Shortage of psychotropic medications in community pharmacies in Saudi Arabia: Causes and solutions

Background: Patients with mental disorders, such as depression and anxiety, who seek medical care in private psychiatric clinics in Riyadh, Saudi Arabia, have recently expressed concerns to doctors about difficulty in filling psychotropic medications, such as Amitriptyline and Aripiprazole, at retai...

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Main Authors: Yazed Sulaiman Al-Ruthia, Wael Mansy, Mohammad Barasin, Yazeed Mohammad Ghawaa, Mohammed AlSultan, Mohammad A. Alsenaidy, Solaiman Alhawas, Sultan AlGhadeer
Format: Article
Language:English
Published: Elsevier 2017-07-01
Series:Saudi Pharmaceutical Journal
Subjects:
Online Access:http://www.sciencedirect.com/science/article/pii/S1319016416301293
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author Yazed Sulaiman Al-Ruthia
Wael Mansy
Mohammad Barasin
Yazeed Mohammad Ghawaa
Mohammed AlSultan
Mohammad A. Alsenaidy
Solaiman Alhawas
Sultan AlGhadeer
author_facet Yazed Sulaiman Al-Ruthia
Wael Mansy
Mohammad Barasin
Yazeed Mohammad Ghawaa
Mohammed AlSultan
Mohammad A. Alsenaidy
Solaiman Alhawas
Sultan AlGhadeer
author_sort Yazed Sulaiman Al-Ruthia
collection DOAJ
description Background: Patients with mental disorders, such as depression and anxiety, who seek medical care in private psychiatric clinics in Riyadh, Saudi Arabia, have recently expressed concerns to doctors about difficulty in filling psychotropic medications, such as Amitriptyline and Aripiprazole, at retail community pharmacies. Objectives: The aim of this study was to investigate whether there is a shortage of some commonly prescribed psychotropic medications in retail community pharmacies in Saudi Arabia, and if so, to explore the possible reasons behind the shortage of these medications. Methods: The availability of 28 commonly prescribed psychotropic medications was checked in multiple retail community pharmacies in 4 different regions of Saudi Arabia. Further, potential reasons behind the shortage of some psychotropic medications in retail community pharmacies were also explored. Results: Amitriptyline, Amoxapine, Aripiprazole, Bupropion, Buspirone, Duloxetine, Haloperidol, Hydroxyzine, Lithium, Prochlorperazine, Procyclidine, Promethazine, Thioridazine, Trazodone, and Trifluoperazine were unavailable in over half of the 248 community pharmacies surveyed. Four possible reasons behind the shortage of these medications were reported by 31 pharmacists working in different retail community pharmacies’ purchasing departments, with a majority (58.06%) reporting the primary reason for a shortage of these medications that they are slow-moving items with low profit margins. Conclusions: The findings of this study should expedite the reform process in both the Ministry of Health and the Saudi Food and Drug Authority (SFDA) to publish and enforce an essential list of medications for retail community pharmacies, which should include the most commonly prescribed psychotropic medications.
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spelling doaj.art-6b72a65ec1214d76a3c8f894c819175f2022-12-22T00:09:59ZengElsevierSaudi Pharmaceutical Journal1319-01642017-07-0125574474910.1016/j.jsps.2016.10.013Shortage of psychotropic medications in community pharmacies in Saudi Arabia: Causes and solutionsYazed Sulaiman Al-Ruthia0Wael Mansy1Mohammad Barasin2Yazeed Mohammad Ghawaa3Mohammed AlSultan4Mohammad A. Alsenaidy5Solaiman Alhawas6Sultan AlGhadeer7Department of Clinical Pharmacy, College of Pharmacy, King Saud University, Riyadh, Saudi ArabiaDepartment of Clinical Pharmacy, College of Pharmacy, King Saud University, Riyadh, Saudi ArabiaDrug Information Center, Saudi Food and Drug Authority (SFDA), Riyadh, Saudi ArabiaDepartment of Clinical Pharmacy, College of Pharmacy, King Saud University, Riyadh, Saudi ArabiaDepartment of Clinical Pharmacy, College of Pharmacy, University of Dammam, Dammam, Saudi ArabiaDepartment of Pharmaceutics, College of Pharmacy, King Saud University, Riyadh, Saudi ArabiaDepartment of Clinical Pharmacy, College of Pharmacy, King Saud University, Riyadh, Saudi ArabiaDepartment of Clinical Pharmacy, College of Pharmacy, King Saud University, Riyadh, Saudi ArabiaBackground: Patients with mental disorders, such as depression and anxiety, who seek medical care in private psychiatric clinics in Riyadh, Saudi Arabia, have recently expressed concerns to doctors about difficulty in filling psychotropic medications, such as Amitriptyline and Aripiprazole, at retail community pharmacies. Objectives: The aim of this study was to investigate whether there is a shortage of some commonly prescribed psychotropic medications in retail community pharmacies in Saudi Arabia, and if so, to explore the possible reasons behind the shortage of these medications. Methods: The availability of 28 commonly prescribed psychotropic medications was checked in multiple retail community pharmacies in 4 different regions of Saudi Arabia. Further, potential reasons behind the shortage of some psychotropic medications in retail community pharmacies were also explored. Results: Amitriptyline, Amoxapine, Aripiprazole, Bupropion, Buspirone, Duloxetine, Haloperidol, Hydroxyzine, Lithium, Prochlorperazine, Procyclidine, Promethazine, Thioridazine, Trazodone, and Trifluoperazine were unavailable in over half of the 248 community pharmacies surveyed. Four possible reasons behind the shortage of these medications were reported by 31 pharmacists working in different retail community pharmacies’ purchasing departments, with a majority (58.06%) reporting the primary reason for a shortage of these medications that they are slow-moving items with low profit margins. Conclusions: The findings of this study should expedite the reform process in both the Ministry of Health and the Saudi Food and Drug Authority (SFDA) to publish and enforce an essential list of medications for retail community pharmacies, which should include the most commonly prescribed psychotropic medications.http://www.sciencedirect.com/science/article/pii/S1319016416301293PsychotropicMedicationShortageCommunityPharmaciesSaudi Arabia
spellingShingle Yazed Sulaiman Al-Ruthia
Wael Mansy
Mohammad Barasin
Yazeed Mohammad Ghawaa
Mohammed AlSultan
Mohammad A. Alsenaidy
Solaiman Alhawas
Sultan AlGhadeer
Shortage of psychotropic medications in community pharmacies in Saudi Arabia: Causes and solutions
Saudi Pharmaceutical Journal
Psychotropic
Medication
Shortage
Community
Pharmacies
Saudi Arabia
title Shortage of psychotropic medications in community pharmacies in Saudi Arabia: Causes and solutions
title_full Shortage of psychotropic medications in community pharmacies in Saudi Arabia: Causes and solutions
title_fullStr Shortage of psychotropic medications in community pharmacies in Saudi Arabia: Causes and solutions
title_full_unstemmed Shortage of psychotropic medications in community pharmacies in Saudi Arabia: Causes and solutions
title_short Shortage of psychotropic medications in community pharmacies in Saudi Arabia: Causes and solutions
title_sort shortage of psychotropic medications in community pharmacies in saudi arabia causes and solutions
topic Psychotropic
Medication
Shortage
Community
Pharmacies
Saudi Arabia
url http://www.sciencedirect.com/science/article/pii/S1319016416301293
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AT yazeedmohammadghawaa shortageofpsychotropicmedicationsincommunitypharmaciesinsaudiarabiacausesandsolutions
AT mohammedalsultan shortageofpsychotropicmedicationsincommunitypharmaciesinsaudiarabiacausesandsolutions
AT mohammadaalsenaidy shortageofpsychotropicmedicationsincommunitypharmaciesinsaudiarabiacausesandsolutions
AT solaimanalhawas shortageofpsychotropicmedicationsincommunitypharmaciesinsaudiarabiacausesandsolutions
AT sultanalghadeer shortageofpsychotropicmedicationsincommunitypharmaciesinsaudiarabiacausesandsolutions