Article Text

A9.9 Prevalence and risk factors of corticosteroids self-medication
  1. K Nassar,
  2. S Janani,
  3. W Rachidi,
  4. O Mkinsi
  1. Department of Rheumatology, Ibn Rochd University Hospital, Casablanca


Introduction Corticosteroids (CTC) are semisynthetic adrenocortical derivatives hormones. They are the standard treatment for most inflammatory diseases. However, there is a severity number side effect. A good process management require a balance between inflammatory activity sufficient and adverse tolerable. CTC are anti-inflammatory not only powerful, but also rapidly effective. They are used in several pathologies with a frequent tendency to self-medicate.

Study purpose Evaluation of the prevalence and factors of self-medication with corticosteroids, through a survey of 125 patients treated for long term.

Materials and Methods Cross-sectional descriptive survey conducted with 125 patients, at Ibn Rochd Rheumatology department in Casablanca. Inclusions criteria were, patients receiving prolonged systemic corticosteroid. The survey contains a multiple or open choice questionnaires, established in agreement with the Biostatistics-Epidemiology and Medical Informatics. It was about the identity of patients, the disease being treated with corticosteroids, the duration and treatment dose, the patients number self-medication and its contributing factors, finally the side effects involved in taking steroids.

Results The majority of patients were female (82.4%). The mean age was 46.5 years ± 10 years. Diseases requiring prescription CTC was rheumatoid arthritis (50.4%) and systemic Lupus (17.6%). Other indication (sarcoidosis, dermatomyositis, vasculitis) at 32%. Type of CTC was prednisone (78.4%). Patients received CTC above one year (71.2%). 80% of them were informed about effects of corticosteroids. 58 patients have been using corticosteroids for self-medication. The reasons were; rapid efficacy of corticosteroid, therapy during attacks (36.2%), Lack of information (25.8%), appointment of remote consultations (19%), easy access to pharmacists CTC (10.4%), and not expensive treatment (8.6%).

Discussion and Conclusion Improved support and optimization patient compliance in long-term systemic corticosteroids are necessary for better medical exchanges sick. The particularities of our population are; low socio-economic level, the use of cheap treatments and CTC sale without a prescription.

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