Louhisalmi Mella, Lavikainen Piia, Linden Kari, Martikainen Janne, Timonen Johanna
School of Pharmacy, Kuopio, Finland.
University Pharmacy, Helsinki, Finland.
Basic Clin Pharmacol Toxicol. 2025 Jan;136(1):e14104. doi: 10.1111/bcpt.14104. Epub 2024 Nov 14.
With increasing medicine use, more medicines are being stored at home, yet the understanding of household medicines remains limited. This study aimed to assess the amount, type and storage practices of medicines in households. It also explored the reasons for unnecessary or expired medicines, as well as the factors associated with the presence of expired medicines in a household. The online survey was conducted among loyal customers of University Pharmacy in June 2023 (n = 5004). The data were analysed for frequencies and percentages, and binary logistic regression was used to examine the association between background factors and expired medicines in households. On average, one household had 13.9 active, 2.8 unnecessary and 2.2 expired medicine packs. Medicines were typically stored in the kitchen (67.0%) and in cabinets (58.7%), and 40% were to be stored safely. The main reasons for unnecessary or expired medicines were improved health (39.2%), medication changes (31.9%) and oversized packs (28.0%). Households returning medicines biennially (odds ratio (OR): 2.85; 95% confidence interval (CI): 2.13-3.82) and those with many active medicines (OR: 2.14; 95% CI: 1.79-2.54) had expired medicines more often. The study showed that households had many medicines, highlighting the need for better storage and optimized packaging to improve safety, reduce waste and enhance rational pharmacotherapy.
随着用药量的增加,越来越多的药品被储存在家中,但人们对家庭用药的了解仍然有限。本研究旨在评估家庭药品的数量、种类和储存方式。它还探讨了出现不必要或过期药品的原因,以及与家庭中过期药品存在相关的因素。2023年6月对大学药房的忠实客户进行了在线调查(n = 5004)。对数据进行了频率和百分比分析,并使用二元逻辑回归来检验背景因素与家庭过期药品之间的关联。平均而言,一个家庭有13.9包有效药品、2.8包不必要药品和2.2包过期药品。药品通常存放在厨房(67.0%)和橱柜(58.7%)中,40%的药品需要安全储存。出现不必要或过期药品的主要原因是健康状况改善(39.2%)、用药变更(31.9%)和包装过大(28.0%)。每两年归还一次药品的家庭(优势比(OR):2.85;95%置信区间(CI):2.13 - 3.82)和拥有许多有效药品的家庭(OR:2.14;95% CI:1.79 - 2.54)更常出现过期药品。该研究表明家庭中有许多药品,这凸显了改善储存和优化包装以提高安全性、减少浪费和加强合理药物治疗的必要性。