Dabaghzadeh Fatemeh, Hajjari Reza
Pharmaceutics Research Center, Institute of Neuropharmacology, Kerman University of Medical Sciences, Kerman, Iran.
Department of Clinical Pharmacy, Faculty of Pharmacy, Kerman University of Medical Sciences, Haft-Bagh High-Way, 76175-493, Kerman, 76169-13555, Iran.
Int J Clin Pharm. 2018 Feb;40(1):190-195. doi: 10.1007/s11096-017-0579-3. Epub 2017 Dec 21.
Background Multivitamin supplements are a subset of dietary supplements sold in pharmacies as over-the-counter medicines. Community pharmacists are regarded as responsible professionals and relied on for their safe practice and efficacy. Objective The aim of this study was to evaluate the counselling practices of community pharmacists relating to typical use, interactions, contraindications, and side effects of multivitamin supplements using simulated patients. Setting Ninety-seven community pharmacies in Kerman, Iran. Method Two male students acted as simulated patients who role-played a scenario in the community pharmacies in two steps. In step 1, they spontaneously mentioned they were a student and did not eat properly through lack of time and requested a multivitamin supplement. In Step 2, if the pharmacists did not request a drug history, they would explain that they had severe acne and had been taking oral isotretinoin for a month. The counselling practice of the pharmacists was audio recorded. Main outcome measure The number of pharmacists who provided information about multivitamin use and identified isotretinoin-vitamin A interaction. Results Thirteen pharmacists in charge were absent at the time of the purchases. None of the pharmacists provided information about contraindications and side effects of multivitamin products. Twenty pharmacists provided instruction for multivitamin use, and two pharmacists took a drug history. In Step 1, only two pharmacists identified isotretinoin-vitamin A interaction, but in Step 2, this number increased to 15. Conclusion The counselling practice of pharmacists should be improved to promote effective and safe use of multivitamin supplements.
背景 多种维生素补充剂是作为非处方药在药店销售的膳食补充剂的一个子集。社区药剂师被视为负责的专业人员，其安全操作和疗效受到信赖。目的 本研究的目的是使用模拟患者评估社区药剂师关于多种维生素补充剂的典型用法、相互作用、禁忌证和副作用的咨询实践。地点 伊朗克尔曼的97家社区药店。方法 两名男学生充当模拟患者，分两步在社区药店模拟一个场景。在第一步中，他们主动提到自己是学生，由于时间不足饮食不当，并要求购买多种维生素补充剂。在第二步中，如果药剂师没有询问用药史，他们会解释自己患有严重痤疮，已经服用口服异维A酸一个月。药剂师的咨询实践进行了录音。主要观察指标 提供多种维生素使用信息并识别异维A酸 - 维生素A相互作用的药剂师人数。结果 购买时13名负责药剂师不在场。没有药剂师提供多种维生素产品的禁忌证和副作用信息。20名药剂师提供了多种维生素使用指导，两名药剂师询问了用药史。在第一步中，只有两名药剂师识别出异维A酸 - 维生素A相互作用，但在第二步中，这一数字增加到了15名。结论 应改进药剂师的咨询实践，以促进多种维生素补充剂的有效和安全使用。
