بررسی عملکرد داروسازان درمورد درخواست داروهای بدون نسخه سرفه ، اسهال و سرماخوردگی در داروخانه های همدان در سال 1394

Introduction & objective: pharmacists usually encounter requests for over the counter drugs. how a pharmacist performs in evaluating patients' signs and symptoms, treating them, and moreover his or her approach in prescribing over the counter (otc) medications were the main goals of this study. materials & methods: in this cross- sectional study, the scenarios of cough, diarrhea and com-mon cold were obtained from questionnaires. these scenarios were then designed by deter-mining key questions. from the overall pharmacies in hamadan, for each of the three scenari-os, 46 pharmacies were randomly selected and analyzed. performance of pharmacists, includ-ing their interventions on over the counter counseling, asking key questions, explaining drugs' side effects and interactions, and their approach of prescribing medications, were measured. moreover, the influence of pharmacists' gender and type of the pharmacy were determined.results: in 41 out of 179 visits, pharmacists were not present in the pharmacy (22.9%), mostly in suburban pharmacies. the pharmacists' performances in explaining drug interactions were significantly better in urban pharmacies in comparison with suburban ones. moreover, subur-ban pharmacies and male pharmacists, in comparison with urban pharmacies and female pharmacists, prescribed more drugs.conclusion: this study shows that despite the pharmacists asking the key questions ,the majori-ty of pharmacists made weak recommendations. in order to improve pharmacists performanc-es, modification of educational system for pharmacy students in addition to the continuous and effective supervision of authorities on pharmacists' performance in otc drugs is sug-gested. (sci j hamadan univ med sci 2016; 23 (2):164-171)