Which Psychotropic Medicines are Preferred by Iranian Psychiatrists as the most Accessible Ones under Sanctions?
Background: Accessibility of medicines is one of the main building blocks of health. As a consequence of the decision of the US president to withdraw from the Joint Comprehensive Plan of Action, harsh sanctions were instigated on Iran. Legally, medicines were exempted from the sanctions. But in pra...
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| Format: | Article |
| Language: | English |
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Kerman University of Medical Sciences
2022-03-01
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| Series: | Journal of Kerman University of Medical Sciences |
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| Online Access: | https://jkmu.kmu.ac.ir/article_91890_ed1386e1b3fc74a3dd35c17141caa2fe.pdf |
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| author | Seyed Shahab Banihashem Mohammad Taghi Yasamy Ali Kheradmand Maria Tavakoli-Ardakani Reyhaneh Jafarian Bahri Mohammad Reza Sohrabi |
| author_facet | Seyed Shahab Banihashem Mohammad Taghi Yasamy Ali Kheradmand Maria Tavakoli-Ardakani Reyhaneh Jafarian Bahri Mohammad Reza Sohrabi |
| author_sort | Seyed Shahab Banihashem |
| collection | DOAJ |
| description | Background: Accessibility of medicines is one of the main building blocks of health. As a consequence of the decision of the US president to withdraw from the Joint Comprehensive Plan of Action, harsh sanctions were instigated on Iran. Legally, medicines were exempted from the sanctions. But in practice, this action has caused serious shortage of medicines including psychotropics in Iran. As a domestic solution, the impact of this shortage on the patients could be mitigated by distributing the most needed medicines in pharmacies closest to public and private psychiatric clinics to reduce patients’ sense of bewilderment. We tried to identify the top 10 psychiatric medicines for this purpose. Methods: Through semi-structured interviews with all the 384 reachable psychiatrists of Iran, face to face or by phone, we prepared a list of psychiatric medicines preferred as priority. Data were analyzed using c2 for relationships with contributing factors and controlling for confounders.Results: Medicines were ranked, and we ended up with a final list of ten. Sertraline ranked first followed by sodium valproate and risperidone. Age and years of experience were correlated with preferences. Comparison with the sales market ranking showed that the latter is mainly influenced by benzodiazepines not prescribed by psychiatrists.Conclusion: We finalized a ranked list of psychiatric medicines useful for the food and drug administration of Iran to consider in distributing psychotropic medicines in the vicinity of public and private clinics. This will ease access and help in mitigating patients’ stress. Other medical groups can follow suit. |
| first_indexed | 2024-03-13T02:09:22Z |
| format | Article |
| id | doaj.art-a85c52bf7c294763b02478482b7eee2b |
| institution | Directory Open Access Journal |
| issn | 2008-2843 |
| language | English |
| last_indexed | 2024-03-13T02:09:22Z |
| publishDate | 2022-03-01 |
| publisher | Kerman University of Medical Sciences |
| record_format | Article |
| series | Journal of Kerman University of Medical Sciences |
| spelling | doaj.art-a85c52bf7c294763b02478482b7eee2b2023-07-01T05:10:45ZengKerman University of Medical SciencesJournal of Kerman University of Medical Sciences2008-28432022-03-0129213413810.22062/jkmu.2022.9189091890Which Psychotropic Medicines are Preferred by Iranian Psychiatrists as the most Accessible Ones under Sanctions?Seyed Shahab Banihashem0Mohammad Taghi Yasamy1Ali Kheradmand2Maria Tavakoli-Ardakani3Reyhaneh Jafarian Bahri4Mohammad Reza Sohrabi5Department of Psychiatry, Taleghani Hospital Research Development Unit School of Medicine, Shahid Beheshti University of Medical Sciences, Tehran, IranDepartment of Psychiatry, Taleghani Hospital Research Development Unit School of Medicine, Shahid Beheshti University of Medical Sciences, Tehran, IranDepartment of Psychiatry, Taleghani Hospital Research Development Unit School of Medicine, Shahid Beheshti University of Medical Sciences, Tehran, IranDepartment of Clinical Pharmacy, School of Pharmacy, Shahid Beheshti University of Medical Sciences, Tehran, IranSBMU Health Cohort Center, TaleghaniHospital, Shahid Beheshti University of Medical Sciences, Tehran, IranShahid Beheshti University of Medical Sciences, Social Determinants of Health Research Center, Tehran, IranBackground: Accessibility of medicines is one of the main building blocks of health. As a consequence of the decision of the US president to withdraw from the Joint Comprehensive Plan of Action, harsh sanctions were instigated on Iran. Legally, medicines were exempted from the sanctions. But in practice, this action has caused serious shortage of medicines including psychotropics in Iran. As a domestic solution, the impact of this shortage on the patients could be mitigated by distributing the most needed medicines in pharmacies closest to public and private psychiatric clinics to reduce patients’ sense of bewilderment. We tried to identify the top 10 psychiatric medicines for this purpose. Methods: Through semi-structured interviews with all the 384 reachable psychiatrists of Iran, face to face or by phone, we prepared a list of psychiatric medicines preferred as priority. Data were analyzed using c2 for relationships with contributing factors and controlling for confounders.Results: Medicines were ranked, and we ended up with a final list of ten. Sertraline ranked first followed by sodium valproate and risperidone. Age and years of experience were correlated with preferences. Comparison with the sales market ranking showed that the latter is mainly influenced by benzodiazepines not prescribed by psychiatrists.Conclusion: We finalized a ranked list of psychiatric medicines useful for the food and drug administration of Iran to consider in distributing psychotropic medicines in the vicinity of public and private clinics. This will ease access and help in mitigating patients’ stress. Other medical groups can follow suit.https://jkmu.kmu.ac.ir/article_91890_ed1386e1b3fc74a3dd35c17141caa2fe.pdfpsychotropic medicinesaccess to medicinesiranus sanctions |
| spellingShingle | Seyed Shahab Banihashem Mohammad Taghi Yasamy Ali Kheradmand Maria Tavakoli-Ardakani Reyhaneh Jafarian Bahri Mohammad Reza Sohrabi Which Psychotropic Medicines are Preferred by Iranian Psychiatrists as the most Accessible Ones under Sanctions? Journal of Kerman University of Medical Sciences psychotropic medicines access to medicines iran us sanctions |
| title | Which Psychotropic Medicines are Preferred by Iranian Psychiatrists as the most Accessible Ones under Sanctions? |
| title_full | Which Psychotropic Medicines are Preferred by Iranian Psychiatrists as the most Accessible Ones under Sanctions? |
| title_fullStr | Which Psychotropic Medicines are Preferred by Iranian Psychiatrists as the most Accessible Ones under Sanctions? |
| title_full_unstemmed | Which Psychotropic Medicines are Preferred by Iranian Psychiatrists as the most Accessible Ones under Sanctions? |
| title_short | Which Psychotropic Medicines are Preferred by Iranian Psychiatrists as the most Accessible Ones under Sanctions? |
| title_sort | which psychotropic medicines are preferred by iranian psychiatrists as the most accessible ones under sanctions |
| topic | psychotropic medicines access to medicines iran us sanctions |
| url | https://jkmu.kmu.ac.ir/article_91890_ed1386e1b3fc74a3dd35c17141caa2fe.pdf |
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