Abood Ebtesam A, Scott Jenny, Wazaify Mayyada
Department of Clinical Pharmacy, Faculty of Pharmacy, Lebanese International University (LIU), Aden, Yemen.
Department of Biopharmaceutics and Clinical Pharmacy, School of Pharmacy, The University of Jordan (JU), Amman 11942, Jordan.
Pharmacy (Basel). 2018 Sep 13;6(3):99. doi: 10.3390/pharmacy6030099.
Khat chewing is commonplace in Yemen, but little else is known about the misuse of other drugs, especially how such misuse may intersect with Khat use. The aim of this study was to investigate misuse of prescription and over-the-counter (OTC) drugs in community pharmacies in Aden city, from the users' perspective. A qualitative in-depth-interview study was undertaken with fifteen known or suspected drug misusers, recruited through community pharmacies. Thematic analysis was used to identify the main emergent themes around experience of prescription and OTC drug misuse. The majority of interviewees were male ( = 11/15) with an age range of 21⁻40 years. Benzodiazepines, Tramadol, and Ketoprofen were the most commonly misused drugs. Four main themes were identified: Experience sought with drugs; awareness of problematic drug use; pattern and methods of misuse; and the role of healthcare professionals in responding to misuse. The study highlighted different issues, such as the practice of mixing different OTC and prescription drugs with Khat to heighten the effects or manage associated pain, and drug misuse by females and by health care professionals. The study also suggested that physicians and pharmacists fear counselling such people, probably with the risk of violence as a contributory factor.
在也门，咀嚼巧茶很常见，但对于其他药物的滥用情况却知之甚少，尤其是这种滥用与咀嚼巧茶之间可能存在何种关联。本研究旨在从使用者的角度调查亚丁市社区药房中处方药和非处方药（OTC）的滥用情况。通过社区药房招募了15名已知或疑似药物滥用者，开展了一项定性深入访谈研究。采用主题分析法来确定围绕处方药和非处方药滥用经历出现的主要主题。大多数受访者为男性（11/15），年龄在21至40岁之间。苯二氮卓类药物、曲马多和酮洛芬是最常被滥用的药物。确定了四个主要主题：对药物体验的追求；对药物使用问题的认知；滥用模式和方法；以及医疗保健专业人员在应对滥用方面的作用。该研究突出了不同的问题，例如将不同的非处方药和处方药与巧茶混合使用以增强效果或缓解相关疼痛的做法，以及女性和医疗保健专业人员的药物滥用问题。该研究还表明，医生和药剂师害怕为这类人提供咨询，暴力风险可能是一个促成因素。
