Knowledge, attitude and practice on over-the-counter drugs, P-drug and essential drugs by second- and third-year medical students in Mysuru

Authors

  • Rachita BM Department of Pharmacology, JSS Medical College, Mysore, Karnataka, India
  • Manu Gangadhar Department of Pharmacology, JSS Medical College, Mysore, Karnataka, India
  • Megha Gopal Department of Pharmacology, Sri Siddhartha Institute of Medical Sciences and Research Centre, Nelamangala, Bengaluru, Karnataka, India
  • Jesymol Joy Department of Community Medicine, JSS Medical College, Mysore, Karnataka, India

DOI:

https://doi.org/10.18203/2394-6040.ijcmph20260704

Keywords:

Over-the-counter drugs, Self-medication,, P-drug, Essential medicines, Rational prescribing

Abstract

Background: Over-the-counter (OTC) drugs, essential medicines, and personal drugs (P-drugs) form an integral part of rational prescribing. As future prescribers, medical students must develop a sound understanding of these concepts to ensure safe and effective drug use. The aim of this study is to assess the knowledge, attitude, and practice (KAP) regarding OTC drugs, essential medicines, and P-drugs among second- and third-year medical students.

Methods: A cross-sectional study was conducted among 320 second- and third-year medical students at JSS Medical College, Mysuru, using a structured, pre-tested questionnaire. Data on awareness, usage patterns, attitudes toward safety, and confidence in prescribing were collected and analysed using descriptive statistics.

Results: Of the 320 participants, 40.6% were male and 58.1% female. Awareness about OTC drugs, essential medicines, and P-drugs was high (91.9%). Self-medication was reported by 20.3% without medical supervision, with paracetamol and NSAIDs being the most commonly used drugs. While 52.9% perceived self-medication as safe, only 26.6% reported adverse drug reactions. A significant proportion (52.5%) expressed confidence in prescribing OTC and essential medicines. Comparative analysis with other studies indicated similar trends in high self-medication prevalence and analgesic use but variations in adverse drug reaction reporting and prescribing confidence.

Conclusion: Medical students exhibit commendable awareness of OTC drugs, essential medicines, and P-drugs, but substantial self-medication practices persist. Structured educational interventions, case-based training, and stricter institutional policies are needed to enhance rational prescribing practices and ensure safe drug use.

Metrics

Metrics Loading ...

Author Biographies

Rachita BM, Department of Pharmacology, JSS Medical College, Mysore, Karnataka, India

postgraduate,  

Department of Pharmacology, JSS Medical College, Mysore, Karnataka, India.

Manu Gangadhar, Department of Pharmacology, JSS Medical College, Mysore, Karnataka, India

Associate Professor,

Department of Pharmacology,

JSS Medical College,

 Mysore, Karnataka, India

Megha Gopal, Department of Pharmacology, Sri Siddhartha Institute of Medical Sciences and Research Centre, Nelamangala, Bengaluru, Karnataka, India

Tutor,

Department of Pharmacology, Sri Siddhartha Institute of Medical Science and Research Centre, Nelamangala, Bengaluru.

 

Jesymol Joy, Department of Community Medicine, JSS Medical College, Mysore, Karnataka, India

Postgraduate ,

Department of Community Medicine, JSS Medical College, Mysore, Karnataka, India

References

Rowe G. Essential skills: medicines management and administration. The Handbook for Nursing Associates and Assistant Practitioners. 2022 :299. DOI: https://doi.org/10.4135/9781036233761.n10

Singh DV. Concepts of P drug selection. Nepal J Epidemiol. 2013;3(1):226-9. DOI: https://doi.org/10.3126/nje.v3i1.8280

Petro E, Siebers AC, Mantel-Teeuwisse AK, Suleman F, van den Ham HA. Availability and affordability of essential medicines from the who global core list in Albania: a cross-sectional survey using the who/HAI Methodology. medRxiv. 20252025-08.

Jagadeesh K, Chidananda KN, Revankar SP, Prasad NS. Study on self-medication among 2nd year medical students. International J Basic Clin Pharmacol. 2015;4(1):164–7. DOI: https://doi.org/10.5455/2319-2003.ijbcp20150235

Bekele KM, Abay AM, Mengistu KA, Atsbeha BW, Demeke CA, Belay WS, et al. Knowledge, attitude, and practice on over-the-counter drugs among pharmacy and medical students: a facility-based cross-sectional study. Integr Pharm Res Pract. 2020;9:135–46. DOI: https://doi.org/10.2147/IPRP.S266786

Alkhatatbeh MJ, Alefan Q, Alqudah MAY. High prevalence of self-medication practices among medical and pharmacy students: a study from Jordan. Int J Clin Pharmacol Ther. 2016;54(5):390–8. DOI: https://doi.org/10.5414/CP202451

Albusalih FA, Naqvi AA, Ahmad R, Ahmad N. Prevalence of Self-Medication among Students of Pharmacy and Medicine Colleges of a Public Sector University in Dammam City, Saudi Arabia. Pharmacy. 2017;5(3):51. DOI: https://doi.org/10.3390/pharmacy5030051

Parsode RB, Chandaliya KC, Deshmukh JB. Knowledge, attitude, and practice of ‘P-drug concept’ among postgraduate residents and interns in a tertiary care teaching hospital in Maharashtra. Int J Basic Clin Pharmacol. 2023;13(1):147–51. DOI: https://doi.org/10.18203/2319-2003.ijbcp20233908

Parise DRS, Yuwnate DAH, Thomas DAV. Study of Knowledge, Attitude and Practices of “P-Drug” Concept Among Postgraduate Students and Interns at A Tertiary Care Hospital. International J Med Pharma Res. 2025;6:1549–54.

Hassan NM, Koabar SMM. Self-medication pattern among medical students in Middle Delta, Egypt. BMC Medical Education. 2025;25(1):99. DOI: https://doi.org/10.1186/s12909-025-06678-x

Araia ZZ, Gebregziabher NK, Mesfun AB. Self medication practice and associated factors among students of Asmara College of Health Sciences, Eritrea: a cross sectional study. J of Pharm Policy and Pract. 2019;12(1):1–9. DOI: https://doi.org/10.1186/s40545-019-0165-2

Abdi A, Faraji A, Dehghan F, Khatony A. Prevalence of self-medication practice among health sciences students in Kermanshah, Iran. BMC Pharmacology and Toxicology. 2018 Jul 3;19(1):36. DOI: https://doi.org/10.1186/s40360-018-0231-4

Faheem AM, Bamatraf MS, Mohammed SM, Al Ghamdi NA, Rayani RN, Alharbi MM. Knowledge, attitude, and practice of over-the-counter drug use among medical students in fakeeh college: a cross-sectional study. Cureus. 2020;17(5):83878.

Downloads

Published

2026-02-27

How to Cite

Muddu Kumar, R. B., Gangadhar, M., Gopal, M., & Joy, J. (2026). Knowledge, attitude and practice on over-the-counter drugs, P-drug and essential drugs by second- and third-year medical students in Mysuru. International Journal Of Community Medicine And Public Health, 13(3), 1433–1438. https://doi.org/10.18203/2394-6040.ijcmph20260704

Issue

Section

Original Research Articles