Skills and practices of pharmacy staff for dispensing of drugs with fiscalized substances in drugstores and pharmacies

ABSTRACT OBJETIVE To evaluate the skills and practices of pharmacy staff during the dispensing of tramadol (drug with fiscalized substance) in drugstores and pharmacies in Medellin, Colombia. METHODS A cross-sectional study was performed. The simulated patient technique was used. The main outcom...

Full description

Bibliographic Details
Main Authors: Mauricio Ceballos, Yaqueline Llano, Andrea Salazar-Ospina, Juliana Madrigal-Cadavid, Daniel Pino-Marín, Pedro Amariles
Format: Article
Language:English
Published: Universidade de São Paulo 2021-07-01
Series:Revista de Saúde Pública
Subjects:
Online Access:http://www.scielo.br/scielo.php?script=sci_arttext&pid=S0034-89102021000100235&tlng=en
_version_ 1818988305434279936
author Mauricio Ceballos
Yaqueline Llano
Andrea Salazar-Ospina
Juliana Madrigal-Cadavid
Daniel Pino-Marín
Pedro Amariles
author_facet Mauricio Ceballos
Yaqueline Llano
Andrea Salazar-Ospina
Juliana Madrigal-Cadavid
Daniel Pino-Marín
Pedro Amariles
author_sort Mauricio Ceballos
collection DOAJ
description ABSTRACT OBJETIVE To evaluate the skills and practices of pharmacy staff during the dispensing of tramadol (drug with fiscalized substance) in drugstores and pharmacies in Medellin, Colombia. METHODS A cross-sectional study was performed. The simulated patient technique was used. The main outcomes included the information provided on the dispensed drug (tramadol), the use of tools to provide information, and the information provided on drug precautions and use recommendations. RESULTS We visited 305 drugstores and pharmacies. The average dispensing time was 2.3 min (SD 1.1 min). In nine drugstores and pharmacies (3.0%), tramadol was not dispensed because it was not in stock. In 17 drugstores and pharmacies (5.7%), the simulated patients were actively informed by the dispensing pharmacy staff; of these, 16 provided oral information and one provided oral and written information. Eight patients (2.7%) received information regarding tramadol use. However, 99% of patients were not informed about tramadol side effects such as dependence, sedation, or hypnosis, and none of the simulated female patients were informed on the precautions related to tramadol use during pregnancy or lactation. CONCLUSIONS Communication skills and appropriate practices of pharmacy staff are critical to patient self-care. However, this study shows their difficulty in counseling about precautions and use recommendations of drugs with fiscalized substances. These outcomes could inform future studies focusing on the rational use of these drugs in drugstores and pharmacies. It is necessary to improve the pharmacy staff competencies through continuing education programs, to facilitate access to information and training.
first_indexed 2024-12-20T19:20:28Z
format Article
id doaj.art-52b0e8e32eab4c178e5488e7ac8bf12f
institution Directory Open Access Journal
issn 1518-8787
language English
last_indexed 2024-12-20T19:20:28Z
publishDate 2021-07-01
publisher Universidade de São Paulo
record_format Article
series Revista de Saúde Pública
spelling doaj.art-52b0e8e32eab4c178e5488e7ac8bf12f2022-12-21T19:29:00ZengUniversidade de São PauloRevista de Saúde Pública1518-87872021-07-015510.11606/s1518-8787.2021055003103Skills and practices of pharmacy staff for dispensing of drugs with fiscalized substances in drugstores and pharmaciesMauricio Ceballoshttps://orcid.org/0000-0001-6181-7370Yaqueline Llanohttps://orcid.org/0000-0001-7486-1207Andrea Salazar-Ospinahttps://orcid.org/0000-0001-8511-2826Juliana Madrigal-Cadavidhttps://orcid.org/0000-0001-8914-6732Daniel Pino-Marínhttps://orcid.org/0000-0001-9590-3189Pedro Amarileshttps://orcid.org/0000-0002-3825-8045ABSTRACT OBJETIVE To evaluate the skills and practices of pharmacy staff during the dispensing of tramadol (drug with fiscalized substance) in drugstores and pharmacies in Medellin, Colombia. METHODS A cross-sectional study was performed. The simulated patient technique was used. The main outcomes included the information provided on the dispensed drug (tramadol), the use of tools to provide information, and the information provided on drug precautions and use recommendations. RESULTS We visited 305 drugstores and pharmacies. The average dispensing time was 2.3 min (SD 1.1 min). In nine drugstores and pharmacies (3.0%), tramadol was not dispensed because it was not in stock. In 17 drugstores and pharmacies (5.7%), the simulated patients were actively informed by the dispensing pharmacy staff; of these, 16 provided oral information and one provided oral and written information. Eight patients (2.7%) received information regarding tramadol use. However, 99% of patients were not informed about tramadol side effects such as dependence, sedation, or hypnosis, and none of the simulated female patients were informed on the precautions related to tramadol use during pregnancy or lactation. CONCLUSIONS Communication skills and appropriate practices of pharmacy staff are critical to patient self-care. However, this study shows their difficulty in counseling about precautions and use recommendations of drugs with fiscalized substances. These outcomes could inform future studies focusing on the rational use of these drugs in drugstores and pharmacies. It is necessary to improve the pharmacy staff competencies through continuing education programs, to facilitate access to information and training.http://www.scielo.br/scielo.php?script=sci_arttext&pid=S0034-89102021000100235&tlng=enTramadol, supply & distributionGood Dispensing PracticesProfessional-Patient RelationsEducation, PharmacyDrugstoresPharmacy staffFiscalized Substances
spellingShingle Mauricio Ceballos
Yaqueline Llano
Andrea Salazar-Ospina
Juliana Madrigal-Cadavid
Daniel Pino-Marín
Pedro Amariles
Skills and practices of pharmacy staff for dispensing of drugs with fiscalized substances in drugstores and pharmacies
Revista de Saúde Pública
Tramadol, supply & distribution
Good Dispensing Practices
Professional-Patient Relations
Education, Pharmacy
Drugstores
Pharmacy staff
Fiscalized Substances
title Skills and practices of pharmacy staff for dispensing of drugs with fiscalized substances in drugstores and pharmacies
title_full Skills and practices of pharmacy staff for dispensing of drugs with fiscalized substances in drugstores and pharmacies
title_fullStr Skills and practices of pharmacy staff for dispensing of drugs with fiscalized substances in drugstores and pharmacies
title_full_unstemmed Skills and practices of pharmacy staff for dispensing of drugs with fiscalized substances in drugstores and pharmacies
title_short Skills and practices of pharmacy staff for dispensing of drugs with fiscalized substances in drugstores and pharmacies
title_sort skills and practices of pharmacy staff for dispensing of drugs with fiscalized substances in drugstores and pharmacies
topic Tramadol, supply & distribution
Good Dispensing Practices
Professional-Patient Relations
Education, Pharmacy
Drugstores
Pharmacy staff
Fiscalized Substances
url http://www.scielo.br/scielo.php?script=sci_arttext&pid=S0034-89102021000100235&tlng=en
work_keys_str_mv AT mauricioceballos skillsandpracticesofpharmacystafffordispensingofdrugswithfiscalizedsubstancesindrugstoresandpharmacies
AT yaquelinellano skillsandpracticesofpharmacystafffordispensingofdrugswithfiscalizedsubstancesindrugstoresandpharmacies
AT andreasalazarospina skillsandpracticesofpharmacystafffordispensingofdrugswithfiscalizedsubstancesindrugstoresandpharmacies
AT julianamadrigalcadavid skillsandpracticesofpharmacystafffordispensingofdrugswithfiscalizedsubstancesindrugstoresandpharmacies
AT danielpinomarin skillsandpracticesofpharmacystafffordispensingofdrugswithfiscalizedsubstancesindrugstoresandpharmacies
AT pedroamariles skillsandpracticesofpharmacystafffordispensingofdrugswithfiscalizedsubstancesindrugstoresandpharmacies