International Journal of Pharmacy Practice最新文献

{"title":"Awareness of the appropriate handling and disposal of unused medicines in Jordan: a cross-sectional study.","authors":"Hamza Alhamad, Rana Abu-Farha, Fares Albahar, Deema Jaber, Mohammad Abu Assab, Sahar M Edaily, Parastou Donyai","doi":"10.1093/ijpp/riaf010","DOIUrl":"10.1093/ijpp/riaf010","url":null,"abstract":"<p><strong>Objectives: </strong>This study aimed to investigate public storage and disposal practices of unused medicine and their perception of the role of Jordanian authorities' responsibility for disposing of unused medicines.</p><p><strong>Methods: </strong>This cross-sectional study was conducted over 3 weeks (February to March 2022). Data were collected online using a convenient sampling technique from 681 Jordanian population who agreed to participate.</p><p><strong>Key findings: </strong>Around 73% (n = 495) of the participants reported storing unused medicines in the medicine cabinets at home, with 15.7% (n = 107) storing unused medicine in the kitchen and 15.3% (n = 104) in the bedroom. Findings showed that 28.0% (n = 191) disposed of unused medicines in the household rubbish, 22.6% (n = 154) shared them with anyone who needed them, or 19.8% (n = 135) with family and friends. Only a few participants return their unused medicine to the pharmacies 10% (n = 68), hospitals 6.3% (n = 43), and healthcare clinics 5.9% (n = 40).</p><p><strong>Conclusion: </strong>The findings indicate that Jordanian participants have become more aware of proper practices for storing and disposing of unused medicines compared to the previous Jordan studies. However, factors influencing their behaviour regarding disposal practices of unused medicines are yet to be further studied. A Jordanian disposal scheme for unused medicines should be developed to help people return them to pharmacies, hospitals, and healthcare clinics.</p>","PeriodicalId":14284,"journal":{"name":"International Journal of Pharmacy Practice","volume":" ","pages":"300-307"},"PeriodicalIF":1.5,"publicationDate":"2025-06-06","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143633908","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Unmet healthcare needs of people with multimorbidity-can community pharmacists close the gap?","authors":"Catarina Samorinha, Sanah Hasan, Kevin Mc Namara, Amna M Othman, Polly Duncan, Karem Alzoubi, Hamzah Alzubaidi","doi":"10.1093/ijpp/riaf013","DOIUrl":"10.1093/ijpp/riaf013","url":null,"abstract":"<p><strong>Objectives: </strong>Identify factors associated with unmet healthcare needs in patients with multimorbidity and determine the support community pharmacists can offer to meet these needs.</p><p><strong>Methods: </strong>People with multimorbidity were recruited from community pharmacies where research assistants approached all patients and asked them questions to determine their eligibility: having two or more chronic conditions, being at least 18 years old, and speaking either Arabic or English. Those who met the criteria were invited to participate in the study. Consenting participants completed a survey designed based on international guidelines, utilizing validated tools to measure healthcare needs, quality of life, treatment burden, and medication self-efficacy. Generalized linear models were used to identify predictors of unmet needs.</p><p><strong>Key findings: </strong>Two hundred and twenty-four participants completed the survey (response rate = 81%). Participants indicated significant healthcare needs particularly in areas such as communication and relationships (M = 4.4 ± 0.9) and medication information (M = 3.8 ± 0.7). Higher education and medication self-efficacy were associated with lower needs for counselling (B = -0.966; P < .001 and B = -113; P < .001, respectively) and communication (B = -0.547; P < .008 and B = -0.088; P = .003, respectively).</p><p><strong>Conclusions: </strong>This study demonstrated community pharmacists' potential to address multimorbidity. To optimize their role, primary healthcare delivery needs to be reorganized to empower pharmacists to support patients with complex healthcare needs.</p>","PeriodicalId":14284,"journal":{"name":"International Journal of Pharmacy Practice","volume":" ","pages":"262-271"},"PeriodicalIF":1.5,"publicationDate":"2025-06-06","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143784477","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Evaluation of pregabalin-induced oedema using the adverse event spontaneous reporting database and the prescription claims database.","authors":"Hitoshi Ito, Yoshitaka Hasegawa, Mamoru Maeda, Ryota Tsukioka, Masao Tsuchiya, Nobuhiro Yasuno, Miya Oishi","doi":"10.1093/ijpp/riaf012","DOIUrl":"10.1093/ijpp/riaf012","url":null,"abstract":"<p><strong>Objectives: </strong>Pregabalin may reduce the quality of life due to oedema, which may lead to further adverse events if co-administered with diuretics. This study investigated the occurrence of oedema and loop diuretic prescriptions in Japanese patients treated with pregabalin, including the temporal characteristics of the onset and factors associated with oedema.</p><p><strong>Methods: </strong>Using the Japanese Adverse Drug Event Report database, we performed logistic regression analysis to calculate adjusted reporting odds ratios to assess the association between pregabalin and oedema, and time-of-onset analysis to identify the timing of oedema onset. Using the prescription claims database of the Japanese pharmacy group, we assessed the occurrence of loop diuretic prescriptions associated with pregabalin by calculating the adjusted sequence ratios in the prescription sequence symmetry analysis, and identified the associated factors in subgroup analyses.</p><p><strong>Key findings: </strong>The adjusted reporting odds ratio was 6.89 (95% confidence interval: 5.96-7.91) for pregabalin, adjusted for age and sex as covariates. The median time to onset of oedema was 16.0 days (interquartile range: 6.0-42.0 days). The adjusted sequence ratio was 1.17 (95% confidence interval: 1.09-1.25), with subgroup analyses confirming a significant association at starting doses of 150 mg/day and more.</p><p><strong>Conclusions: </strong>This study suggests that oedema and loop diuretic prescriptions are associated with pregabalin use. Pregabalin-induced oedema was more common early in treatment and loop diuretics were more likely to be prescribed when the starting dose of pregabalin was 150 mg/day or more.</p>","PeriodicalId":14284,"journal":{"name":"International Journal of Pharmacy Practice","volume":" ","pages":"340-346"},"PeriodicalIF":1.5,"publicationDate":"2025-06-06","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143994819","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Community Pharmacy Staff Referral of Patients with Diarrhea to Medical Consultation: A Simulated Patient Study.","authors":"Eman A Hammad, Noor Altaher, Ala'a Tarazi, Abdalrahman Majdlaweyh, Noorhan Albayati, Jamal Samhan, Suba Rasheed, Majed Shafaamri, Sinaa Al-Aqeel","doi":"10.1093/ijpp/riaf023","DOIUrl":"10.1093/ijpp/riaf023","url":null,"abstract":"<p><strong>Objectives: </strong>The objectives were (i) to assess the ability of community pharmacy staff in Jordan to identify diarrhea symptoms suggestive of bacterial gastroenteritis and advise patients to see a physician and (ii) to identify the factors influencing the referral decisions.</p><p><strong>Method: </strong>The study used the simulated patient (SP) approach. Four SPs conveyed a symptom-based scenario of bacterial gastroenteritis. Each visit was assessed for three outcomes: appropriateness of the visit outcome (i.e. referral decision), pharmacist's information gathering behavior, and pharmacist's professional behavior. Factors influencing the referral behavior, information content, and professional behavior were also investigated.</p><p><strong>Key findings: </strong>Sixty-one visits were conducted. For 52 (85%) visits, the SP was referred to a physician. This was spontaneous in 35 visits (57%) and prompted by the SP in 17 visits (28%). For 24 (39%) visits, the pharmacy staff unnecessarily dispensed an antibiotic. Younger pharmacy staff, those located in Amman, and those working during afternoon shifts were more likely to refer patients (all P-value < .05). A significant correlation was found between the referral score and the information gathering behavior (P = .014).</p><p><strong>Conclusions: </strong>The failure to identify the need to refer SPs with symptoms suggestive of a serious illness may result in treatment delays and compromised patient safety. The dispensing of unnecessary antibiotics can increase antimicrobial resistance. Further actions are required to optimize patient management in community pharmacy settings.</p>","PeriodicalId":14284,"journal":{"name":"International Journal of Pharmacy Practice","volume":" ","pages":"272-278"},"PeriodicalIF":1.5,"publicationDate":"2025-06-06","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144001624","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Health and medication beliefs among South Koreans as a culturally and linguistically diverse population in Australia.","authors":"Ebuka-Olisaemeka Nwafor, Julie Stevens, Sarah Hosking, Eman Rafhi, Joon Soo Park, Sang-Woon Jeon, Kate Wang","doi":"10.1093/ijpp/riaf042","DOIUrl":"10.1093/ijpp/riaf042","url":null,"abstract":"","PeriodicalId":14284,"journal":{"name":"International Journal of Pharmacy Practice","volume":" ","pages":"241-242"},"PeriodicalIF":1.5,"publicationDate":"2025-06-06","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144150447","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Correction to: Using the common-sense model of illness representations to explore individuals' experiences and perceptions of migraine and its management in the United Kingdom.","authors":"","doi":"10.1093/ijpp/riaf022","DOIUrl":"10.1093/ijpp/riaf022","url":null,"abstract":"","PeriodicalId":14284,"journal":{"name":"International Journal of Pharmacy Practice","volume":" ","pages":"356"},"PeriodicalIF":1.5,"publicationDate":"2025-06-06","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143752687","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Variation in the potentially inappropriate use of antipsychotic and benzodiazepine medications among individuals receiving residential medication management reviews.","authors":"Mouna J Sawan, Alexander J Clough, Jodie Hillen, Andrew R Zullo, Daniela C Moga, Natalie Soulsby, Danijela Gnjidic","doi":"10.1093/ijpp/riaf028","DOIUrl":"10.1093/ijpp/riaf028","url":null,"abstract":"<p><strong>Objectives: </strong>To describe the variation in the use of potentially inappropriate antipsychotic and benzodiazepine medications in residents who have received a medication review and to evaluate the extent to which this variation is associated with aged care home (ACH) and resident characteristics.</p><p><strong>Methods: </strong>This cross-sectional, retrospective study used pharmacist-extracted data from 15,442 residents across 342 Australian ACHs who had a medication review during 2019. The proportion of residents receiving ≥1 potentially inappropriate antipsychotic and benzodiazepine medication according to Beers criteria were classified into quintiles by facility usage (Q1-Q5). Quintile characteristics were compared using descriptive analysis of facility and resident data. Logistic regression was used to compare individual usage between residents in each quintile adjusting for facility and resident characteristics.</p><p><strong>Key findings: </strong>The cohort had mean age 85 years (SD ±9), with less than 14% of residents in Q1 (n = 68), and >31% of residents in Q5 (n = 68) using an antipsychotic. For benzodiazepines, these proportions were <19% in Q1 (n = 68) and >45% in Q5 (n = 67). Facilities in major cities were significantly more likely to report antipsychotic (Q1:74% vs Q5:88%, P = .03) and benzodiazepine use (Q1:69% vs Q5:87%, P = .015). Residents in Q5 were seven times more likely to be prescribed an antipsychotic (aOR:7.22, 95% CI:5.93-8.79) than residents in Q1, and eight times more likely to be prescribed a benzodiazepine (aOR:8.57, 95% CI 7.33-10.01, P < .001) than residents in Q1.</p><p><strong>Conclusions: </strong>Significant variation exists in potentially inappropriate antipsychotic and benzodiazepine use among ACH residents receiving a medication review highlighting the need for further research to reduce prescribing of these high-risk medications.</p>","PeriodicalId":14284,"journal":{"name":"International Journal of Pharmacy Practice","volume":" ","pages":"332-339"},"PeriodicalIF":1.5,"publicationDate":"2025-06-06","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144019688","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"On the horizon; considerations on convenience of oral biologic agents in psoriasis.","authors":"Seán O'Malley, Cliona Feighery","doi":"10.1093/ijpp/riaf025","DOIUrl":"10.1093/ijpp/riaf025","url":null,"abstract":"","PeriodicalId":14284,"journal":{"name":"International Journal of Pharmacy Practice","volume":" ","pages":"354-355"},"PeriodicalIF":1.5,"publicationDate":"2025-06-06","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144063723","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Challenges and opportunities in community pharmacists' identification and management of dry eye disease: a qualitative study.","authors":"Shong Li Ng, Adrian Tey, Renukha Sellappans, Raja Ahsan Aftab, Yat Yin Leong, Mei Qian Yau, Bee Kim Tan","doi":"10.1093/ijpp/riaf027","DOIUrl":"10.1093/ijpp/riaf027","url":null,"abstract":"<p><strong>Objective: </strong>To explore Malaysian community pharmacists' (CP) challenges in identifying and managing dry eye disease (DED) and opportunities to optimize DED care, as previous studies reported inconsistencies in DED identification by community pharmacy staff, and few publications describe Malaysian CP views on DED management in community pharmacy settings.</p><p><strong>Method: </strong>Using the Social Ecological Theory for Community Health Promotion, individual in-depth interviews were conducted (May-June 2023) with 20 CP in Malaysia's Klang Valley. Participants with diverse DED management experiences were recruited using purposive and snowball sampling until data saturation. Interviews were audio-recorded, transcribed, independently coded by two researchers, and thematically analysed.</p><p><strong>Key findings: </strong>CP faced 12 challenges in identifying and managing DED: patient-related (brand rigidity, 'quick fix' attitude, inadequate health literacy, and self-efficacy skills), provider-related (imprecise assessment, referral difficulties, knowledge gaps), therapeutics-related (short shelf life, affordability), and pharmacy-related (limited manpower, inadequate private consultation space, low eye health visibility). The 12 opportunities for optimizing DED care were community-related (eye health education, holistic approaches, public awareness), profession-related (decision-support mobile health applications integrated with evidence-based DED management protocols to streamline consultation processes, interdisciplinary collaborations), industry-related (pharmaceutical and medical device advancements, comparative data on medication value, promotion of proactive management), and organization-related (management-mandated resource allocation, ancillary staff education, and expanded products and services).</p><p><strong>Conclusion: </strong>Malaysian CP encountered challenges in identifying and managing DED. Knowledge sharing and collaborations with ophthalmologists improve DED management by CP, while clinicians can stay updated on medication-related recommendations and treatment adherence. The role of digital health in these processes requires further study.</p>","PeriodicalId":14284,"journal":{"name":"International Journal of Pharmacy Practice","volume":" ","pages":"292-299"},"PeriodicalIF":1.5,"publicationDate":"2025-06-06","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144017170","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Exploring community pharmacy services in Gulf Cooperation Council countries: a scoping review.","authors":"Solafa M W Noorsaeed, Hisham Alshammari, Natalie Weir, Amanj Kurdi","doi":"10.1093/ijpp/riaf041","DOIUrl":"https://doi.org/10.1093/ijpp/riaf041","url":null,"abstract":"<p><strong>Introduction: </strong>The role of community pharmacists (CPs) is evolving worldwide. However, evidence on the expanding role of CPs in the Gulf Cooperation Council (GCC) countries remains limited.</p><p><strong>Objective: </strong>This study aimed to describe the type, nature, extent, and/or effectiveness of community pharmacy-based services in GCC countries.</p><p><strong>Eligibility criteria: </strong>All primary studies involving existing, piloted community pharmacy services or services being explored for future implementation in the GCC countries were eligible for inclusion.</p><p><strong>Methods: </strong>Ovid MEDLINE, EMBASE, CINAHL, and Scopus were searched from inception to 6 December 2024. Screening and data extraction were performed by two independent reviewers. Results were narratively synthesized.</p><p><strong>Results: </strong>Overall, 116 studies were included. The majority were from KSA (N = 61, 52.6%) and UAE (N = 38, 32.8%), with none in Oman and Bahrain. Besides the nationally practised dispensing and counselling, tele-pharmacy/E-prescription was implemented nationwide in the UAE and KSA. In some countries, minor ailments management, pregnant and lactating women care, reporting adverse drug reactions, immunization, chronic conditions monitoring, independent prescribing, and health promotion were locally practised by some CPs and under-evaluated. Diabetic education, health screening, and medication therapy management were piloted in some countries and showed promising effectiveness. Humanistic effectiveness was the most assessed outcome (N = 16, 13.8%). The most reported barriers were lack of privacy, time, and training.</p><p><strong>Conclusions: </strong>The review highlighted the expanding role of CPs in the GCC countries while identifying gaps in practice. Policymakers can utilize the findings to develop strategies for improving practice, ensuring national implementation, and maintaining the quality of services.</p>","PeriodicalId":14284,"journal":{"name":"International Journal of Pharmacy Practice","volume":" ","pages":""},"PeriodicalIF":1.5,"publicationDate":"2025-06-06","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144247831","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}