Watanabe Kinzo
School of Pharmacy, Tokyo University of Pharmacy and Life Sciences.
Yakugaku Zasshi. 2020;140(3):423-434. doi: 10.1248/yakushi.19-00117.
Recently, because the marked rise in medical expenses in Japan has become a major social problem, self-medication using OTC drugs in cases of minor health problems has attracted increasing attention. When people use OTC drugs for self-medication, they need support and/or advice from pharmacists on their proper use. This paper outlines recent revisions in the legal sales system of OTC drugs, the social background of self-medication, characteristics of OTC drugs and role of the pharmacists in providing consultation on OTC preparations. Next, consumers' views of self-medication and the OTC drug sales system are described based on the results of surveys performed after they attended an educational event on the proper use of OTC drugs. The survey of consumer views on the legal sales system of OTC drugs revealed that they were the most concerned about safety and convenience. From the survey of consumer views on self-medication, a significant percentage of the group who understood the meaning of the term "self-medication" practiced it in cases of minor health problems. Although no significant difference was seen between the groups who understood the term "self-medication" and those who did not in regard to the reading the drug package label and/or insert, a significant difference was found in their understanding of "The System for Sufferers from Adverse Drug Reactions". Therefore, it was clear that the consumers familiar with "self-medication" not only practiced it, but also understood the contents of drug package labels and/or inserts.
近年来,由于日本医疗费用的显著上涨已成为一个重大社会问题,在出现轻微健康问题时使用非处方药进行自我药疗受到了越来越多的关注。当人们使用非处方药进行自我药疗时,他们需要药剂师在正确用药方面提供支持和/或建议。本文概述了非处方药合法销售制度的近期修订、自我药疗的社会背景、非处方药的特点以及药剂师在提供非处方药制剂咨询方面的作用。接下来,根据消费者参加非处方药正确使用教育活动后的调查结果,描述了他们对自我药疗和非处方药销售制度的看法。对消费者对非处方药合法销售制度看法的调查显示,他们最关心的是安全性和便利性。从对消费者自我药疗看法的调查中可以看出,很大一部分理解“自我药疗”一词含义的人在出现轻微健康问题时会进行自我药疗。虽然在理解“自我药疗”一词的人群和不理解该词的人群之间,在阅读药品包装标签和/或说明书方面没有显著差异,但在他们对“药品不良反应患者制度”的理解上存在显著差异。因此,很明显,熟悉“自我药疗”的消费者不仅会进行自我药疗,而且还理解药品包装标签和/或说明书的内容。