Document Type : Original Article

Authors

1 Department of Pharmaceutical Sciences, College of Health Sciences, Public Authority for Applied Education and Training (PAAET), Kuwait

2 Department of Biomedical Sciences, College of Nursing, Public Authority for Applied Education and Training (PAAET), Kuwait

3 Department of Statistics and Operations Research, Kuwait University, Kuwait

Abstract

Objective: The practice of self‑medication is growing world‑wide. It is associated with 
problems that may lead to potentially life‑threatening complications represent a priority 
to be investigated. The aim of this study was to estimate the prevalence of self‑medication 
among undergraduate medical students and to evaluate the possible role of the pharmacist 
in self‑medication in Kuwait.
Methods: A descriptive cross‑sectional study was performed, using the questionnaire on 
a sample of 900 male and female students randomly selected from three health faculties 
in Kuwait. The prevalence of self‑medication, as well as the contribution of pharmacist in 
self‑medication was assessed. In addition, the role of the pharmacist as drug consultant for 
the students after getting the medication was evaluated.
Findings: The overall prevalence of self‑medication was 97.8%. The age was significantly 
inversely proportional to self‑medication. There was a significant difference between male 
and female students in self‑medication practice. Headache was the highest health conditions 
that most frequently motivated self‑medication with 90.1% prevalence, followed by 84.7% 
for dysmenorrhea and 60.3% for constipation. Contribution of the pharmacist as a part 
of self‑medication care was low totally, with the highest rate for cough conditions 40.1%. 
However, the role of the pharmacist as a drug consultant was more noticeable after obtaining 
the drug, not before. Around 80.1% of the students request information from the pharmacist 
about doses, duration of treatments and side‑effects.
Conclusion: The prevalence of self‑medication among undergraduate students in Kuwait 
is high and there were significant differences for age and gender. The contribution of the 
pharmacist was low in self‑medication, while it was high after getting the drugs for obtaining 
drug related information. The practice of self‑medication is alarming. Improved awareness 
about the role of pharmacist as a drug consultant for careful and cautious use of medicines 
available for self‑medication would be strongly recommended.

Keywords

  1. Verma RK, Mohan L, Pandey M. Evaluation of self‑medication 
    among professional students in North India: Proper statutory 
    drug control must be implemented. Asian J Pharm Clin Res 
    2010;3:60‑4.
    2. WHO guidelines for the regulatory assessment of medical 
    products for use in self‑medication, 2000. Available from: http://
    www.who.int/medicine/library/qsm/whoedm‑qsm‑2000‑l/
    who‑edm‑qsm‑00_l.htm. [Last accessed on 2012].
    3. Blenkinsopp A, Bradley C. Patients, society, and the increase 
    in self medication. BMJ 1996;312:629‑32.
    4. AwadAI, Eltayeb IB. Self‑medication practices with antibiotics 
    and antimalarials among Sudanese undergraduate university 
    students. Ann Pharmacother 2007;41:1249‑55.
    5. WHO Consultive Group. Report of the 4th. The Role of the 
    Pharmacist in Self‑care and Self‑medication, 1998.
    6. Abahussain E, Matowe LK, Nicholls PJ. Self‑reported 
    medication use among adolescents in Kuwait. Med Princ Pract 
    2005;14:161‑4.
    7. Hardon AP. The use of modern pharmaceuticals in a Filipino 
    village: Doctors’ prescription and self medication. Soc Sci Med 
    1987;25:277‑92.
    8. Chambers CT, Reid GJ, McGrath PJ, Finley GA. 
    Self‑administration of over‑the‑counter medication for 
    pain among adolescents. Arch Pediatr Adolesc Med 
    1997;151:449‑55.
    9. Covington TR. Nonprescription drug therapy: issues and 
    opportunities. Am J Pharm Educ 2006;70:137.
    10. Geissler PW, Nokes K, Prince RJ, Odhiambo RA, 
    Aagaard‑Hansen J, Ouma JH. Children and medicines: 
    Self‑treatment of common illnesses among Luo schoolchildren 
    in western Kenya. Soc Sci Med 2000;50:1771‑83.
    11. Hansen EH, Holstein BE, Due P, Currie CE. International 
    survey of self‑reported medicine use among adolescents. Ann 
    Pharmacother 2003;37:361‑6.
    12. Awad AI, Eltayeb IB, Capps PA. Self‑medication practices in 
    Khartoum State, Sudan. Eur J Clin Pharmacol 2006;62:317‑24.
    13. PereiraFS, BucaretchiF, StephanC, CordeiroR. Self‑medication 
    in children and adolescents. J Pediatr (Rio J) 2007;83:453‑8.
    14. Westerlund M, Brånstad JO, Westerlund T. Medicine‑taking 
    behaviour and drug‑related problems in adolescents of a 
    Swedish high school. Pharm World Sci 2008;30:243‑50.
    15. Du Y, Knopf H. Self‑medication among children and 
    adolescents in Germany: Results of the National Health Survey 
    for Children and Adolescents (KiGGS). Br J Clin Pharmacol 
    2009;68:599‑608.
  2. 16. Pfaffenbach G, Tourinho F, Bucaretchi F. Self‑medication 
    among children and adolescents. Curr Drug Saf 2010;5:324‑8.
    17. James H, Handu SS, Al Khaja KA, Otoom S, Sequeira RP. 
    Evaluation of the knowledge, attitude and practice of 
    self‑medication among first‑year medical students. Med Princ 
    Pract 2006;15:270‑5