Department of Clinical Pharmacy and Pharmacology, School of Pharmacy, Muhimbili University of Health and Allied Sciences, Dar-es-Salaam, Tanzania.
School of Pharmacy, Muhimbili University of Health and Allied Sciences, Dar-es-Salaam, Tanzania.
BMC Health Serv Res. 2019 Aug 14;19(1):571. doi: 10.1186/s12913-019-4421-6.
The use of psychotropic substances is controlled in most parts of the world due to their potential of abuse and addiction. Diazepam is one of the psychotropic substances which can be dispensed in community pharmacies in Tanzania. As per good dispensing practices and pharmacy laws, diazepam in the community pharmacies should strictly be stored in a controlled box and dispensed only by prescription. However, to our understanding little had been reported on availability and dispensing practices of diazepam in Tanzania.
A descriptive cross-sectional study which involved 178 randomly selected registered community pharmacies in Kinondoni district was conducted from January to March 2018. Simulated client approach was used to assess the availability and dispensers practice about dispensing of diazepam. Location of pharmacies was categorized as being at the centre or periphery of the Kinondoni district. Chi-squared test was used for the analysis of categorical data using SPSS version 23. The p-value of < 0.05 was considered significant.
The total of 178 community pharmacies were visited, the majority of the dispensers (89.1%) encountered were female. Most (69.1%) of the studied pharmacies were located at the centre of Kinondoni district. Diazepam was available in 91% of community pharmacies and 70% of dispensers issued diazepam without prescription.
Diazepam was available in most of the community pharmacies in Kinondoni district, and the majority of the dispensers dispensed diazepam without prescription. This calls for the regulatory authorities to be more vigilant on the availability of diazepam and enhance the provision of ethical pharmacy practice in the community pharmacies.
由于潜在的滥用和成瘾风险，世界上大多数地区都对精神药物的使用进行了管控。地西泮是一种精神药物，在坦桑尼亚的社区药房可以凭处方配给。根据良好的配药实践和药房法规，社区药房中的地西泮应严格存放在受控药盒中，并凭处方配给。然而，据我们了解，关于坦桑尼亚地西泮的供应和配药情况，相关报道很少。
这是一项描述性的横断面研究，于 2018 年 1 月至 3 月期间在金多尼区随机选择了 178 家注册社区药房进行。采用模拟患者的方法评估地西泮的供应情况和配药师的配药实践。将药房的位置分为金多尼区中心和外围。使用 SPSS 版本 23 的卡方检验对分类数据进行分析。p 值<0.05 被认为具有统计学意义。
共访问了 178 家社区药房，遇到的配药员中大多数（89.1%）为女性。在所研究的药房中，大多数（69.1%）位于金多尼区中心。地西泮在 91%的社区药房中均可获得，70%的配药员在没有处方的情况下配发了地西泮。
地西泮在金多尼区的大多数社区药房中都有供应，而且大多数配药员在没有处方的情况下配发了地西泮。这呼吁监管机构更加警惕地西泮的供应情况，并加强社区药房的伦理药房实践的提供。
