Self-medication

Self-medication, sometime called do-it-yourself (DIY) medicine, is a human behavior in which an individual uses a substance or any exogenous influence to self-administer treatment for physical or psychological conditions, for example headaches or fatigue.

The substances most widely used in self-medication are over-the-counter drugs and dietary supplements, which are used to treat common health issues at home. These do not require a doctor's prescription to obtain and, in some countries, are available in supermarkets and convenience stores.[1]

The field of psychology surrounding the use of psychoactive drugs is often specifically in relation to the use of recreational drugs, alcohol, comfort food, and other forms of behavior to alleviate symptoms of mental distress, stress and anxiety,[2] including mental illnesses or psychological trauma.[3][4] Such treatment may cause serious detriment to physical and mental health if motivated by addictive mechanisms.[5] In postsecondary (university and college) students, self-medication with "study drugs" such as Adderall, Ritalin, and Concerta has been widely reported and discussed in literature.[5]

Products are marketed by manufacturers as useful for self-medication, sometimes on the basis of questionable evidence. Claims that nicotine has medicinal value have been used to market cigarettes as self-administered medicines. These claims have been criticized as inaccurate by independent researchers.[6][7] Unverified and unregulated third-party health claims are used to market dietary supplements.[8]

Self-medication is often seen as gaining personal independence from established medicine,[9] and it can be seen as a human right, implicit in, or closely related to the right to refuse professional medical treatment.[10] Self-medication can cause unintentional self-harm.[11] Self-medication with antibiotics has been identified as one of the primary reasons for the evolution of antimicrobial resistance.[12]

Sometimes self-medication or DIY medicine occurs because patients disagree with a doctor's interpretation of their condition,[13] to access experimental therapies that are not available to the public,[14][15] or because of legal bans on healthcare, as in the case of some transgender people[16] or women seeking self-induced abortion.[17] Other reasons for relying on DIY medical care is to avoid health care prices in the United States[18] and anarchist beliefs.[19]

  1. ^ "What is self-Medication?". World Self-Medication Industry. Archived from the original on Jun 5, 2016. Retrieved 25 May 2016.
  2. ^ Kirstin Murray (2010-11-10). "Distressed doctors pushed to the limit". The 7.30 Report. Australian Broadcasting Corporation. Archived from the original on Apr 6, 2011. Retrieved 27 March 2011.
  3. ^ Vivek Benegal (October 12, 2010). "Addicted to alcohol? Here's why". India Today. Archived from the original on Jan 20, 2011. Retrieved 27 March 2011.
  4. ^ Howard Altman (October 10, 2010). "Military suicide rates surge". Tampa Bay Online. Archived from the original on 12 December 2010. Retrieved 27 March 2011.
  5. ^ a b Abelman, Dor David (2017-10-06). "Mitigating risks of students use of study drugs through understanding motivations for use and applying harm reduction theory: a literature review". Harm Reduction Journal. 14 (1): 68. doi:10.1186/s12954-017-0194-6. ISSN 1477-7517. PMC 5639593. PMID 28985738.
  6. ^ Prochaska, Judith J.; Hall, Sharon M.; Bero, Lisa A. (May 2008). "Tobacco Use Among Individuals With Schizophrenia: What Role Has the Tobacco Industry Played?". Schizophrenia Bulletin. 34 (3): 555–567. doi:10.1093/schbul/sbm117. ISSN 0586-7614. PMC 2632440. PMID 17984298.
  7. ^ Parrott AC (April 2003). "Cigarette-derived nicotine is not a medicine" (PDF). The World Journal of Biological Psychiatry. 4 (2): 49–55. doi:10.3109/15622970309167951. PMID 12692774. S2CID 26903942.
  8. ^ Reese, Spencer M. "Dietary Supplement Marketing - Rethinking the Use of Third Party Material | MLM Law". www.mlmlaw.com. MLM Law Resources site. Retrieved 14 October 2018.
  9. ^ Benefits and risks of self-medication
  10. ^ Three arguments against prescription requirements, Jessica Flanigan, BMJ Group Journal of Medical Ethics 26 July 2012, accessed 20 August 2013
  11. ^ Kingon, Angus (2012). "Non-prescription medications: considerations for the dental practitioner". Annals of the Royal Australasian College of Dental Surgeons. 21: 88–90. ISSN 0158-1570. PMID 24783837.
  12. ^ Rather IA, Kim BC, Bajpai VK, Park YH (May 2017). "Self-medication and antibiotic resistance: Crisis, current challenges, and prevention". Saudi Journal of Biological Sciences. 24 (4): 808–812. doi:10.1016/j.sjbs.2017.01.004. PMC 5415144. PMID 28490950.
  13. ^ Fainzang, Sylvie (1 September 2013). "The Other Side of Medicalization: Self-Medicalization and Self-Medication" (PDF). Culture, Medicine, and Psychiatry. 37 (3): 488–504. doi:10.1007/s11013-013-9330-2. PMID 23820755. S2CID 35393482.
  14. ^ WEXLER, ANNA (2022). "Mapping the Landscape of Do-it-Yourself Medicine". Citizen Science: Theory and Practice. 7 (1): 38. doi:10.5334/cstp.553. ISSN 2057-4991. PMC 9830450. PMID 36632334.
  15. ^ "This Drug Could Be the Next Ozempic. Bootlegs Are Already Selling Online". Wall Street Journal. 20 October 2023. Retrieved 15 December 2023.
  16. ^ "Barriers to trans care lead some to embrace a do-it-yourself approach". NBC News. 5 July 2023. Retrieved 15 December 2023.
  17. ^ Verma, Nisha; Grossman, Daniel (2023). "Self-Managed Abortion in the United States". Current Obstetrics and Gynecology Reports. 12 (2): 70–75. doi:10.1007/s13669-023-00354-x. ISSN 2161-3303. PMC 9989574. PMID 37305376.
  18. ^ "Can DIY Medicine Tame Rampaging Healthcare Costs?". The Rheumatologist. Retrieved 15 December 2023.
  19. ^ Oberhaus, Daniel (26 July 2018). "Meet the Anarchists Making Their Own Medicine". Vice. Retrieved 15 December 2023.

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