

NEW DELHI: A prohibitively high consultancy fee and fear of being put through unnecessary tests is turning many Delhiites into their own 'doctors'. People take medication on basis of suggestions coming from their peer circles and, in some cases, information available online. This shocking reality has come to light through a survey conducted by a web portal that interviewed 20,000 people in 10 cities which showed 52% of them indulging in self-medication.

The growing trend has been further substantiated by public health experts who cited it as a reason behind increasing drug resistance, delayed diagnosis of underlying medical conditions and allergic reactions among patients.

"Three months ago, we started an app to help patients connect with a list of doctors for online resolution of health issues. We were shocked to see an overwhelming number indulging in self-medication. Further research and a questionnaire-based survey showed people did this for lack of time, need to avoid doctor's fees and dependence on internet," said Saurabh Arora, CEO of Lybrate , an online health portal.

Speaking on the survey findings, director general of health services Jagdish Prasad said the abhorrent practice is almost a part of everyday life in the country

. "Many people take Ciprofloxacin for sore throat. It is a drug used to treat tuberculosis. Once symptoms go away, they stop consuming it. Suppose the person had tuberculosis , he or she would have developed resistance to the drug," Dr Prasad said.

Many online portals and apps have gained popularity today. Here, empanelled doctors suggest medication based on symptoms described by the patient. "It's a growing phenomenon. In my view, clinical examination is important for treating a patient. One ought to also take extreme care to ensure that these platforms do not favour certain practitioners for monetary benefits," Dr Prasad said.

According to a senior AIIMS doctor, who did not want to be quoted, doctors at most private hospitals and clinics charge anywhere between Rs 500 and Rs 1,500 for consultation only. This fee is unaffordable to many.

"In 90% cases, the consulting doctor prescribes tests that cost anywhere between Rs 1,000 and Rs 3,000 even for minor fever, colds, cough and headache. Patients, therefore, tend to delay visiting a hospital and depend on self-medication. In government hospitals, where the service is free, there is a big rush," said the doctor. He added that primary health centres, the ideal place for OPD consultation of minor health issues, are mostly ill-equipped and short-staffed.

Experts say one could become addicted to prescription drugs such as antacids, cough syrups and pain relievers. Some antibiotics, such as penicillin or sulpha drugs, can cause severe reactions in some people.

