Opinion
The Sick And Self-Medication
Self-medication simply refers to the practice of using prescriptions or over-the-counter drugs without discussing the symptoms of one’s ailment with a medical doctor.
Self-medication is a human behavior in which an individual uses a substance or any exogenous influence to self-administer treatment for physical or psychological ailments.
It is now a common practice for individuals to self-administer treatment without consulting a medical practitioner, and lacking knowledge of the negative effect that the drug will have on them if mis-used or not taken correctly.
As different drugs have different effects, they may be used for different reasons. According to self-medications hypothesis (SMH), the individual’s choice of a particular drug is not accidental or coincidental but instead a result of the individual psychological condition, as the drug of choice provides relief to the user specific to his or her condition.
There are reasons why some people may want to resort to self-medication other than discussing their symptoms and physical ailments with a trained medical professional.
One of these reasons may depend on their personal situations. Individuals may attempt to hide their current condition in plain sight or may be a substance to mask their condition from others.
Another reason for not consulting a doctor may also be an attempt to resolve the issue to avoid consultation fees or as a direct result of personal fears associated with a medical diagnosis.
There may be good reasons why most persons don’t go to medical doctors to discuss their ailments, but it is inexplicable to avoid seeing a medical doctor considering the risk involved in self-medication. This is more so as drug is not taken correctly becomes drug abuse. And if a drug is abused by an individual it becomes very harmful to the health of that individual.
In as much as people take self medication for short or long term relief which works for them, it should be avoided because of the negative effects it will have in future.
Self-medication or drug abuse can lead to addiction. It is a well known adage that every addiction is bad and if an individual becomes addicted to particular drug it is very dangerous to the health, but if you see a medical doctor, he or she will know what to do to your health condition so that you will not get yourself addicted to a particular drug.
According to Duncan drug dependence is an avoidance behavior where an individual finds a drug that produces a temporary escape from a problem and taking the drug is reinforced as operant behavior. Specifically, addiction is hypothesised to function as a compensatory means to modulate effects and treat distressful psychological states, whereby individuals choose the drug that will most appropriately manage their specific type of psychiatric distress and help them achieve emotional stability.
Drug abuse or self-medication can lead to legal problems. This means that using certain drugs to treat yourself which are not legalised in your country can attract a litigation or you can be arrested by the law enforcement agency for using contraband drugs. These drugs might either be pharmaceutical or recreational drugs which an individual uses to self-medicate for depression, etc. These drugs cause euphoria and thereby improve your mood but this can lead to incorrect self-diagnosis, which is not good for the health of an individual. We need correct diagnosis from a medical professional to be able to tackle an illness and if the wrong diagnosis is given, it will have a negative effect on the individual as it will affect the treatment of the ailment.
Self-medication causes delay in seeking medical advice. There are certain ailments that require medical advice, if a medical doctor is not consulted immediately, the illness might worsen and at that point treatment will be very difficult which might even lead to the death of the individual.
Self-medication or drug abuse can lead to severe adverse reactions. Some drugs if not taken properly can cause severe reactions like un-prescribed intake of antibiotics may cause bone marrow toxity, asthma and potentially dangerous skin rashes. Also, pain killers, when taken on an empty stomach or in combination with alcohol, have been found to lead to serious untoward effects. Also Aspirin has been found to cause bleeding from the stomach and intestines if not taken correctly or might even cause deafness on prolonged use. All these reactions are gotten from unprescribed use of some of these drugs, but if a drug is taken with the advice of a doctor, for instance, some ailments might require that some drugs should be taken on an empty stomach but if an individual should take drugs on an empty stomach without the advice of the doctor the reactions are usually dangerous to the health.
Also self-medication can lead to incorrect dosage and when the right dosage is not taken, it will have negative reactions on the individual. It is either an under dose or over dose of a drug is taken. If it is under dosage the illness or ailment will not be treated and if it is overdose it will have a negative effect on the individual or might even cause the death of the individual.
Also, some people, especially children, abuse some drugs by taking an overdose without knowing its negative effects on them.
Also, excessive intake of other drugs causes damage of the kidney, heart and other organs of the body.
Finally self-medication also leads to incorrect manner of therapy. When the best for a particular illness is not used, the illness will not be properly treated, but if a medical practitioner is been called upon, he will be able to carry out the necessary test and know the best therapy to be used.
Nevertheless, individuals should endeavour to consult a medical doctor and discuss the symptoms of his/her illness with them so as to avoid the risks or dangers involved with self-medication and drug abuse.
Nyeche is an intern with The Tide
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Fuel Subsidy Removal and the Economic Implications for Nigerians
From all indications, Nigeria possesses enough human and material resources to become a true economic powerhouse in Africa. According to the National Population Commission (NPC, 2023), the country’s population has grown steadily within the last decade, presently standing at about 220 million people—mostly young, vibrant, and innovative. Nigeria also remains the sixth-largest oil producer in the world, with enormous reserves of gas, fertile agricultural land, and human capital.
Yet, despite this enormous potential, the country continues to grapple with underdevelopment, poverty, unemployment, and insecurity. Recent data from the National Bureau of Statistics (NBS, 2023) show that about 129 million Nigerians currently live below the poverty line. Most families can no longer afford basic necessities, even as the government continues to project a rosy economic picture.
The Subsidy Question
The removal of fuel subsidy in 2023 by President Bola Ahmed Tinubu has been one of the most controversial policy decisions in Nigeria’s recent history. According to the president, subsidy removal was designed to reduce fiscal burden, unify the foreign exchange rate, attract investment, curb inflation, and discourage excessive government borrowing.
While these objectives are theoretically sound, the reality for ordinary Nigerians has been severe hardship. Fuel prices more than tripled, transportation costs surged, and food inflation—already high—rose above 30% (NBS, 2023). The World Bank (2023) estimates that an additional 7.1 million Nigerians were pushed into poverty after subsidy removal.
A Critical Economic View
As an economist, I argue that the problem was not subsidy removal itself—which was inevitable—but the timing, sequencing, and structural gaps in Nigeria’s implementation.
- Structural Miscalculation
Nigeria’s four state-owned refineries remain nonfunctional. By removing subsidies without local refining capacity, the government exposed the economy to import-price pass-through effects—where global oil price shocks translate directly into domestic inflation. This was not just a timing issue but a fundamental policy miscalculation.
- Neglect of Social Safety Nets
Countries like Indonesia (2005) and Ghana (2005) removed subsidies successfully only after introducing cash transfers, transport vouchers, and food subsidies for the poor (World Bank, 2005). Nigeria, however, implemented removal abruptly, shifting the fiscal burden directly onto households without protection.
- Failure to Secure Food and Energy Alternatives
Fuel subsidy removal amplified existing weaknesses in agriculture and energy. Instead of sequencing reforms, government left Nigerians without refinery capacity, renewable energy alternatives, or mechanized agricultural productivity—all of which could have cushioned the shock.
Political and Public Concerns
Prominent leaders have echoed these concerns. Mr. Peter Obi, the Labour Party’s 2023 presidential candidate, described the subsidy removal as “good but wrongly timed.” Atiku Abubakar of the People’s Democratic Party also faulted the government’s hasty approach. Human rights activists like Obodoekwe Stive stressed that refineries should have been made functional first, to reduce the suffering of citizens.
This is not just political rhetoric—it reflects a widespread economic reality. When inflation climbs above 30%, when purchasing power collapses, and when households cannot meet basic needs, the promise of reform becomes overshadowed by social pain.
Broader Implications
The consequences of this policy are multidimensional:
- Inflationary Pressures – Food inflation above 30% has made nutrition unaffordable for many households.
- Rising Poverty – 7.1 million Nigerians have been newly pushed into poverty (World Bank, 2023).
- Middle-Class Erosion – Rising transport, rent, and healthcare costs are squeezing household incomes.
- Debt Concerns – Despite promises, government borrowing has continued, raising sustainability questions.
- Public Distrust – When government promises savings but citizens feel only pain, trust in leadership erodes.
In effect, subsidy removal without structural readiness has widened inequality and eroded social stability.
Missed Opportunities
Nigeria’s leaders had the chance to approach subsidy removal differently:
- Refinery Rehabilitation – Ensuring local refining to reduce exposure to global oil price shocks.
- Renewable Energy Investment – Diversifying energy through solar, hydro, and wind to reduce reliance on imported petroleum.
- Agricultural Productivity – Mechanization, irrigation, and smallholder financing could have boosted food supply and stabilized prices.
- Social Safety Nets – Conditional cash transfers, food vouchers, and transport subsidies could have protected the most vulnerable.
Instead, reform came abruptly, leaving citizens to absorb all the pain while waiting for theoretical long-term benefits.
Conclusion: Reform With a Human Face
Fuel subsidy removal was inevitable, but Nigeria’s approach has worsened hardship for millions. True reform must go beyond fiscal savings to protect citizens.
Economic policy is not judged only by its efficiency but by its humanity. A well-sequenced reform could have balanced fiscal responsibility with equity, ensuring that ordinary Nigerians were not crushed under the weight of sudden change.
Nigeria has the resources, population, and resilience to lead Africa’s economy. But leadership requires foresight. It requires policies that are inclusive, humane, and strategically sequenced.
Reform without equity is displacement of poverty, not development. If Nigeria truly seeks progress, its policies must wear a human face.
References
- National Bureau of Statistics (NBS). (2023). Poverty and Inequality Report. Abuja.
- National Population Commission (NPC). (2023). Population Estimates. Abuja.
- World Bank. (2023). Nigeria Development Update. Washington, DC.
- World Bank. (2005). Fuel Subsidy Reforms: Lessons from Indonesia and Ghana. Washington, DC.
- OPEC. (2023). Annual Statistical Bulletin. Vienna.
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