scholarly journals Physician Perspectives on Codeine Accessibility, Patterns of Use, Misuse, and Dependence in Saudi Arabia

Author(s):  
Mamoon H. Syed ◽  
Ayesha Yasmeen ◽  
Marie-Claire Van Hout

AbstractIn Saudi Arabia, there are concerning rates of non-compliance with pharmaceutical regulations prohibiting the pharmacy dispensing of prescription-only medications without a physician prescription. This is the first study in the Middle East which examines physicians’ perceptions regarding misuse of codeine, listed as a narcotic, controlled, and prescription-only drug. The CODEMISUSED survey was adapted to the Saudi Arabian context and pilot tested, prior to cross-sectional administration to physicians in Riyadh, Jeddah, Abha, and Jazan (n = 105). Descriptive statistics (frequencies and percentage) present physician level of agreement, neutrality, and disagreement with statements regarding codeine prescribing, patient awareness and use, online and community pharmacy availability, and dependence. The study indicates concern by physicians regarding patient intentional use of codeine to enhance mood, misuse patterns, lack of awareness around habit-forming use and iatrogenic dependence, and sourcing via illegal dispensing. It underscores the imperatives to address pharmacy compliance with pharmaceutical regulatory controls, implement enhanced pharmacovigilance, and improve awareness around safe use.

2021 ◽  
Vol 15 (9) ◽  
pp. 2305-2307
Author(s):  
Syed Muhammad Bilal ◽  
Wasim Hayat Khan ◽  
Usman Ismat Butt ◽  
Roshan Butt ◽  
Abdul Wadood ◽  
...  

Aim: To evaluate the awareness of patients presenting to a government sector hospital in Lahore with gall stones regarding their disease and factors influencing it. Methodology: A cross sectional observation study was conducted at the Department of General Surgery, Services Hospital, Lahore from 1st January 2020 to 30th June 2021. A simple questionnaire to collect and analyze the data of the patients admitted for cholecystectomy. The content of the questionnaire included socio-demographic characteristics and questions to access the awareness of patients regarding gallstones. Data was entered and analyzed using EXCEL 2013. Frequencies and Percentages were calculated as descriptive statistics whereas Fisher's exact test was conducted as inferential statistics. Value of p less than 0.05 was considered as significant. Results: Only 13.5% patients had a good awareness of their own disease. Direct education about the disease from doctor (p=0.0320), media (0.0316) or self-study (0.0001) were significantly related to awareness. Conclusion: The awareness of the patients with symptomatic gall stones regarding their own disease is poor. Role of physicians and lack of its impact on this needs to be investigated further. Keywords: Patient Awareness, gall stones


2021 ◽  
Author(s):  
Aiydh Alshehri ◽  
Mir Naiman Ali ◽  
Nabil Miled

Abstract Background: Middle East respiratory syndrome coronavirus (MERS-CoV) causes viral pneumonia disease in humans. The close contact with camels and drinking milk may cause Middle East respiratory syndrome coronavirus transfer to humans. Methods: This study was designed to detect the existence of Middle East respiratory syndrome coronavirus in camel milk samples collected from healthy animals according to local customs from 83 barns located around Saudi Arabia. Camel milk samples were examined for viral RNA by RT-qPCR, also ELISA assay was performed to detect IgG antibodies directed against MERS Receptor-Binding Protein (RBD).Results: Among 83 camel milk samples tested,the result showed that seven samples (8.4%) were positive for MERS-CoV RNA, while 40.9% of camel milk samples had antibodies directed against this virus.Conclusions: The findings indicate that some regions (East and South part) are characterized by a high incidence of viral antibodies. The South western region displayed the lowest infection rates. Camel breed Sahilia seems to be resistant to viral infection as compared to other breeds such as Hamra. This need to be more explored in order to reduce spread of infection and also to understand the underlying reasons. The presence of viral RNA in camel milk samples warrants for measures to prevent possible food-borne transmission of Middle East respiratory syndrome coronavirus through milk consumption.


2021 ◽  
pp. 48-51
Author(s):  
Andi Hermansyah ◽  
Catur Dian Setiawan ◽  
Firqin Fuad Riansyah

Introduction: Whilst there is an emerging need to provide Value-Added Pharmacy Services (VAPS), the facilities in community pharmacy may not be supportive to implement this concept. Aim: This study aims to evaluate the actual and perceived facilities supporting VAPS. Methods: A cross-sectional survey was conducted to selected fifty pharmacies in Surabaya Indonesia. Respondents were asked about their agreement towards VAPS and facilities required for providing VAPS. The results were analysed using descriptive statistics. Results: All respondents agreed that pharmacy is in need to provide VAPS. In addition, they viewed the presence of facilities supporting VAPS are urgent. However, the availability of such facilities in the actual practice was relatively limited, highlighting underinvestment to provide VAPS. Conclusion: There is a gap between actual and perceived facilities supporting VAPS. This highlights more investments to upgrade pharmacy facilities.


2015 ◽  
Vol 15 (5) ◽  
pp. 559-564 ◽  
Author(s):  
Marcel A Müller ◽  
Benjamin Meyer ◽  
Victor M Corman ◽  
Malak Al-Masri ◽  
Abdulhafeez Turkestani ◽  
...  

2017 ◽  
Vol 38 (9) ◽  
pp. 942-947 ◽  
Author(s):  
Turki Aldrees ◽  
Mohammed Al Ghobain ◽  
Abdullah Alenezi ◽  
Saleh Alqaryan ◽  
Dana Aldabeeb ◽  
...  

2021 ◽  
Vol 14 (02) ◽  
pp. 803-813
Author(s):  
Tasneem H. Ali Fathi ◽  
Shaima Ali Miraj

Background: The current study was premeditated to evaluate the attitude, knowledge and practice of the pharmacy employees (including interns and trainees) dealing with medical practice towards medical errors and adverse drug reaction reports. Methods:The study is a quantitative, descriptive, cross-sectional one with the influence of medication-error reporting, focused on pharmacy department of King Saud University Medical City, Riyadh, Saudi Arabia using the Likert-scale survey. The research population was 167 pharmacy employees, (including interns, and trainees) from King Saud University Medical City. The legalized items connected to knowledge, attitude and practices (KAP) survey was given to each member. Results:Majority of the total sample size (n=167) are pharmacists, managers, lead pharmacists, pharmacist-in-charge, or staff pharmacist by 74.3 %, where 15.6 % are pharmacy technicians, 7.8 % are pharmacy students interns/externs and 2.4 % other workers. Positive responses were highest in teamwork within the pharmacy employee (87.3% vs. 81.6%), staff training and skills within the pharmacy employee (86.35% vs. 79.25%), physical space and environment in the pharmacy (83.8% vs. 73.6%). Lower responses were found in response to mistakes (79.75% vs. 74.4%) compared to community pharmacy database report (AHRQ, 2019).Conclusion:The findings indicate that ratings on documenting mistakes (reporting)as perceived by pharmacy employee are at par with the community pharmacy elsewhere. The weakest dimension identified was mistakes (reporting) having the lowest positive response with a mean score of 3. This denotes a low level of agreement according to Likert scale confirming that is the dimension needing improvement.


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