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Knowledge, Attitude and Practice towards the use of Over the Counter (OTC) medications among general population in United Arab Emirates (UAE): A cross-sectional study

Year 2025, Volume: 29 Issue: 4, 1775 - 1782, 05.07.2025
https://doi.org/10.12991/jrespharm.1734944

Abstract

Over-the-counter (OTC) medication usage is widespread globally, yet there remains a paucity of research regarding its use and understanding among specific demographics, particularly in rapidly growing populations like that of the United Arab Emirates (UAE). This study aimed to assess the knowledge, attitudes, and practices (KAP) of OTC drug use among the general population of the UAE, with a focus on young women.A cross-sectional study was conducted over a six-month period, from December 2022 to May 2023, among the general population aged 18-65 years in the UAE. Participants were recruited after informed consent through online platforms, and data were collected using a validated questionnaire comprising socio-demographic details and questions assessing knowledge, attitude, and practice (KAP) regarding OTC drug use. Descriptive statistics and inferential analyses were conducted to analyse the data. A total of 197 individuals participated in the study. The study revealed moderate knowledge scores among young women regarding OTC medication, with significant gaps in understanding their use and limitations. Positive attitudes towards OTC drug use were prevalent. Self-medication was common (78.2%). Significant associations were found between gender, age, and knowledge/attitude scores, emphasising the need for targeted interventions. No significant associations were observed with educational, occupational status, or chronic diseases. In conclusion, this study provides valuable insights into OTC medication use among young women in the UAE. It highlights the importance of addressing knowledge gaps and promoting safe OTC medication practices through collaborative efforts between healthcare professionals, policymakers, and educational institutions. By targeting specific demographics and addressing key knowledge gaps, stakeholders can work towards improving health literacy and promoting responsible self-medication behaviours among the general population.

References

  • [1] Understanding Over-the-Counter Medicines | FDA [Internet]. [cited 2022 May 16]. Available from: https://www.fda.gov/drugs/buying-using-medicine-safely/understanding-over-counter-medicines
  • [2] Tesfamariam S, Anand IS, Kaleab G, Berhane S, Woldai B, Habte E, Russom M. Self-medication with over the counter drugs, prevalence of risky practice and its associated factors in pharmacy outlets of Asmara, Eritrea. BMC Public Health. 2019;19(1):159. https://doi.org/10.1186/s12889-019-6470-5.
  • [3] Sansgiry SS, Bhansali AH, Bapat SS, Xu Q. Abuse of over-the-counter medicines: a pharmacist's perspective. Integr Pharm Res Pract. 2016 Dec 19;6:1-6. https://doi.org/10.2147%2FIPRP.S103494.
  • [4] Barakat-Haddad C, Siddiqua A. Prevalence and predictors of over-the-counter medication use among adolescents in the United Arab Emirates. East Mediterr Health J. 2018;23(11):744-753. https://doi.org/10.26719/2017.23.11.744
  • [5] Yasmeen A, Syed MH, Alqahtani SS, Kashan Syed N, Meraya AM, Wazaify M, Van Hout MC. Suspected inappropriate use of prescription and non-prescription drugs among requesting customers: A Saudi community pharmacists' perspective. Saudi Pharm J. 2023;31(7):1254-1264. https://doi.org/10.1016/j.jsps.2023.05.009.
  • [6] Alzoubi A, Nasor EM, Suliman EMO, AlQaderi N, AbbasTanira SHI, Abdi SAH, Mustafa S, Kheirallah K. A Comparative Piloting of Determinants of Self-Medication Among University Students in the MENA Region; UAE and Jordan as an Example. Patient Prefer Adherence. 2023;17:699-709. https://doi.org/10.2147/ppa.s405279.
  • [7] Al Meslamani AZ, Abdel-Qader DH. The Abuse and Misuse of Over-the-Counter Medicines During COVID-19. Hosp Pharm. 2023;58(5):437-440. https://doi.org/10.1177/00185787231158777.
  • [8] Altahini AT, Aburas W, Aljarwan SF, Alsuwayagh SA, Alqahtani NF, Alquwaiay S, Anwar S. Charting the Knowledge and Patterns of Non-Steroidal Anti-Inflammatory Drugs Usage in Hail Population, Saudi Arabia: Insights into the Adverse Effect Profile. Pharmacy (Basel). 2024;12(1):9. https://doi.org/10.3390/pharmacy12010009.
  • [9] Over the Counter (OTC) Drug Labels [Internet]. [cited 2022 May 16]. Available from: https://www.poison.org/articles/otc-drug-labels
  • [10] Abduelkarem AR, El Krewi EZ, Shatat IN, Alsebai NM, Ismail WM. Perception of Over the Counter Drug Advertising among Pharmacists in Abu Dhabi, UAE. Arch Pharm Pharmacol Res. 2018;1(1). https://doi.org/10.33552/APPR.2018.01.000503.
  • [11] Bahrin Dzulkharnain FBS, Shafqat N, Hermansyah A, Tan CS, Koh D, Goh KW, Ming LC. Knowledge, Attitude and Practice towards the Use of Over-the-Counter Medicines: An Online Survey among Bruneian Adults amid the COVID-19 Pandemic. Sustainability. 2022; 14(15):9033. https://doi.org/10.3390/su14159033
  • [12] James H, Handu SS, Al Khaja KA, Otoom S, Sequeira RP. Evaluation of the knowledge, attitude and practice of self medication among first-year medical students. Med Princ Prac. 2016; 25(2): 125 – 130. https://doi.org/10.1159/000092989
  • [13] Arnett JJ. A Longer Road to Adulthood, Emerging Adulthood: The Winding Road from the Late Teens Through the Twenties, 3rd edn . New York, 2024; online edn, Oxford Academic, 2023. https://doi.org/10.1093/oso/9780197695937.003.0001.
  • [14] Almeidaa I, Rochab C, Balteiroa. Prevalence of self medication in Portuguese Adolescents. Port J Public Health 2022;40:122–129. https://doi.org/10.1159/000525885.
  • [15] Alaqeel S, Abanmy NO. Perception and attitude of pharmacy students towards over-the-counter medication. Saudi Pharm J. 2018; 26(2): 225–230. https://doi.org/10.4103%2F0253-7613.194857
  • [16] Gratus C, Wilson S, Greenfield SM, Damery SL, Warmington SA, Grieve R. The use of herbal medicines by people with cancer: a qualitative study. BMC Complement Altern Med. 2018; 18(1): 335. https://doi.org/10.1186/1472 6882-9-14
  • [17] Alhomoud F, Aljamea Z, Almahasnah R, Alkhalifah K. Baseline assessment of self-medication practice among patients attending primary healthcare centers in Kuwait. PloS One 2017; 12(9): e0182759. https://doi.org/10.1186%2Fs12913-021-07199-1
  • [18] Fadare JO, Tamuno I, Asomugha, AL. Antibiotic self-medication among university medical undergraduates in northern Nigeria. J Infect Dev Ctries 2016; 10(12): 1264–1270
  • [19] Fidalgo-Neto AA, Lopes RM, Ribeiro RRM, de-Souza CAM, Cavalcanti RLD,Ferreira NCS, Alves LA. Teaching and learning pharmacology in Brazil before COVID-19 pandemic: a case study in Rio de Janeiro. BMC Med Educ.2023; 23: 471. https://doi.org/10.1186/s12909-023-04437-4.
  • [20] Nitadpakorn S, Farris KB, Kittisopee T. Factors affecting pharmacy engagement and pharmacy customer devotion in community pharmacy: A structural equation modeling approach. Pharm Pract (Granada). 2017;15(3):999. https://doi.org/10.18549%2FPharmPract.2017.03.999
  • [21] Boden M, Day E. Illicit drug use in university students in the UK and Ireland: a PRISMA-guided scoping review. Subst Abuse Treat Prev Policy. 2023;18(1):18. https://doi.org/10.1186/s13011-023-00526-1.

Year 2025, Volume: 29 Issue: 4, 1775 - 1782, 05.07.2025
https://doi.org/10.12991/jrespharm.1734944

Abstract

References

  • [1] Understanding Over-the-Counter Medicines | FDA [Internet]. [cited 2022 May 16]. Available from: https://www.fda.gov/drugs/buying-using-medicine-safely/understanding-over-counter-medicines
  • [2] Tesfamariam S, Anand IS, Kaleab G, Berhane S, Woldai B, Habte E, Russom M. Self-medication with over the counter drugs, prevalence of risky practice and its associated factors in pharmacy outlets of Asmara, Eritrea. BMC Public Health. 2019;19(1):159. https://doi.org/10.1186/s12889-019-6470-5.
  • [3] Sansgiry SS, Bhansali AH, Bapat SS, Xu Q. Abuse of over-the-counter medicines: a pharmacist's perspective. Integr Pharm Res Pract. 2016 Dec 19;6:1-6. https://doi.org/10.2147%2FIPRP.S103494.
  • [4] Barakat-Haddad C, Siddiqua A. Prevalence and predictors of over-the-counter medication use among adolescents in the United Arab Emirates. East Mediterr Health J. 2018;23(11):744-753. https://doi.org/10.26719/2017.23.11.744
  • [5] Yasmeen A, Syed MH, Alqahtani SS, Kashan Syed N, Meraya AM, Wazaify M, Van Hout MC. Suspected inappropriate use of prescription and non-prescription drugs among requesting customers: A Saudi community pharmacists' perspective. Saudi Pharm J. 2023;31(7):1254-1264. https://doi.org/10.1016/j.jsps.2023.05.009.
  • [6] Alzoubi A, Nasor EM, Suliman EMO, AlQaderi N, AbbasTanira SHI, Abdi SAH, Mustafa S, Kheirallah K. A Comparative Piloting of Determinants of Self-Medication Among University Students in the MENA Region; UAE and Jordan as an Example. Patient Prefer Adherence. 2023;17:699-709. https://doi.org/10.2147/ppa.s405279.
  • [7] Al Meslamani AZ, Abdel-Qader DH. The Abuse and Misuse of Over-the-Counter Medicines During COVID-19. Hosp Pharm. 2023;58(5):437-440. https://doi.org/10.1177/00185787231158777.
  • [8] Altahini AT, Aburas W, Aljarwan SF, Alsuwayagh SA, Alqahtani NF, Alquwaiay S, Anwar S. Charting the Knowledge and Patterns of Non-Steroidal Anti-Inflammatory Drugs Usage in Hail Population, Saudi Arabia: Insights into the Adverse Effect Profile. Pharmacy (Basel). 2024;12(1):9. https://doi.org/10.3390/pharmacy12010009.
  • [9] Over the Counter (OTC) Drug Labels [Internet]. [cited 2022 May 16]. Available from: https://www.poison.org/articles/otc-drug-labels
  • [10] Abduelkarem AR, El Krewi EZ, Shatat IN, Alsebai NM, Ismail WM. Perception of Over the Counter Drug Advertising among Pharmacists in Abu Dhabi, UAE. Arch Pharm Pharmacol Res. 2018;1(1). https://doi.org/10.33552/APPR.2018.01.000503.
  • [11] Bahrin Dzulkharnain FBS, Shafqat N, Hermansyah A, Tan CS, Koh D, Goh KW, Ming LC. Knowledge, Attitude and Practice towards the Use of Over-the-Counter Medicines: An Online Survey among Bruneian Adults amid the COVID-19 Pandemic. Sustainability. 2022; 14(15):9033. https://doi.org/10.3390/su14159033
  • [12] James H, Handu SS, Al Khaja KA, Otoom S, Sequeira RP. Evaluation of the knowledge, attitude and practice of self medication among first-year medical students. Med Princ Prac. 2016; 25(2): 125 – 130. https://doi.org/10.1159/000092989
  • [13] Arnett JJ. A Longer Road to Adulthood, Emerging Adulthood: The Winding Road from the Late Teens Through the Twenties, 3rd edn . New York, 2024; online edn, Oxford Academic, 2023. https://doi.org/10.1093/oso/9780197695937.003.0001.
  • [14] Almeidaa I, Rochab C, Balteiroa. Prevalence of self medication in Portuguese Adolescents. Port J Public Health 2022;40:122–129. https://doi.org/10.1159/000525885.
  • [15] Alaqeel S, Abanmy NO. Perception and attitude of pharmacy students towards over-the-counter medication. Saudi Pharm J. 2018; 26(2): 225–230. https://doi.org/10.4103%2F0253-7613.194857
  • [16] Gratus C, Wilson S, Greenfield SM, Damery SL, Warmington SA, Grieve R. The use of herbal medicines by people with cancer: a qualitative study. BMC Complement Altern Med. 2018; 18(1): 335. https://doi.org/10.1186/1472 6882-9-14
  • [17] Alhomoud F, Aljamea Z, Almahasnah R, Alkhalifah K. Baseline assessment of self-medication practice among patients attending primary healthcare centers in Kuwait. PloS One 2017; 12(9): e0182759. https://doi.org/10.1186%2Fs12913-021-07199-1
  • [18] Fadare JO, Tamuno I, Asomugha, AL. Antibiotic self-medication among university medical undergraduates in northern Nigeria. J Infect Dev Ctries 2016; 10(12): 1264–1270
  • [19] Fidalgo-Neto AA, Lopes RM, Ribeiro RRM, de-Souza CAM, Cavalcanti RLD,Ferreira NCS, Alves LA. Teaching and learning pharmacology in Brazil before COVID-19 pandemic: a case study in Rio de Janeiro. BMC Med Educ.2023; 23: 471. https://doi.org/10.1186/s12909-023-04437-4.
  • [20] Nitadpakorn S, Farris KB, Kittisopee T. Factors affecting pharmacy engagement and pharmacy customer devotion in community pharmacy: A structural equation modeling approach. Pharm Pract (Granada). 2017;15(3):999. https://doi.org/10.18549%2FPharmPract.2017.03.999
  • [21] Boden M, Day E. Illicit drug use in university students in the UK and Ireland: a PRISMA-guided scoping review. Subst Abuse Treat Prev Policy. 2023;18(1):18. https://doi.org/10.1186/s13011-023-00526-1.
There are 21 citations in total.

Details

Primary Language English
Subjects Clinical Pharmacy and Pharmacy Practice
Journal Section Articles
Authors

Kripa Mathew This is me

Nowraz Akbar Ali This is me

Safae Dorostkar This is me

Dania Mohammed Saleh Katout This is me

Juny Sebastian This is me

Jumana Mohamed Fouad Al- Salloum This is me

Publication Date July 5, 2025
Submission Date April 3, 2024
Acceptance Date August 13, 2024
Published in Issue Year 2025 Volume: 29 Issue: 4

Cite

APA Mathew, K., Akbar Ali, N., Dorostkar, S., … Katout, D. M. S. (2025). Knowledge, Attitude and Practice towards the use of Over the Counter (OTC) medications among general population in United Arab Emirates (UAE): A cross-sectional study. Journal of Research in Pharmacy, 29(4), 1775-1782. https://doi.org/10.12991/jrespharm.1734944
AMA Mathew K, Akbar Ali N, Dorostkar S, Katout DMS, Sebastian J, Mohamed Fouad Al- Salloum J. Knowledge, Attitude and Practice towards the use of Over the Counter (OTC) medications among general population in United Arab Emirates (UAE): A cross-sectional study. J. Res. Pharm. July 2025;29(4):1775-1782. doi:10.12991/jrespharm.1734944
Chicago Mathew, Kripa, Nowraz Akbar Ali, Safae Dorostkar, Dania Mohammed Saleh Katout, Juny Sebastian, and Jumana Mohamed Fouad Al- Salloum. “Knowledge, Attitude and Practice towards the Use of Over the Counter (OTC) Medications Among General Population in United Arab Emirates (UAE): A Cross-Sectional Study”. Journal of Research in Pharmacy 29, no. 4 (July 2025): 1775-82. https://doi.org/10.12991/jrespharm.1734944.
EndNote Mathew K, Akbar Ali N, Dorostkar S, Katout DMS, Sebastian J, Mohamed Fouad Al- Salloum J (July 1, 2025) Knowledge, Attitude and Practice towards the use of Over the Counter (OTC) medications among general population in United Arab Emirates (UAE): A cross-sectional study. Journal of Research in Pharmacy 29 4 1775–1782.
IEEE K. Mathew, N. Akbar Ali, S. Dorostkar, D. M. S. Katout, J. Sebastian, and J. Mohamed Fouad Al- Salloum, “Knowledge, Attitude and Practice towards the use of Over the Counter (OTC) medications among general population in United Arab Emirates (UAE): A cross-sectional study”, J. Res. Pharm., vol. 29, no. 4, pp. 1775–1782, 2025, doi: 10.12991/jrespharm.1734944.
ISNAD Mathew, Kripa et al. “Knowledge, Attitude and Practice towards the Use of Over the Counter (OTC) Medications Among General Population in United Arab Emirates (UAE): A Cross-Sectional Study”. Journal of Research in Pharmacy 29/4 (July2025), 1775-1782. https://doi.org/10.12991/jrespharm.1734944.
JAMA Mathew K, Akbar Ali N, Dorostkar S, Katout DMS, Sebastian J, Mohamed Fouad Al- Salloum J. Knowledge, Attitude and Practice towards the use of Over the Counter (OTC) medications among general population in United Arab Emirates (UAE): A cross-sectional study. J. Res. Pharm. 2025;29:1775–1782.
MLA Mathew, Kripa et al. “Knowledge, Attitude and Practice towards the Use of Over the Counter (OTC) Medications Among General Population in United Arab Emirates (UAE): A Cross-Sectional Study”. Journal of Research in Pharmacy, vol. 29, no. 4, 2025, pp. 1775-82, doi:10.12991/jrespharm.1734944.
Vancouver Mathew K, Akbar Ali N, Dorostkar S, Katout DMS, Sebastian J, Mohamed Fouad Al- Salloum J. Knowledge, Attitude and Practice towards the use of Over the Counter (OTC) medications among general population in United Arab Emirates (UAE): A cross-sectional study. J. Res. Pharm. 2025;29(4):1775-82.