Self-Medication using Chlorpheniramine Maleate in Karanganyar Regency, Central Java, Indonesia
Abstract
Self-medication refers to the use of medications by a person without consulting health professionals and prescription. One of the common drugs used for self-medication is chlorpheniramine maleate (CTM), a drug indicated to relieve symptoms of allergy. However, the lack of knowledge about the indications of CTM leads to its significant misuse. Long-term effects of CTM misuse include heart rate regularity disorder, central nervous system disorders, and even coma. The purpose of this study was to analyze the correlation between sociodemographic factors and the appropriateness of CTM use for self-medication from the perspective of the experience of using CTM for self-medication. This cross-sectional study was performed in Karanganyar Regency, Central Java, Indonesia, from October to November 2022 on 117 respondents sampled randomly using cluster sampling method. A questionnaire that was already proven as valid and reliable was used. Results for the appropriateness of CTM use showed that 95.7% of respondents were in good category, 3.4% were in fair category, and 0.9% were in poor category. The hypothesis tests, which were the Somers’d test and the contingency coefficient, showed no correlation between age (p=0.242), gender (p=0.307), income level (p=0.789), experience (p=0.176), and the appropriate use of CTM for self-medication. However, there is a correlation between education level (p=0.048) and the appropriate use of CTM for self-medication, albeit very weak (r=0.065). Therefore, only the level of education affects the appropriate use of CTM for self-medication.
Keywords
Chlorpheniramine maleate, drug misuse, appropriate use of medication, self-medication, sociodemographic
Full Text:
PDFReferences
- Brandt N. Encyclopedia of behavioral medicine: self-medication. New York: Springer; 2013.
- BPS; Badan Pusat Statistik. Persentase penduduk yang mengobati sendiri selama sebulan terakhir (persen), 2020–2022. [Internet] 2022 [cited 2023 January 19]. Available from: https://www.bps.go.id/indicator/30/1974/1/persentase-penduduk-yang-mengobati-sendiri-selama-sebulan-terakhir.html.
- Pratama ARFA, Puspitasari AA, Hidayati IR, Yunita SL, Titani M, Atmadani RN. Factors affecting the level of public knowledge about the use of chlorpheniramine maleate in Pesanggrahan Village. Proceeding of The 2nd International Conference on Medical and Health Sciences; 2022 September 24; Indonesia. Malang; 2022. p. 383–92.
- British National Formulary (BNF). British National Formulary. 76th ed. London: BMJ Group; 2018. p. 283–4.
- Tuarissa S, Wullur AC, Citraningtyas G. Profil penggunaan obat klorfeniramin maleat pada masyarakat di kelurahan Bailang dan kelurahan Karombasan kota Manado. Pharmacon. 2014;3(4):22–37.
- Aytha S, Dannaram S, Moorthy S, Sharma A. A case of acute psychosis secondary to coricidin overdose. Prim Care Companion CNS Disord. 2013;15(6):PCC.13l01549.
- Pratiwi Y, Rahmawaty A, Islamiyati R. Peranan apoteker dalam pemberian swamedikasi pada pasien BPJS. Jurnal Pengabdian Kesehatan. 2020;3(1):65–72.
- Yunita EP. Penyuluhan waspada swamedikasi pada penyakit degeneratif serta identifikasi tanda-tanda vital dan gaya hidup masyarakat terhadap risiko penyakit degeneratif. Jurnal Tri Dharma Mandiri. 2021;1(1):34–44.
- Soroush A, Abdi A, Andayeshgar B, Vahdat A, Khatony A. Exploring the perceived factors that affect self-medication among nursing students: a qualitative study. BMC Nursing. 2018;17(35):1–7.
- Sulistyowati E, Indria DM, Sari YN. Correlation between sociodemographic and attitude of Malang citizens about self medication on urticaria. Bali Med. J. 2022;11(1):272–8.
- Suardita IKR, Subanada IB. Hubungan antara faktor sosio-demografi dan faktor lingkungan dengan kejadian diare pada balita di desa tiga Kecamatan Susut Kabupaten Bangli tahun 2016. JMU. 2020;9(9):37–45.
- Badan Pusat Statistik (BPS) Kabupaten Karanganyar: Karanganyar Regency in figures 2011. Karanganyar: Badan Pusat Statistik Kabupaten Karanganyar; 2011.
- Hariadini AL, Sidharta B, Ebtavanny TG, Minanga EP. Correlation between hypercholesterolemic patient’s knowledge and simvastatin use in Malang retail pharmacies. PJI. 2020;5(2):91–6.
- 14. Debora V, Oktarlina RZ, Perdani RRW. Perbedaan tingkat pengetahuan, persepsi, dan pengalaman terhadap penggunaan obat generik pada mahasiswa kedokteran dan non kedokteran di Universitas Lampung. Majority. 2018;7(2):24–33.
- Notoatmodjo S. Metodologi penelitian kesehatan. Jakarta: Rineka Cipta; 2018.
- Imran HA. The role of sampling and data distribution in communication research quantitative approach. JSKM. 2017;21(1):111–26.
- Simamora RH. A strengthening of role of health cadres in BTA-positive tuberculosis (TB) case invention through education with module development and video approaches in Medan Padang bulan Comunity Health Center, North Sumatera Indonesia. Int J Appl Eng Res. 2017;12(20):10026–35.
- Firth J, Torous J, Stubbs B, Firth JA, Seiner GZ, Smith L, et al. The “online brain”: how the internet may be changing our cognition. World Psychiatry. 2019;18(2):119–29.
- Orlando V, Mucherino S, Guarino I, Guerriero F, Trama U, Menditto E. Gender differences in medication use: a drug utilization study based on real world data. Int. J. Environ. Res. Public Health. 2020;17(3926):1–10.
- Williams DR, Priest N, Anderson NB. Understanding associations among race, socioeconomic status, and health: patterns and prospects. Health Psychol. 2016;35(4):407–11.
- Badan Pusat Statistik (BPS) Kabupaten Karanganyar: Karanganyar Regency in figures 2022. Karanganyar: Badan Pusat Statistik Kabupaten Karanganyar; 2022.
- Landsheer CD, Walburg V. Links between rational and irrational beliefs, trait anxiety and fear of COVID 19. Psychol Française. 2022;67(3):305–16.
- Muth C, Blom JW, Smith SM, Johnell K, Gonzalez‐Gonzalez AI, Nguyen TS, et al. Evidence supporting the best clinical management of patients with multimorbidity and polypharmacy: a systematic guideline review and expert consensus. J Intern Med. 2019;285(3):272–88.
- Anker J, Reed MD, Allegaert K, Kearns GL. Developmental changes in pharmacokinetics and pharmacodynamics. J Clin Pharmacol. 2018;58(1):S10–25.
- Hashemzaei M, Afshari M, Koohkan Z, Bazi A, Rezaee R, Tabrizian K. Knowledge, attitude, and practice of pharmacy and medical students regarding self-medication, a study in Zabol University of Medical Sciences; Sistan and Baluchestan province in south-east of Iran. BMC Med Educ. 2021;21(49):1–10.
- Dzulkharnain FBSB, Shafqat N, Hermansyah A, Tan CS, Koh D, Goh KW. et al. Knowledge, attitude and practice towards the use of over-the-counter medicines: an online survey among Bruneian adults amid the COVID-19 pandemic. Sustainability. 2022;14(9033):1–14.
- Elsous A, Radwan M, Al-Sharif H, Mustafa AA. Medications adherence and associated factors among patients with type 2 diabetes mellitus in the Gaza Strip, Palestine. Front. Endocrinol. 2017;8(1):1–9.
- Martin LA, Neighbors HW, Griffith DM. The Experience of symptoms of depression in men vs women: analysis of the national comorbidity survey replication. JAMA Psychiatry. 2013;70(10):1100–6.
- Rikomah SE. Farmasi klinik. Sleman: Deepublish; 2018.
DOI: https://doi.org/10.15395/mkb.v56.3207
Article Metrics
Abstract view : 822 timesPDF - 420 times
This work is licensed under a Creative Commons Attribution-NonCommercial 4.0 International License.
MKB is licensed under a Creative Commons Attribution-NonCommercial 4.0 International License
View My Stats