healthcare providers displayed negative perception for the needs of permitting the DTCA of prescription drugs compared to consumers. They showed somewhat skeptical perception about the influence of the DTCA of prescription drugs on necessities and efficiencies of delivering drug information, promoting communications between healthcare providers and consumers, and improving images of healthcare providers. Both healthcare providers and consumers were concerned about the increase of drug prices following the increase in advertisement expenses of pharmaceutical products. CONCLUSION: This study identified the perception differences on direct-to-consumer advertisements of prescription drugs between healthcare providers and consumers. This study could be of much help in the process of review on permitting DTCA of prescription drugs in Korea.
Delivery of Health Care*
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Health Personnel*
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Humans
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Korea
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Pharmaceutical Preparations
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Prescription Drugs*
;
Prescriptions*
8.Immune reconstitution of acquired immune deficiency syndrome.
Jie WANG ; Hong-sheng LIN ; Meng-yu LIU ; Yong LI
Chinese journal of integrative medicine 2010;16(6):557-564
Acquired immune deficiency syndrome (AIDS) is a chronic infectious disease, which the patients are infected with human immunodeficiency virus (HIV). HIV damages the human's immune function and causes CD4 cell decline in the number and function. Immune reconstitution is an important treatment to AIDS. Bone marrow transplantation, adoptive immune cell therapy and cytokines infusion can all assist the immune reconstitution; highly active antiretroviral therapy (HAART) can effectively control the virus replication and benefit the immune reconstitution. HAART combined with immunotherapy is an important method of immune reconstitution in AIDS patients. Chinese medicine is playing a more and more important role in immune reconstitution. Immune reconstitution has always been effective in the whole treatment of AIDS.
Acquired Immunodeficiency Syndrome
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drug therapy
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etiology
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immunology
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Drugs, Chinese Herbal
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therapeutic use
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Humans
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Immunotherapy
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Prescription Drugs
;
therapeutic use
9.Drug Utilization Review (DUR) Policy of Government and Directivity.
Journal of the Korean Medical Association 2010;53(7):544-547
The Korean Government has launched a pilot program of the Drug Utilization Review (DUR) system in an effort to facilitate safe and adequate use of pharmaceuticals by providing reference to physicians and pharmacists at the prescription or dispense stage, with regards to the drugs that should not be combined or should not be given to certain age groups. Implementation of the DUR system is absolutely necessary in Korea, as the number of drug taken per patient is on a continuous rise with increase of senior population and development of new pharmaceuticals. The DUR system is expected to contribute to promotion of people's health and reduction of pharmaceutical expense. However, for a successful establishment of the DUR system, the following conditions should be considered: First, inclusion of non-prescription drugs in the system, Second, review on the current classification of non-prescription and prescription drugs, Third, review on therapeutic duplication contraindication, age contraindication, and gravida contraindication by physicians as clinical experts. Moreover, reimbursement within the framework on medical fee schedule for the DUR system should be followed as well as the efforts to adjust problems through open discussion between insurers and providers.
Appointments and Schedules
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Drug Utilization
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Drug Utilization Review
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Fees, Medical
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Humans
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Insurance Carriers
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Korea
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Nonprescription Drugs
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Pharmacists
;
Prescription Drugs
;
Prescriptions
10.Drug use and dosing in chronic kidney disease.
Yahaya HASSAN ; Rowa'J AL-RAMAHI ; Noorizan Abd AZIZ ; Rozina GHAZALI
Annals of the Academy of Medicine, Singapore 2009;38(12):1095-1103
One of the most important drug-related problems in patients with chronic kidney disease (CKD) is medication dosing errors. Many medications and their metabolites are eliminated through the kidney. Thus, adequate renal function is important to avoid toxicity. Patients with renal impairment often have alterations in their pharmacokinetic and pharmacodynamic parameters. The clearance of drugs eliminated primarily by renal filtration is decreased by renal disease. Therefore, special consideration should be taken when these drugs are prescribed to patients with impaired renal function. Despite the importance of dosage adjustment in patients with CKD, such adjustments are sometimes ignored. Physicians and pharmacists can work together to accomplish safe drug prescribing. This task can be complex and require a stepwise approach to ensure effectiveness, minimise further damage and prevent drug nephrotoxicity.
Chronic Disease
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Decision Trees
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Drug Prescriptions
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standards
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Glomerular Filtration Rate
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Humans
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Kidney Diseases
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metabolism
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physiopathology
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Prescription Drugs
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administration & dosage
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pharmacokinetics