The utilization of nonprescription medications in Saudi patients with cardiovascular diseases

Background: Cardiovascular diseases (CVDs) are the most common cause of disease-related death in Saudi Arabia. The incidence of CVDs continues to increase, presenting a major health care problem. Nonprescription medications are widely used by patients with CVD and may cause adverse drug events, eith...

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Main Authors: Eman M. Shorog, Khalid A. Alburikan
Format: Article
Language:English
Published: Elsevier 2018-01-01
Series:Saudi Pharmaceutical Journal
Online Access:http://www.sciencedirect.com/science/article/pii/S1319016417301718
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author Eman M. Shorog
Khalid A. Alburikan
author_facet Eman M. Shorog
Khalid A. Alburikan
author_sort Eman M. Shorog
collection DOAJ
description Background: Cardiovascular diseases (CVDs) are the most common cause of disease-related death in Saudi Arabia. The incidence of CVDs continues to increase, presenting a major health care problem. Nonprescription medications are widely used by patients with CVD and may cause adverse drug events, either by worsening the disease or by harmfully interacting with prescribed medications. We investigated the patterns of nonprescription medication utilization and the factors associated with their use in patients with CVD. Methods: This was a cross-sectional study conducted at the Cardiology Clinics of an academic tertiary health care center. Participants were asked about their sociodemographic characteristics, medical history and frequency of using nonprescription medications including over-the-counter (OTC) products, dietary supplements, and herbal products. Moreover, we investigated the participants’ sources of information about nonprescription medications. Multivariate logistic regression analysis was conducted to examine the predictors of nonprescription medication use. Results: A total of 209 participants were interviewed. The mean age of the participants was 56 ± 15 years, and 110 (52.6%) were female. Of the 209 participants, 116 (55%) reported routine use of nonprescription medications. Black seeds and garlic were the most frequently used herbal products. Acetaminophen, cold/cough remedies, and ibuprofen were the most commonly reported OTC drugs. Of the surveyed patients, 54 (46.5%) used nonprescription medications to manage cardiovascular conditions specifically. Compared with other comorbidities, diabetes mellitus was associated with a higher use of nonprescription medications. Conclusion: In patients with CVD, the routine use of nonprescription medications was common for a number of reasons. Health care providers should proactively discuss nonprescription use with their CVD patients to avoid potential harmful outcomes. Keywords: Nonprescription medications, Nonconventional medicine, Complementary and alternative medicine, Over-the-counter medicine, Cardiovascular disease, Cardiac patients, Herbal medicine, Traditional medicines
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spelling doaj.art-438d115894ce4bfa8a4cf61549fb0a302022-12-21T17:30:48ZengElsevierSaudi Pharmaceutical Journal1319-01642018-01-01261120124The utilization of nonprescription medications in Saudi patients with cardiovascular diseasesEman M. Shorog0Khalid A. Alburikan1Department of Clinical Pharmacy, College of Pharmacy, King Saud University, Riyadh, Saudi Arabia; College of Pharmacy, King Khalid University, Abha, Saudi ArabiaDepartment of Clinical Pharmacy, College of Pharmacy, King Saud University, Riyadh, Saudi Arabia; Corresponding author at: Department of Clinical Pharmacy, College of Pharmacy, King Saud University, Riyadh, Saudi Arabia.Background: Cardiovascular diseases (CVDs) are the most common cause of disease-related death in Saudi Arabia. The incidence of CVDs continues to increase, presenting a major health care problem. Nonprescription medications are widely used by patients with CVD and may cause adverse drug events, either by worsening the disease or by harmfully interacting with prescribed medications. We investigated the patterns of nonprescription medication utilization and the factors associated with their use in patients with CVD. Methods: This was a cross-sectional study conducted at the Cardiology Clinics of an academic tertiary health care center. Participants were asked about their sociodemographic characteristics, medical history and frequency of using nonprescription medications including over-the-counter (OTC) products, dietary supplements, and herbal products. Moreover, we investigated the participants’ sources of information about nonprescription medications. Multivariate logistic regression analysis was conducted to examine the predictors of nonprescription medication use. Results: A total of 209 participants were interviewed. The mean age of the participants was 56 ± 15 years, and 110 (52.6%) were female. Of the 209 participants, 116 (55%) reported routine use of nonprescription medications. Black seeds and garlic were the most frequently used herbal products. Acetaminophen, cold/cough remedies, and ibuprofen were the most commonly reported OTC drugs. Of the surveyed patients, 54 (46.5%) used nonprescription medications to manage cardiovascular conditions specifically. Compared with other comorbidities, diabetes mellitus was associated with a higher use of nonprescription medications. Conclusion: In patients with CVD, the routine use of nonprescription medications was common for a number of reasons. Health care providers should proactively discuss nonprescription use with their CVD patients to avoid potential harmful outcomes. Keywords: Nonprescription medications, Nonconventional medicine, Complementary and alternative medicine, Over-the-counter medicine, Cardiovascular disease, Cardiac patients, Herbal medicine, Traditional medicineshttp://www.sciencedirect.com/science/article/pii/S1319016417301718
spellingShingle Eman M. Shorog
Khalid A. Alburikan
The utilization of nonprescription medications in Saudi patients with cardiovascular diseases
Saudi Pharmaceutical Journal
title The utilization of nonprescription medications in Saudi patients with cardiovascular diseases
title_full The utilization of nonprescription medications in Saudi patients with cardiovascular diseases
title_fullStr The utilization of nonprescription medications in Saudi patients with cardiovascular diseases
title_full_unstemmed The utilization of nonprescription medications in Saudi patients with cardiovascular diseases
title_short The utilization of nonprescription medications in Saudi patients with cardiovascular diseases
title_sort utilization of nonprescription medications in saudi patients with cardiovascular diseases
url http://www.sciencedirect.com/science/article/pii/S1319016417301718
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