Self-Medication is the act of obtaining medicine or pharmaceutical products without the recommendation or guidance of a doctor but through self-diagnosis from self-recognized symptoms. When you use medicine without prior prescription, professional authorization or supervision, you are simply self-medicating.
Self-Medication is becoming an increasing public health concern as its demerits far outweigh its benefits.
The big question is, who has never been guilty of self-medication?
It occurs in any of the following cases:
- When you buy over the counter (OTC) medicine without a doctor’s prescription.
- When you consume drugs recommended by friends and relatives who are not health professionals.
- When you get drugs based on your knowledge of previous prescriptions that worked for familiar symptoms.
- When you buy medicine (usually traditional herbs) peddled by drug hawkers especially the ones advertised and sold in commercial vehicles in Nigeria.
- When you buy unprescribed drugs to store at home in the hope to take them when certain symptoms arise or keeping leftover drugs for future use.
Advanced countries are more proactive in their fight to curb the menace of self-medication by making strict regulations that control the procurement of drugs by the public. Unfortunately, this is not the case in most developing countries in the African continent. In Nigeria, everyone can agree that self- medication is one of the main forms of self-care and almost always the first line of treatment for most people.
It is okay to argue that some ailments like headache, diarrhoea, body pains, cough, catarrh and cold are trivial and their medications relatively risk-free, hence they do not necessarily require a doctor’s prescription. But what such an argument fails to acknowledge is the fact that no illness is trivial and it is not ideal to consume drugs based on self-presumed or self-diagnosed illnesses because what appears, for instance, as a flu may not always be just a flu. Diagnosis precedes prescription; thus, the diagnostic process should not be skipped.
Most often than not, the reason for self-medication is cost-oriented, which is why this challenge is more prevalent in developing countries where income is low thereby leading a lot of people to seek the seemingly cheaper options even when it might be riskier. The average Nigerian definitely feels getting drugs from any chemist shop is a more economical option than visiting the hospital.
For the middle class whom ‘cost’ may not be a motivating factor for self-medication, convenience is a major reason. Most of them do not have the luxury of time to endure long hospital queues and other time-consuming clinical processes just to see a doctor for an ailment that is not “so serious”. Therefore, the convenience of getting readily available drugs from the drug store contributes to the predominance of self-medication as well.
The Downsides to Self-Medication that you may not have thought of:
For many people, self-medication begins with consuming unprescribed drugs and ends with getting the desired and seemingly fast relief. Problem solved! But there’s more to this harmful practice and you should not continue to count on being lucky not to experience the other side of self-medication because that will be mere wishful thinking.
Since the enforcement of regulations controlling the open sale of drugs is lenient in many African countries, it is pertinent to apply caution in the practice of self-medication for your own safety especially as the pharmacy attendants who dispense these medicines from the drug store are not always certified pharmacists or health experts themselves.
Some of the disadvantages of self-medication that you may not have put into consideration before now include:
- Erroneous prescription: Of course, what else happens when you procure drugs without the appropriate diagnosis? When you self-medicate, the chances of getting the wrong prescription for the peculiar ailment is high. A lot of illnesses come with similar symptoms of fatigue, dizziness and headache. It is therefore inimical to consume unprescribed drugs based on one’s familiarity with perceived symptoms and medication. With the prevalence of malaria in Africa, most people think of malaria first when they feel ill and double down on procuring malaria drugs without prescription. This is a totally harmful habit.
- Incorrect dosage: Most cases of drug overdose are resultant from self-medication. Drug Overdose claims the lives of thousands of people annually and a sure way to mitigate the increase in mortality is to curb self-medication. Drug underdose is equally a problem closely associated with same, as the effects of under-dosing can result in treatment failure and at worst, adverse reactions.
- Ignorance of drug interaction: When you self medicate, you scarcely take into consideration the way the drugs that you combine interact with one another. A classic example is the case of people who consume Vitamin C when taking Artemisinin-based antimalarial drugs, thereby rendering the antimalarial drug ineffective! In case you do not know, Vitamin C has antioxidant properties and antimalarials work by process of oxidation. Hence, ingesting Vitamin C while on antimalarial treatment will result to possible inhibition of oxidative action of the antimalarial drug thereby rendering it futile. Now, you see why it is advised that you consult a doctor before taking any drug. With your doctor’s guidance, the ailment is thoroughly examined and you also will not have to worry about the components of the drugs.
- Increase in Antibiotic Resistance (ABR): Self-medication is the leading cause of drug resistance in humans. When you continue to take drugs especially antibiotics from your own initiatives, the pathogens in the body begin to grow resistant to those drugs. What this implies is that the effectiveness of the said medication to cure the illness is drastically reduced as the pathogens develop the ability to withstand the drug that once stalls or kills them.
- Less duration of treatment: Another downside to self-medication is the fact that there is no doctor supervision or review of the drug interactions in the body. Since the medications are taken outside the doctor’s guidance, the duration of treatment is usually less, causing the ailment to either resurface after a little while or causing more complications to the consumer’s health.
- Masking of serious health conditions: Because self-medication provides fast relief in most cases, it is easy for this practice to mask underlying severe conditions that require the attention of a physician. Without proper doctor consultation, it is most likely to misdiagnose an ailment, thereby treating the wrong ailment for a while and delaying medical intervention until it becomes severe.
Other disadvantages include overdependence on drugs, irrational drug use and drug abuse especially with medicines that are pain relievers, stimulants and antidepressants.
Self-Medication is No Treatment.
Self-Medication is No Cure.
Prompt Doctor Consultation remains the best action before getting that drug.
Oh wait!
You are probably wondering why you should go through the hassle of visiting the hospital to talk to a doctor and obviously spending considerable time, cost and energy for a manifestly minor health challenge.
Don’t worry.
With the KompleteCare Online Doctor Consultation, you can talk to a real doctor from the comfort of your home via your smart phone in a matter of minutes!
Knowing the potential risks you are exposed to whenever you self-medicate, you are doing your health a lot of good by taking drugs the right way.
At the risk of being ‘penny wise, pound foolish’, always get expert advice before buying any drug.
Health is wealth. Don’t compromise on your well-being.
Medical Disclaimer: KompleteCare™ aims to improve the quality of life for everyone with fact-based content about the nature of diseases, preventive care, behavioral health conditions, treatment options and their related outcomes. We publish material that is researched, cited, edited and reviewed by licensed medical professionals. The information we provide is not intended to be a substitute for professional medical advice, diagnosis or treatment. It should not be used in place of the advice of your physician or other qualified healthcare provide
523 comments
Easy to to read, yet insightful and helpful.
It was nice and educative.
Wow.
This is so insightful. I never really thought of all these side effects of self medication.
Now you do, I hope you turn a new leaf💜
Great content; especially useful at this time when the pandemic has caused many to resort to self-medication.
Omg, I’m so guilty of this. I’m done self-medicating. Thank you for this piece
Guilty as charged. I hate hospitals, I just feel like I’ll contact more disease when I go to the hospital and it’s so scary
Hehehe! All the Aju mbaise I have been drinking oh! Thank you so much for this.
Great content!
Please throw more light: is self-medication different from prescription drug abuse? If yes please distinguish. If no, where do we draw the line?
The writeup itself is a masterpiece and thought provoking…please keep the good job sustained as it keeps influencing our view of drug use in refined way. Good work!
everyone is guilty of this in one way or the other. most times I find it difficult going to the hospital because of the long process involved. thanks for the great enlightenment. great share.
http://www.kompletecare.com takes the burden of long hospital queues off you. You can talk to a certified doctor from the comfort of your home.
Well said, people even go as far as getting a diagnosis from the lab themselves and self diagnose themselves on the drugs to take. Post like this should help reorient people on these effects and more awareness on the part of the Government is needed to save lives.
This is a necessary piece of information that every household needs.
The campaign is so timely. It helps people to get tested to know their status. And to apply preventive measures.
Nice read. Well done Ginika
thanks so much for this information is really nice, . Ginika, I am truly proud of you dear, keep it up, more wisdom to you dear.
Very correct
Wow! this is a great write-up. I believe this will change my mindset on self medication. Ginika , keep up the good work.
This so much resonates with me.
I’m sure every Nigerian can relate to this article.
The truth about self medication that we less talk about😊😄
Wow. This is an eye opener, so many factors I hardly consider whenever i buy over the counter drugs. Never knew vitamin C doesnt interact with some antimalarial drugs. I buy Vit c alongside my armatem soft gel. (Sad)
I’m glad you learnt something new.
Super enlightening!
Thank you Ginika, yet another timely reminder about the dangers of self medication. Regulation is key to checking this habit which on its own is responsible for countless number of and needless deaths in our society.
Insightful! As you have rightly said, Africans are mostly guilty of self medications and the earlier we understand the side effects this can pose the better. Thanks really for sharing this!
Wonderful presentation!
This article, I think, will not only save many lives but also in no small measures shapes our understanding and attitude towards the dangers of self-medication. It is educating, straight forward and apt.
Thank you for thinking about our health.
http://www.kompletecare.com takes the burden of long hospital queues off you. You can talk to a certified doctor from the comfort of your home.
very informative and educational!
Thanks.
What an information. An insight
This is commendable. Thanks Ginika, you did a great job.
Now I’ve reasons to double check before self medicating. Thanks.
I love this! My parents are medical practitioners, yet, I used to be reluctant asking ’em for drugs to take when I’m ill. No matter how knowledgeable I think I am, perhaps I know the rightful drugs to take when I’m having this type of ailment or another, I still need a doctor’s prescription and guidance, yunno. Thanks for this tremendous awareness, it sure hits home 😉😚
Wow.. this is interesting… thanks for this message to us ma.. may God bless you for this information
Wow, this is an excellent and well researched piece. It could not have come at a more better time than now when everyone is at one point or the other is guilty of self medication. This is the time to drive the message down to the common man in the street. You dealt squarly with the subject matter that I have nothing else to say than to give you a 5 star🌟
Insightful information u just past out dear thanks a lot for this piece because here in Nigeria self medication has become our daily routine which have so many side effects which we don’t consider at all, thanks Ginika more knowledge to u
The message of this write up is apt, well needed in the now.Well done!
Self medication is deeply rooted in our DNA as Africans. It is also due to the fact that we have no competent or easily accessible healthcare system. Well written Ginika.
Ginika, may God bless you for this wonderful and educative write-up. It has exposed me to some things I was handling carelessly.
As a Nigerian I’m guilty of self medication… Really insightful
This is really an exposition. I’ve learnt quite a lot
Glad you did. Thanks
Thanks is a lovely article
Nigeria is very notorious for self-medication. But then, that is the symptom of not having a healthcare system, everyone plays doctor. Therefore it won’t be very fruitful to tell people to not self-medicate, when they can’t afford to eat well enough, how much more the cost of hospital bills or the ridiculously long queues in the health centres.
You are so right. But then, health first.
And on a brighter note, there are now health tech solutions that solve the issue of long queues in health centres. You can talk to a doctor from the comfort of your phone and get the right description by just using KompleteCare platform. Learn more at http://www.kompletecare.com
Thanks for the information, we really have a lot of work to do especially educating our young ones out there
This article is very insightful and educative. Glad there’s also an option for consultation because some people know the dangers of self medication but would still continue because they feel there’s no other alternative to better suit their standard of living. Thanks for this, I hope people without technological devices who wouldn’t be able to receive emails like these gets the awareness too.
One step at a time. Nigeria will get better technologically.
Very Informative. Great Job!
It’s about time, this is a great initiative no more cues and time wasted, online consultation is a great solution to many especially when it comes to this issue of self medication and drug abuse.
Self medication is a No! No! Thank you Gini for reemphasizing the dangers of Self Medication.❤🙏 I had a great Read 😁
Insightful and educative.. Thank you.
A thoughtful and educative piece well written.
Great initiative. This is a well-researched article.
It’s perfect time to make some plans for the longer term and it’s time to be happy.
I have learn this put up and if I may I want to suggest you few fascinating things or advice.
Perhaps you can write subsequent articles regarding this article.
I want to read more things about it! I wanted to thank you for this good read!!
I certainly loved every bit of it. I have got you
book marked to look at new things you post… bookmarked!!, I really like your
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I agree with you, self medication is totally wrong
Nice right ☝
Ginny, thank you so much for this. Apparently, self-medication had more side effects than i thought. I may not have been a big fan of it but indeed, this is a very insightful piece.
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