Volume : 4, Issue : 4, FEB 2020


Neenu Rachel Santhosh, Pavan Kalyan Gadela


Objective: Half the family spending on health care services in India is on superfluous drugs or diagnostic tests. Polypharmacology, promoting both medication misuse and abuse, is presently an entrenched feature of today’s healthcare system. This review focuses on the extent of misuse and explains the underlying factors leading to it. Methods: This review was conducted by analyzing relevant articles published after 2000, which included topics on drug use and misuse in India. Articles, case reports etc dealing with substance abuse were excluded. 50 articles were acceptable and were included. Results: The literature shows that India has widespread medication misuse. The factors influencing this misuse involve all levels of the health care system including regulation, enforcement and policy, patients, pharmacist, medical practitioners, and hospital management. Conclusion: This review explains the widespread nature of the problem and also gives a complete picture of factors leading to medication misuse in India. Medication usage, the knowledge, attitudes and behaviors of medical practitioners, pharmaceutical providers and consumers are studied. It appears that the health system in India is worsening, thereby warranting urgent action.


Medication abuse, India's misuse, Polypharmacology, Superfluous drugs.

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