Mikhael Ehab Mudher, Jebur Nisreen Jumaah, Jamal Mohammed Yawuz, Hameed Tabarak Arkan
Clinical Pharmacy Department, College of Pharmacy, University of Baghdad, Baghdad, Iraq.
SAGE Open Med. 2024 Sep 10;12:20503121241275472. doi: 10.1177/20503121241275472. eCollection 2024.
Pharmacists are healthcare professionals who frequently encounter individuals struggling with addiction in their day-to-day practice. Studies critique pharmacists' competence in the detection, prevention, and management of substance use disorder.
This study aimed to get in-depth information about the perception, experience, and practice of Iraqi pharmacists towards substance use disorder.
A qualitative-study was performed through face-to-face individual-based interviews with community pharmacists in Baghdad/Iraq. Interviews were conducted from July 2023 till the saturation point (September 2023). Data analyzed by thematic-analysis approach.
Interviews were conducted with 21 pharmacists. Most participants reported that substance use disorder is common among young males. Pregabalin is the most commonly requested drug. Availability, euphoric-effect, and low cost are the main reasons for favoring a drug by persons with substance use disorder. Moreover, poverty and social problems are the main reasons for substance use disorder. Drug intoxication signs are the main clues in recognizing substance use disorder. Most participants refuse dispensing drugs without prescription and reported that the barriers for implementing regulations on drugs with high potential for dependence are related to the limited follow-up to pharmacists, presence of outsiders, and fear from reactions of persons with substance use disorder. Pharmaceutical services to persons with substance use disorder were performed by few pharmacists and limited to patient education about the risks of misusing drugs. Most participants reported that enhancing pharmacists' competence in substance use disorder is necessary.
Substance use disorder is common among young Iraqi males. Pregabalin is a commonly requested drug. The current Iraqi regulations are not sufficient to prevent substance use disorder. Pharmaceutical services to persons with substance use disorder are weak and limited to patient education. Enhancing pharmacists' knowledge through educational courses is necessary to improve their role in facing substance use disorder.
药剂师是医疗保健专业人员，在日常工作中经常遇到成瘾患者。研究批评了药剂师在物质使用障碍的检测、预防和管理方面的能力。
本研究旨在深入了解伊拉克药剂师对物质使用障碍的认知、经验和实践。
通过对伊拉克巴格达社区药剂师进行面对面的个人访谈开展一项定性研究。访谈从2023年7月持续至饱和点（2023年9月）。采用主题分析法对数据进行分析。
对21名药剂师进行了访谈。大多数参与者报告称，物质使用障碍在年轻男性中很常见。普瑞巴林是最常被索要的药物。可得性、欣快感和低成本是物质使用障碍患者青睐某种药物的主要原因。此外，贫困和社会问题是物质使用障碍的主要原因。药物中毒迹象是识别物质使用障碍的主要线索。大多数参与者拒绝无处方配药，并报告称，对具有高度成瘾潜力药物实施监管的障碍与对药剂师的随访有限、有外人在场以及担心物质使用障碍患者的反应有关。很少有药剂师为物质使用障碍患者提供药学服务，且仅限于对患者进行药物滥用风险的教育。大多数参与者报告称，提高药剂师在物质使用障碍方面的能力很有必要。
物质使用障碍在伊拉克年轻男性中很常见。普瑞巴林是一种常被索要的药物。伊拉克现行法规不足以预防物质使用障碍。为物质使用障碍患者提供的药学服务薄弱，且仅限于患者教育。通过教育课程提高药剂师的知识水平，对于改善他们在应对物质使用障碍方面的作用很有必要。
