Self-medication with over-the-counter drugs and complementary medications in South Australia's elderly population

dc.contributor.author Luszcz, Mary Alice
dc.contributor.author Semple, Susan J
dc.contributor.author Esterman, Adrian Jeffrey
dc.contributor.author Goh, Lynn Yeen
dc.contributor.author Vitry, Agnes I
dc.date.accessioned 2014-09-30T06:12:14Z
dc.date.available 2014-09-30T06:12:14Z
dc.date.issued 2009 en
dc.description © 2009 Goh et al; licensee BioMed Central Ltd. This is an Open Access article distributed under the terms of the Creative Commons Attribution License (http://creativecommons.org/licenses/by/2.0), which permits unrestricted use, distribution, and reproduction in any medium, provided the original work is properly cited. en
dc.description.abstract Background A number of surveys have examined use of complementary and alternative medicines (CAM) in Australia. However, there are limited Australian data on use of CAM and over-the-counter (OTC) medicines in the elderly population. The main aims of this study were to examine self-medication practices with CAM and OTC medicines among older Australians and variables associated with their use. Methods The Australian Longitudinal Study of Ageing (ALSA) is an ongoing multidisciplinary prospective study of the older population which commenced in 1992 in South Australia. Data collected in 4 waves of ALSA between 1992 and 2004 were used in this study with a baseline sample of 2087 adults aged 65 years and over, living in the community or residential aged care. OTC medicines were classified according to the World Health Organization Anatomical Therapeutic Chemical (ATC) classification. CAM were classified according a modified version of the classification adopted by the Therapeutics Goods Administration (TGA) in Australia. Results The prevalence of CAM or OTC use ranged from 17.7% in 2000-2001 to 35.5% in 2003-2004. The top classes of CAM and OTC medicines used remained relatively constant over the study period. The most frequent classes of CAM used were vitamins and minerals, herbal medicines and nutritional supplements while the most commonly used OTC were analgesics, laxatives and low dose aspirin. Females and those of younger age were more likely to be CAM users but no variable was associated with OTC use. Conclusion Participants seemed to self-medicate in accordance with approved indications, suggesting they were informed consumers, actively looking after their own health. However, use of analgesics and aspirin are associated with an increased risk of adverse drug events in the elderly. Future work should examine how self-medication contributes to polypharmacy and increases the risk of adverse drug reactions. en
dc.identifier.citation Goh, L.Y., Vitry, A., Semple, S.J., Esterman, A. and Luszcz, M.A. (2009). Self-medication with over-the-counter drugs and complementary medications in South Australia's elderly population. BMC Alternative Medicine, 9(42) en
dc.identifier.doi https://doi.org/10.1186/1472-6882-9-42 en
dc.identifier.issn 1472-6882
dc.identifier.rmid 2006013981
dc.identifier.uri http://hdl.handle.net/2328/33135
dc.oaire.license.condition.license CC-BY
dc.rights © 2009 Goh et al; licensee BioMed Central Ltd. en
dc.rights.holder Goh et al en
dc.subject.forgroup 1117 Public Health and Health Services en
dc.title Self-medication with over-the-counter drugs and complementary medications in South Australia's elderly population en
dc.type Article en
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