UnusedMedicines in Households

Authors

1 Faculty of Medicine,Mashhad University of Medical Sciences,Mashhad, IR Iran

2 Department of Pharmacodynamics and Toxicology, School of Pharmacy,Mashhad University of Medical Sciences,Mashhad, IR Iran

3 Community Medicine specialist, Departments of Community Medicine, Faculty of Medicine, Mashhad University of Medical Science, Mashhad, Iran

4 Medical Ethics Department, Faculty of Medicine, Mashhad University of Medical Sciences, Mashhad, Iran Mashhad, Iran. Tel: +985138002388; Email: khajedalueem@mums.ac.ir

Abstract

Background: Unusedmedicines in households are among the problems inmanymodern societies and developing nations. This issue leads to social and economical problems, and it is associated with other complications such as self-medication, poisoning, incomplete recovery, and suicide.
 
Objectives: The present study was carried out in Mashhad and aimed at determining the amount of unused medicines in Mashhadi households in 2013.
 
Methods: In a cross-sectional study in 2013, three hundred householdswere selected through a cluster randomsampling with the help of 12 healthcare centers in Mashhad. Data were collected by applying a checklist and analyzed by SPSS 11.5. Descriptive indices, including central tendency and dispersion, and frequency distribution were applied to describe qualitative variables; and chi- 2,Man-Whitney, and Kruskall-Wallis to compare quantitative variables. Level of significance was set to P < 0.05.
 
Results: This study showed that the existence of unused drugs and the number of unused drugs in household have significant differ- ence in four zones (P = 0.01, P < 0.001). Also, health insurance coverage was statistically different in various health centers (P = 0.002). Also, there is a significant association between unusedmedication in the household and family size, father’s occupation, and a family member being a health professional, respectively (P value 0.02, 0.002, 0.04)
 
Conclusions: The findings of this study and similar ones support that the amount of unusedmedicines inside houses has to be lowered by physicians prescribing a more reasonable number of drugs, giving consultation to patients, and raising public awareness. On the other hand, amechanismneeds to be applied in order tomake use of the drugs kept inside houses and reduce drug wastage.

Keywords

Open Access Policy: This is an open access article under the terms of the Creative Commons Attribution License, which permits use, distribution and reproduction in any medium, provided the original work is properly cited. To view a copy of this licence, visit https://creativecommons.org/licenses/by/4.0/

References

1. Ahmadiashtian H. Information required in pharmacy. ; 2012.
 
2. Tavakoli R. Self medication or arbitrary drug use and literacy status [in Persian]. J Kowsar med. 1996;1(1):37-70.
 
3. Nasiriasl M. Home drug store in Minodar region of Qazvin (2006). J Qazvin Univ Med Sci. 2007;11(43):22- 6.
 
4. Zargarzadeh AH, Tavakoli N, Hassanzadeh A. A survey on the extent of medication storage and wastage in urban Iranian households. Clin Ther. 2005;27(6):970-8. [PubMed: 16117997].
https://doi.org/10.1016/S0149-2918(05)00122-0
PMid:16117997
 
5. Moumennasab M, Azadbakht M. Study of surplus to use drugs in Khoramabad houses. J Yaft-E. 2002;4(12):27-32.
https://doi.org/10.1007/BF03265456
 
6. Hashemi SN, Afshoon E, Babazadeh G. Unconsumed drugs within Yasuj homes (During year 2000). J Gorgan Univ Med Sci. 2003;5(1):47-53.
 
7. Cameron S. Study by Alberta pharmacists indicates drug wastage a "mammoth" problem. CMAJ. 1996;155(11):1596-8. [PubMed: 8956837].
 
8. Garey KW, Johle ML, Behrman K, Neuhauser MM. Economic consequences of unused medications in Houston, Texas. Ann Pharmacother. 2004;38(7-8):1165-8. [PubMed: 15138296].
https://doi.org/10.1345/aph.1D619
PMid:15138296
 
9. Leach RH, White PL. Use and wastage of prescribed medicines in the home. J R Coll Gen Pract. 1978;28(186):32-6. [PubMed: 553167].
 
10. Mackridge AJ, Marriott JF. Returned medicines: waste or a wasted opportunity?. J Public Health (Oxf). 2007;29(3):258-62. [PubMed: 17579236]. 4 Razavi Int J Med. 2016; 4(1):e34351. Dadgarmoghaddam M et al.
https://doi.org/10.1093/pubmed/fdm037
PMid:17579236
 
11. James TH, Helms ML, Braund R. Analysis of medications returned to community pharmacies. Ann Pharmacother. 2009;43(10):1631-5. [PubMed: 19776296].
https://doi.org/10.1345/aph.1M209
PMid:19776296
 
12. Chien H, Ko J, Chen Y, Weng S, Yang W, Chang Y, et al. Study of Medication Waste in Taiwan. J Experimen Clin Med. 2013;5(2):69-72.
https://doi.org/10.1016/j.jecm.2013.02.003
 
13. PerssonM, Sabelstrom E, Gunnarsson B. Handling of unused prescription drugs-knowledge, behaviour and attitude among Swedish people. Environ Int. 2009;35(5):771-4. [PubMed: 19013646].
https://doi.org/10.1016/j.envint.2008.10.002
PMid:19013646
 
14. Ewen S, Baumgarten T, Rettig-Ewen V, Mahfoud F, Griese-Mammen N, Schulz M, et al. Analyses of drugs stored at home by elderly patients with chronic heart failure. Clin Res Cardiol. 2015;104(4):320-7. [PubMed: 25373382].
https://doi.org/10.1007/s00392-014-0783-2
PMid:25373382
 
15. Gracia-Vasquez SL, Ramirez-Lara E, Camacho-Mora IA, Cantu-Cardenas LG, Gracia-Vasquez YA, Esquivel-Ferrino PC, et al. An analysis of unused and expiredmedications inMexican households.Int J Clin Pharm. 2015;37(1):121-6. [PubMed: 25492270].
https://doi.org/10.1007/s11096-014-0048-1
PMid:25492270
 
16. Auta A, Omale S, Shalkur D, Abiodun AH. Unused medicines in Nigerian households: Types and disposal practices. J Pharmacol Pharmacother. 2011;2(3):195-6.. [PubMed: 21897719].
https://doi.org/10.4103/0976-500X.83290
PMid:21897719 PMCid:PMC3157135
 
17. Ekedahl AB. Reasons why medicines are returned to Swedish pharmacies unused. Pharm World Sci. 2006;28(6):352-8. [PubMed: 17221141].
https://doi.org/10.1007/s11096-006-9055-1
PMid:17221141
 
18. Davati A, Jafari F, Samadpour M, Tabar K. Assessment of drug usage in Tehran elderly population. J Medical council of Iran. 2008;25(4):450-6.
 
19. Amani F, Shaker A, Mohaammadzadeh S, Sadegh M, Alaaf Akbari N, Sarrafe Smaeili S. Drug Use Pattern Between Urban Families In Ardabil City, Iran. Payavard Salamat. 2012;5(5):36-45.
Razavi International Journal of Medicine
Volume 4, Issue 1
January 2016

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