title: Medication misuse in India: a major public health issue in India.
abstract: In India, it has been estimated that 50% of family spending on healthcare is on unnecessary medications or investigations. This, combined with the wide availability of medications, has seemingly contributed to increasing rates of antibiotic resistance and further impoverishment. In this literature review, we aim to characterize the extent of misuse and describe underlying factors contributing to the misuse of medication in India.
  
  
  
  This literature review included relevant articles published after 2000 that assessed medication use and misuse in India. A narrative review framework was used to analyse each article, confirm its inclusion, extract relevant information and group the findings under thematic areas.
  
  
  
  There were 115 articles included in this literature review. The literature demonstrated that the misuse of medications in India is widespread. The factors resulting in this involves all levels of the health system including regulation, enforcement and policy, healthcare providers and consumers.
  
  
  
  This is one of the most comprehensive reviews of medication misuse in India. It indicates the widespread nature of the problem and so highlights the need for action. This review provides a detailed understanding as to the complex interplay of factors that result in medication misuse in India.
authors.affiliation: Nossal Institute for Global Health, The University of Melbourne, Melbourne, Australia.
authors.forename: Gillian
authors.initials: G
authors.lastname: Porter
authors.affiliation: Nossal Institute for Global Health, The University of Melbourne, Melbourne, Australia.
authors.forename: Nathan
authors.initials: N
authors.lastname: Grills
mesh_terms: D004335:Drug and Narcotic Control; D006282:Health Personnel / Q000706:statistics & numerical data; D006801:Humans; D057970:Inappropriate Prescribing / Q000706:statistics & numerical data*; D007194:India / Q000453:epidemiology; D010361:Patients / Q000706:statistics & numerical data; D010595:Pharmacists / Q000706:statistics & numerical data; D063487:Prescription Drug Misuse / Q000706:statistics & numerical data
keywords: Asia; India; medication; misuse; overuse; pharmaceutical; polypharmacy