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Allergies in India: a study on medication compliance.

Wiqar A Shaikh¹, Shifa Wiqar Shaikh

¹Allergy and Asthma Clinic, Mumbai 400007.

Journal of the Indian Medical Association

|February 2, 2010

Summary

This study found surprisingly low medication adherence among young Indian patients with allergic diseases. Sublingual immunotherapy showed the highest compliance, while nasal sprays had the lowest.

Area of Science:

Allergy and Immunology
Pharmacology
Public Health

Background:

Limited research exists on medication compliance for allergic diseases in India.
Allergic conditions like asthma, rhinitis, and urticaria require consistent treatment adherence.
Understanding compliance is crucial for effective disease management and patient outcomes.

Purpose of the Study:

To investigate and quantify medication compliance rates for various allergic disease treatments in Indian patients.
To identify variations in compliance across different medication classes, including nasal sprays, inhalers, immunotherapy, and antihistamines.

Main Methods:

A prospective study involving 80 young patients (10-40 years) with asthma and rhinitis or urticaria.
Medication compliance was monitored over one year using detailed dose diaries.

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Data collected from patients attending a private clinic.

Main Results:

Overall medication compliance rates were found to be lower than anticipated.
Sublingual immunotherapy demonstrated the highest compliance at 84.19%.
Nasal spray compliance was the lowest at 62.32%, followed by dry powder inhalers (69.31%) and fexofenadine tablets (71.78%).

Conclusions:

There is a significant need to improve medication adherence for allergic diseases in India.
Targeted interventions may be required to enhance compliance, particularly for nasal sprays and inhalers.
The low compliance rates observed in a private clinic setting warrant further investigation into underlying factors.