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Physician perspectives on codeine accessibility, patterns of use and dependence in Saudi Arabia. International Journal of Mental Health and Addiction.

Syed, M, Yasmeen, A and Van Hout, MC (2021) Physician perspectives on codeine accessibility, patterns of use and dependence in Saudi Arabia. International Journal of Mental Health and Addiction. International Journal of Mental Health and Addiction. ISSN 1557-1874

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Abstract

In Saudi Arabia, there are concerning rates of non-compliance with pharmaceutical regulations prohibiting the pharmacy dispensing of prescription-only medications without a physician prescription. This is the first study in the Middle East which examines physicians perceptions regarding misuse of codeine, listed as a narcotic, controlled and prescription-only drug. The CODEMISUSED survey was adapted to the Saudi Arabian context and pilot tested, prior to cross-sectional administration to physicians in Riyadh, Jeddah, Abha and Jazan (n=105). Descriptive statistics (frequencies and percentage) present physician level of agreement, neutrality and disagreement with statements regarding codeine prescribing, patient awareness and use, online and community pharmacy availability and dependence. The study indicates concern by physicians regarding patient intentional use of codeine to enhance mood, misuse patterns, lack of awareness around habit-forming use and iatrogenic dependence, and sourcing via illegal dispensing. It underscores the imperatives to address pharmacy compliance with pharmaceutical regulatory controls, implement enhanced pharmacovigilance, and improve awareness around safe use

Item Type: Article
Uncontrolled Keywords: 1117 Public Health and Health Services, 1701 Psychology
Subjects: B Philosophy. Psychology. Religion > BF Psychology
R Medicine > RA Public aspects of medicine > RA0421 Public health. Hygiene. Preventive Medicine
R Medicine > RS Pharmacy and materia medica
Divisions: Public Health Institute
Publisher: Springer
Date Deposited: 30 Sep 2021 09:01
Last Modified: 22 Oct 2021 10:00
DOI or ID number: 10.1007/s11469-021-00670-4
URI: https://researchonline.ljmu.ac.uk/id/eprint/15576
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