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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

Abstract

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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