Gebregeorgise Dawit Teshome, Belay Yajeb Melesse, Kälvemark Sporrong Sofia
University of Copenhagen, Copenhagen, Denmark.
Department of Pharmaceutics and Social Pharmacy, School of Pharmacy, College of Health Sciences, Addis Ababa University, Addis Ababa, Ethiopia.
Int J Clin Pharm. 2018 Feb;40(1):67-73. doi: 10.1007/s11096-017-0558-8. Epub 2017 Nov 14.
Background Studies have reported misuse of sildenafil citrate for recreational purpose, not least by healthy young men. This is becoming a major concern, for medical and other reasons. Objective The aim of this study was to document the characteristics of sildenafil citrate users and to explore the dispensing practices of the medicine in selected community pharmacies in Addis Ababa, Ethiopia. Setting Data was collected in community pharmacies in Addis Ababa, Ethiopia. Method A survey, using a self-administrated questionnaire, was conducted among customers who purchased sildenafil citrate from community pharmacies. Simple descriptive statistics were used to analyse data. Also, semi-structured interviews were conducted with community pharmacists. These were analysed thematically. Main outcome measures Socio-demographic characteristics (survey), themes (interviews). Results All survey respondents (n = 197) were men, 57.9% were below 40 years old, 53.8% had never been married and 58.4% had used sildenafil citrate before. A minority (16.2%) were diagnosed with erectile dysfunction. The main reason for buying sildenafil citrate was experimentation (45.7%). Pharmacists reported that sildenafil citrate was often dispensed without a prescription. The reason for this was, according to the interviewees, competition in the market. Also, the medicine was often dispensed without adequate information or counselling. Conclusions Selling and buying sildenafil citrate without a prescription seems to be common practice in pharmacies in Addis Ababa. It is crucial to strengthen the regulatory activity to protect customers from health risks. In addition pharmacy professionals should be supported to work in accordance with professional and legal standards.
背景 研究报告称，枸橼酸西地那非被滥用于娱乐目的，尤其是健康的年轻男性。出于医学和其他原因，这正成为一个主要问题。目的 本研究的目的是记录枸橼酸西地那非使用者的特征，并探索埃塞俄比亚亚的斯亚贝巴选定社区药房中该药物的配药做法。地点 在埃塞俄比亚亚的斯亚贝巴的社区药房收集数据。方法 对从社区药房购买枸橼酸西地那非的顾客进行了一项使用自填问卷的调查。使用简单描述性统计分析数据。此外，还对社区药剂师进行了半结构化访谈，并对访谈结果进行了主题分析。主要观察指标 社会人口学特征（调查）、主题（访谈）。结果 所有调查对象（n = 197）均为男性，57.9% 年龄在40岁以下，53.8% 从未结婚，58.4% 以前使用过枸橼酸西地那非。少数人（16.2%）被诊断为勃起功能障碍。购买枸橼酸西地那非的主要原因是出于好奇尝试（45.7%）。药剂师报告称，枸橼酸西地那非经常在没有处方的情况下配药。据受访者称，这样做的原因是市场竞争。此外，该药物配药时往往没有提供足够的信息或咨询。结论 在亚的斯亚贝巴的药房中，无处方销售和购买枸橼酸西地那非似乎是常见做法。加强监管活动以保护消费者免受健康风险至关重要。此外，应支持药学专业人员按照专业和法律标准开展工作。
