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Use, Abuse, and Misuse of Nasal Medications: Real-Life Survey on Community Pharmacist's Perceptions.


ABSTRACT:

Background

Medication overuse is an increasing global problem, especially for those rhinology diseases whose management requires over-the-counter drugs. This observational community pharmacy-based study aimed to investigate the actual use of the best-selling topical nasal medications and to characterize the clinical issues underlying their query through the pharmacist's perception.

Methods

In the pilot phase, a preliminary survey was developed by a team of researchers and tested on a small sample of practitioners to assess usability and intelligibility. Eventual amendments were made according to the feedback obtained, and the final version was submitted to practitioners working in 376 pharmacies evenly distributed over the Italian territory.

Results

Two groups of customers (18-30 years old and 60-75 years old) were the ones who most frequently purchased topical decongestants. The dosage applied for sympathomimetic amines was higher than recommended in up to 44.4% and the duration of use longer than 5 days in up to 31.9% of the cases. Patients' queries of alpha agonists and topical corticosteroids resulted in significantly higher numbers than practitioners' prescriptions. Allergic rhinitis was the most common disease affecting patients seeking sympathomimetic amines.

Conclusions

The prolonged use of sympathomimetic amines in patients suffering from rhinology diseases is a significant problem that requires greater attention in terms of social education and surveillance.

SUBMITTER: Russo E 

PROVIDER: S-EPMC10142332 | biostudies-literature | 2023 Mar

REPOSITORIES: biostudies-literature

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Publications

Use, Abuse, and Misuse of Nasal Medications: Real-Life Survey on Community Pharmacist's Perceptions.

Russo Elena E   Giombi Francesco F   Paoletti Giovanni G   Heffler Enrico E   Canonica Giorgio Walter GW   Pirola Francesca F   Mercante Giuseppe G   Spriano Giuseppe G   Malvezzi Luca L   Keber Enrico E   Sgcp   Giua Corrado C  

Journal of personalized medicine 20230326 4


<h4>Background</h4>Medication overuse is an increasing global problem, especially for those rhinology diseases whose management requires over-the-counter drugs. This observational community pharmacy-based study aimed to investigate the actual use of the best-selling topical nasal medications and to characterize the clinical issues underlying their query through the pharmacist's perception.<h4>Methods</h4>In the pilot phase, a preliminary survey was developed by a team of researchers and tested o  ...[more]

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