An investigation on patient attitudes toward package inserts and their accessibility in Iran

Parisa Ahmadi, Shirin Sadat Badri, Amir H Zargarzadeh


Background: Package inserts (PIs) can be a source of information for patients, especially when clinicians do not provide adequate consultations to the patients. Terefore, for the frst time, we investigated the state of PIs in Iran and evaluated patients’ attitude toward PI. Materials and Methods: In this descriptive study, conducted in a major teaching pharmacy in Isfahan, Iran, in 2016, 100 patients who presented a prescription were interviewed randomly and all medications in their medication bags were examined. Te main outcome measures were whether or not the dispensed medications were accompanied by a PI and the behavior of patients in reading these PIs. Results: From the 237 medication items investigated, 129 (54.4%) were dispensed with a PI. Eighty?four percent of patients read the PIs and only 19% stated reading a non?Farsi PI. Te level of education was the only signifcant factor related to reading the PI (P = 0.02). Reading the side e?ects was the main reason for reading the PI (64%). PIs were considered useful by 83% while 25% kept PIs as a source of drug information. Experience of fear to take the medication after reading the PI was reported by 47%. Conclusion: About half of medications were dispensed along with the PI. Although the majority of patients report reading the PIs and consider them useful, confdence in using the medicine may be diminished after reading the PI. Patients with higher
education read the PIs the most.


Package insert, patient information lea?et, patient package insert, pharmacy practice

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