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Published in: International Journal of Mental Health and Addiction 3/2023

Open Access 05-10-2021 | Codeine | Original Article

Physician Perspectives on Codeine Accessibility, Patterns of Use, Misuse, and Dependence in Saudi Arabia

Authors: Mamoon H. Syed, Ayesha Yasmeen, Marie-Claire Van Hout

Published in: International Journal of Mental Health and Addiction | Issue 3/2023

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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.
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Metadata
Title
Physician Perspectives on Codeine Accessibility, Patterns of Use, Misuse, and Dependence in Saudi Arabia
Authors
Mamoon H. Syed
Ayesha Yasmeen
Marie-Claire Van Hout
Publication date
05-10-2021
Publisher
Springer US
Keyword
Codeine
Published in
International Journal of Mental Health and Addiction / Issue 3/2023
Print ISSN: 1557-1874
Electronic ISSN: 1557-1882
DOI
https://doi.org/10.1007/s11469-021-00670-4

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