OPTIMISING MEDICATION ADHERENCE IN THE SITUATIONS OF POLYPHARMACY AND POLYHERBACY
Dr. Gonepally Vaishnavi*, Mahankali Rajitha, Bandari Divya, Garrepalli Kavya Sree, Donthi Akshitha, Bompalli Srinidhi, Nallavelli Sai charan and Gonti Vishal
ABSTRACT
Poor adherence may have a major impact on clinical outcome, contributing to worsening of disease, increased health care costs and even death. With increasing numbers of medications leading to polypharmacy(PP) or polyherbacy(PH), low adherence is a growing concern. To study the medication adherence(MA) in patients with PP, PH and combination medication (allopathy + herbal ± OTC) and to assess and compare the impact of PP, PH and Over-the-counter (OTC) medication on MA and it?s effects on multiple medicinal system users. This cross sectional study was conducted over a period of 6 months in 2025 to study the MA in patients with PP, PH and combination medication of Karimnagar region. The necessary data was collected using data collection form. In the overall study of 550 patients of different medicinal systems for medication adherence, 31-45 years age group was high(190) and low(24) in above 65 years. females (289) have higher MA when compared with males (263). farmers (117) have highest and employees (51) have lowest MA among all of them. educated (330) have higher MA when compared with uneducated (222). single diagnosis (390) have high MA when compared with multiple diagnostic patients (162).The people who are suffering with medication non-adherence mostly are in the age group of >65 years, males, employees , uneducated people and multiple diagnosis. It was found that the reasons for choosing multiple systems of medication are dissatisfaction, trust, cost, recommendations and ADRs with any of the medicinal system.
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