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How do patients with asthma and COPD behave during fasting?
O Aydin1, G E Celik1, Z P Onen2
1Ankara University School of Medicine, Department of Chest Diseases, Division of Immunology and Allergy, Ankara, Turkey.
Fasting during Ramadan impacts medication adherence differently for asthma and COPD patients. Asthma patients continued controller medications, while most COPD patients altered their therapy during Ramadan.
Area of Science:
- Respiratory Medicine
- Clinical Pharmacy
- Religious Studies
Background:
- Treatment adherence in asthma and COPD is crucial but influenced by various factors.
- Religious beliefs, specifically fasting during Ramadan, have a less-studied impact on medication adherence.
- This study investigates how Ramadan fasting affects drug use behaviors in patients with asthma and COPD.
Purpose of the Study:
- To comparatively analyze the effect of Ramadan fasting on medication use behaviors in adult patients with asthma and chronic obstructive pulmonary disease (COPD).
- To understand how religious practices influence treatment adherence in respiratory conditions.
Main Methods:
- A cross-sectional study involving 150 adult patients with asthma and 150 with COPD.
- Patients were surveyed about their fasting practices during Ramadan.
- Those who fasted were asked further questions regarding their use of inhaled medications during this period.
Main Results:
- A high percentage of both asthma (65.3%) and COPD (92.6%) patients fasted during Ramadan.
- Most COPD patients (90.6%) reported altering their regular therapy during Ramadan.
- Conversely, most asthma patients (82.6%) continued using controller inhaled medications, primarily during Iftar and Sahur.
Conclusions:
- Asthma and COPD patients in a Muslim population generally do not perceive their conditions as barriers to fasting during Ramadan.
- Ramadan fasting significantly influences medication compliance by altering drug use behaviors differently in asthma and COPD patients.
- Healthcare providers should educate patients about the effects of fasting on their respiratory conditions and permissible medication use during fasting.
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