In Norway it is non-existent except when people use leftover antibiotics from earlier prescriptions. This problem is small since pack sizes are in general appropriate to the amount needed for a treatment. In addition to regulations there need to be a shift in public perception as well as health care providers perception on what is "ok" to do.
In, India it is very highly prevalent. Most antibiotics are available over the counter in India. There is no strict rule which enforces sale of antibiotic only with prescription. In the rural setting, even the pharmacist are approached for common ailments who prescribe antibiotics. And most often people do not buy the whole course of antibiotics or complete the full course as prescribed by their doctor
This is very common in Nepal. The staffs working in the pharmacy store don't even ask for a prescription. All you have to do is walk into a nearby pharmacy, ask for a medicine and you get it simply by paying money. But this is a very bad practice. Government has to take some strict action about it. Although there are rules that these medication can not be sold without a prescription, and also there is labeling instruction on such antibiotics "To be sold by the retail on the prescription of a registered medical practitioner only" still nobody bothers to care about it. All they want is to sell and get the money. To control this, government and drug authority has to take strict legal actions against such stores. People should also be made aware of the drawbacks by taking the antibiotics on their own.
It was quite a lot. But the MoH put a restriction since a year or so. So the patient has to have a prescription from his/her GP in order to get an antibiotic. In fact to reduce antibiotic use many things can be done. For instance Pharmacy and medicine organizations can make a film so as to raise awareness among the community. This can be shown regularly. For this radio channels can be used to. Also healthcare professionals can educate their patients by tailoring the necessary info I guess.
Unlike most other drugs that only affect individual patients if used incorrectly for self-medication, misused antibiotics add to the global risk of increased spread of bacterial resistance. This review focuses on self-medication with antibiotics in Europe and its determinants. High prevalence of self-medication with antibiotics has been repeatedly found in Southern and Eastern European countries that also report high levels of antibiotic resistance. Despite being illegal, over the counter dispensation of systemic antibiotics occurs in several European Union Member States. A second major source of self-medication is the availability of "leftover" antibiotics which results from either patient non-compliance or dispensation of a larger number of tablets than needed for one single course. The potentially modifiable factors associated with self-medication are: availability of antibiotics without prescription, pack-based antibiotic dispensing system, misconceptions of the general public about the efficacy of antibiotics for minor illnesses and prescribing of antibiotics for minor ailments by physicians. Measures that may reduce and prevent self-medication include dispensation of exact tablet quantities in pharmacies as already implemented e.g. in the UK, Netherlands, the Czech Republic and the United States, and enforcement of existing laws prohibiting over-the-counter sales of antibiotics. Such measures should be embedded in a general policy to change the culture of antibiotic use by improving awareness of the general public and professionals about antibiotics and the risks associated with their use as well as reducing misconceptions about the need for antibiotics for minor ailments.
In Germany, antibiotics require a prescription which I believe is the best way to control abuse and misuse by patients. in general, antibiotic use should be handled with caution to avoid restance formation as ist apparent to much larger extent from those countries, such as in Greece and Spain, where many antibiotics are available as OTC products,
In Jordan is high, as the antibiotic is unfortunately available without prescription.
There are two problems:
1) Most of the patients did not complete their course of antibiotic treatment despite pharmacist education, as a result the leftover antibiotic will either be accumulated as waste or being a risk for use by other patient through a process of self medication.
2) Antibiotic ''Self Medication'' is common especially for common ''adult'' infections such as upper and lower respiratory tract infections and some gastrointestinal infections as well. Self Medications is not common in Paediatric.
In order to help reduce this problem:
1) Pharmacist should improve their image with patients and increase the trust (trust between pharmacist and patient), the patients generally speaking trust GPs (general practitioners, physicians or doctors..) more.
2) Patients counselling in how tor use their medicines, as well as the importance of completing the course of therapy, even if they get better .
3)Antibiotic should be available only by prescription.