• Users Online: 618
  • Home
  • Print this page
  • Email this page
Home About us Editorial board Ahead of print Current issue Search Archives Submit article Instructions Subscribe Contacts Login 
Year : 2019  |  Volume : 21  |  Issue : 1  |  Page : 59-62

Adherence to therapy in adult patients with bronchial asthma

1 Department of Pharmacology, Command Hospital, Lucknow, Uttar Pradesh, India
2 Department of Pharmacology, Army College of Medical Sciences, Delhi, India

Correspondence Address:
Lt Col A Tejus
Army College of Medical Sciences, Delhi - 110 010
Login to access the Email id

Source of Support: None, Conflict of Interest: None

DOI: 10.4103/jmms.jmms_28_19

Rights and Permissions

Background: The global prevalence of bronchial asthma according to the WHO is 235 million and adherence to therapy is now becoming one of the main issues in its effective management all over the world. In developing countries such as India, easy accessibility to drugs and inadequate health services results in increased use of self-medication. Over-the-counter drugs though meant of self-medication, their inappropriate use can be potentially hazardous, and there is always a risk of interaction with other prescription drugs. Very few studies have been published regarding self-medication pattern in India and hardly any studies regarding their interactions with prescription drugs in asthma, hence this study was proposed. Methods: One hundred adult ambulatory patients aged above 20 years were randomly selected from the respiratory outpatient department of a tertiary care government teaching hospital in Pune. The participants were subjected to a semi-structured interview with the help of a questionnaire. Results: Ninety-one percent were adherent to therapy. The main reasons for not adhering to therapy as suggested by the questionnaire and interview were old age and difficulty in using the inhaled medications appropriately. Self-medication was in 16% of the patients and the most common drugs being proton-pump inhibitors, H2 blockers, and antihistaminics, but no significant interaction was observed. Conclusions: In our study, the adherence was well above the global figures. Nonadherence to therapy is estimated to be 50% for chronic illnesses. A multidimensional approach by proper management and increasing interaction time with the patients will go a long way in improving the management of such conditions. Elderly people should be specially targeted as they have multifactorial reasons for not adhering to therapy. Effective but simple and uncomplicated regimens, convenient dosing and route of administration, less expensive, and safer drugs should be the aim in the treatment of bronchial asthma.

Print this article     Email this article
 Next article
 Previous article
 Table of Contents

 Similar in PUBMED
   Search Pubmed for
   Search in Google Scholar for
 Related articles
 Citation Manager
 Access Statistics
 Reader Comments
 Email Alert *
 Add to My List *
 * Requires registration (Free)

 Article Access Statistics
    PDF Downloaded51    
    Comments [Add]    

Recommend this journal