Search Results (982)

Pharmaceutical care provides the conceptual foundation for integrating pharmacogenetics into everyday pharmacy practice. Defined by Hepler and Strand as “the responsible provision of drug therapy for the purpose of achieving specific outcomes that improve a patient’s quality of life”, pharmaceutical care emphasizes a patient-centered approach in which the pharmacist collaborates with the patient, physician, and other healthcare professionals to design, implement, and monitor individualized therapeutic plans. In this context, pharmacogenetics can be regarded as an extension of pharmaceutical care: while the traditional model relies on monitoring patient outcomes and adherence, PGx adds a genetic dimension that allows treatment to be optimized from the very beginning. The pharmacist’s role therefore evolves from not only ensuring safe and effective use of medicines, but also interpreting genetic test results, supporting adherence to genetically guided therapy, and educating patients about the implications of their personal genetic profile. The introduction of pharmacogenetics testing as one of the potential services offered by community pharmacies is a promising proposition that may revolutionize the approach to drug therapy. Pharmacogenetics, a subset of pharmacogenomics, focuses on the study of DNA sequence variations that influence response to drugs. Thanks to advances in the field of genomics, it has become possible to study the genetic basis of variability in drug response. The identification of alleles responsible for the rapid or slow metabolism of xenobiotics has ushered in a new era in pharmacology. The aim of this interdisciplinary field, combining genetics and pharmacology, is to adapt treatment to a specific patient based on the analysis of their genome and gene polymorphism. Throughout the world, pharmacogenetics is gaining importance as a tool for personalizing medicine. In countries such as the United States, Canada, and the United Kingdom, programs integrating pharmacogenetics with healthcare are being developed. Clinical trials and the implementation of genetic tests into medical practice allow for better matching of medications and reducing the risk of side effects. Pharmacists will play a key role in integrating pharmacogenetics into healthcare. As specialists in the field of pharmacotherapy, they will support physicians in interpreting the results of genetic tests and adapting drug therapy to the individual needs of the patient. Additionally, pharmacists can educate patients and healthcare professionals about the benefits of pharmacogenetics and monitor the effects and safety of medications. Their involvement in the process of personalization of treatment may contribute to improving the effectiveness and safety of pharmacological therapies. Full article

Background/Objectives: Malnutrition and undernutrition are critical health concerns associated with increased mortality and costs. Although these are distinct clinical concepts, they are often used interchangeably in clinical practice and are inconsistent with the diagnostic frameworks. This diagnostic ambiguity may obscure true patient profiles. This study aimed to clarify the real-world diagnostic patterns of malnutrition and undernutrition and identify associated drug prescription trends using a patient estimation database in Japan. Methods: We analyzed the AHI partners database of 2024. Patients were identified using the International Statistical Classification of Diseases and Related Health Problems, 10th Revision, code E46. Sex differences were analyzed and stratified according to age group: older adults (≥65 years) and younger adults (15–39 years). Odds ratios (ORs) were used to identify associated drugs. Results: Of 96,673,453 patients, 216,652 were diagnosed with malnutrition and 77,100 with undernutrition. In both categories, older adults accounted for more than half of the patients. Notably, distinct diagnostic labeling patterns were observed by sex. Malnutrition predominated in women (58.8%), whereas undernutrition was more prevalent in men (70.6%). This male predominance of undernutrition was reversed in younger adults, where women showed higher proportions in both categories. Prescription analysis identified 31 drugs frequently prescribed to the study population. Enteral elemental formulas had the highest OR (89.7). Some psychotropic drugs were frequently prescribed to women. Conclusions: Diagnostic patterns varied by sex and age, potentially reflecting distinct practices in diagnostic labeling. These findings highlight the need for standardized frameworks to ensure consistent assessments and effective nutritional interventions. Full article

Ultraviolet (UV) radiation is a recognized human carcinogen, and topical sunscreens remain the primary strategy for photoprotection. As community pharmacies represent trusted sources of skincare products, evaluating the composition of sunscreens distributed through this channel is particularly relevant. This cross-sectional market analysis investigated UV filters used in sunscreen products available in Lithuanian community pharmacies in November–December 2025. Products were identified through online pharmacy catalogs and assessed for labeled Sun Protection Factor (SPF), number and type of UV filters, and filter combinations in accordance with Regulation (EC) No 1223/2009. A total of 467 products from 98 brands were included, and 26 distinct UV filters were identified. Triazine derivatives predominated, particularly bis-ethylhexyloxyphenol methoxyphenyl triazine (64.67%) and ethylhexyl triazone (58.03%). Most products (61.67%) were labeled SPF ≥ 50 and contained multiple UV filters (mean 4.29 ± 1.66), with significantly more filters in SPF ≥ 50 formulations (p < 0.001). These results indicate that sunscreen products available in Lithuanian pharmacies are dominated by high-SPF formulations and selective multi-filter systems, providing region-specific insights relevant to regulatory oversight and consumer exposure assessment. Full article

Background: Improper disposal of unused and expired medicines represents an environmental and public health concern. In Romania, Law No. 269/2023 assigned the responsibility for collecting household pharmaceutical waste to public and private hospitals, while operational procedures were further detailed in the Ministry of Health (MoH) Instruction No. 6226/2024. Objectives: This study aimed to assess knowledge, attitudes, and practices (KAP) related to the disposal of unused and expired medicines among the general public and community pharmacy staff during the early phase of implementation of the hospital-based medicine take-back system in Romania. Methods: A cross-sectional survey using convenience sampling was conducted between 1 and 31 August 2023. Two structured questionnaires were administered: one targeting the general public/patients and another addressing community pharmacy staff. Data were analyzed descriptively using frequencies and percentages. Several items allowed multiple responses. Results: Among public respondents (n = 108; predominantly male, 90.7%; urban, 75.0%), household waste disposal was the most frequently reported method (58.3%), followed by pharmacy return (43.5%). Willingness to use a dedicated collection system was very high (96.3%). Among pharmacy staff (n = 71; predominantly female, 78.9%; urban, 74.6%), 40.8% reported no collection activity; where collection occurred, it was typically on demand. Disposal routes included transfer to specialized waste companies (56.3%) and regulated destruction (43.7%). Only 1.4% of pharmacies offered incentives, while 45.4% of the public indicated discounts could motivate returns. Conclusions: Findings indicate an implementation and communication gap during the transition to a hospital-based pharmaceutical waste collection system. Strengthening public communication on official collection points and providing clearer operational guidance may support safer disposal practices. Full article

Community pharmacists are in a perfect position to offer comprehensive wound management advice to patients with both chronic and acute wounds, which can result in major costs and emotional burdens. A wound that is managed well through correct assessment, suitable treatment and follow-up counselling will heal optimally and essentially save patients costs and stress. The study aimed to explore the role of South African community pharmacists in wound management. A list of community pharmacies was requested from the South African Pharmacy Council and an online questionnaire was conducted in August 2022 using QuestionPro^® Version 2. Stratified random sampling was used to select 350 community pharmacies out of a total of 3240 in South Africa. The response rate was 16.0% (n = 56). Half of the community pharmacists (n = 28) had adequate knowledge about acute wound care, with a third (30.4%, n = 17) indicating that they provide patients with chronic diabetic wound care advice at least once a week. Respondents indicated Continuous Professional Development (CPD) activities and reading journal articles, many relating to diabetic wound management, as ways in which they upskill themselves in wound care. Many of the respondent pharmacists were in favour of an increased focus on wound care services in their community pharmacies. Further training programmes and workshops could be offered to provide pharmacists with the knowledge necessary to manage both chronic and acute wounds in their pharmacies. Full article

Background/Objectives: Anticholinergic burden is an important risk marker in older adults, associated with cognitive decline, falls, and increased mortality. This study aimed to assess anticholinergic burden in institutionalized elderly individuals using two tools (ACB calculator and CALS—CRIDECO Anticholinergic Load Scale), as well as to analyze its relationship with pharmacotherapeutic variables like polypharmacy. Methods: A descriptive cross-sectional study was conducted by analyzing the pharmacotherapeutic profiles of institutionalized elderly individuals (≥65 years) utilizing individualized medication preparation services from a community pharmacy in Alentejo (Portugal). Participants agreed to the study and had complete, up-to-date pharmacotherapeutic profiles. Results: The pharmacotherapeutic profiles of 75 institutionalized elderly people were analyzed; the sample comprised mostly women (72%) who had experienced excessive polypharmacy (≥10 medications) (56%) and had an average age of 85.62 ± 7.62 years. It was found that 90.7% (ACB) and 89.3% (CALS—CRIDECO) of the elderly had anticholinergic burden, with mean values of 3.60 ± 2.84 and 3.33 ± 2.51, respectively. Women exhibited higher anticholinergic burden in unadjusted analyses (p < 0.05). The burden correlated moderately with the total number of medications (p < 0.05). Conclusions: The results show high exposure to anticholinergic medications in the institutionalized elderly population, reinforcing the rationale for systematic therapeutic reviews focused on the pharmacological safety of institutionalized older adults in community pharmacies. Full article

Background: As Artificial Intelligence (AI) proliferates in society, community pharmacists must make decisions as to how to responsibly adopt this technology in their practice. Currently, there are few regulatory requirements or tools to support pharmacists in ensuring safe and ethical integration of AI in their work. Methods: An exploratory qualitative study of community pharmacists in Ontario, Canada was undertaken to examine their needs for guidance, regulation, and support in adopting AI in their practice. Results: Semi-structured interviews with 24 community pharmacists were undertaken to the point of thematic saturation. Constant-comparative analysis highlighted three key themes: (a) currently, AI is being used in unstandardized and unregulated ways; (b) pharmacists desire guidance or regulation focused on patient safety considerations; and (c) in the absence of regulation, ad hoc informal decision making is occurring. Conclusions: With or without formal regulation, AI is being adopted in pharmacy practice. Current reliance on informal network support without clear regulatory guidance raises concerns for pharmacists regarding patient safety and their work as professionals. Full article

Community pharmacies in the United States (US) face an increasingly unsustainable future due to declining third-party reimbursement (remuneration) and ongoing cash flow challenges following the elimination of retroactive direct and indirect remuneration (DIR) fees. These pressures have contributed to widespread pharmacy closures, the emergence of pharmacy deserts, and reduced access to care for millions of patients. Despite these challenges, community pharmacy remains the most common employment setting for pharmacy school graduates in the US. However, currently required community pharmacy Advanced Pharmacy Practice Experience (APPE) student rotations may offer limited exposure to business, management, and entrepreneurial activities, potentially leaving students underprepared for practice in this setting. US colleges and schools of pharmacy are uniquely positioned to address this gap by partnering with their community pharmacy APPE rotation sites to intentionally integrate business- and practice-focused knowledge, skills, and attitudes (KSAs) into the APPE. Equipping students with these KSAs may enhance early career readiness while also supporting the financial sustainability of US community pharmacies through the development of innovative, revenue-generating services. These efforts further align with the 2025 Accreditation Council for Pharmacy Education (ACPE) Standards and may help advance the profession. Future research should examine optimal community pharmacy APPE structures, models, and assessment strategies to maximize student preparedness and long-term community pharmacy sustainability. Full article

National legislative frameworks governing prescribing, pricing, reimbursement, and dispensing play a decisive role in shaping access to medicines. This study examines the financial availability of medicines in Bulgaria and North Macedonia through a comparative review of national pharmaceutical legislation, pricing mechanisms, reimbursement models, and digitalisation policies, assessed in relation to European Union standards. The findings indicate that access to medicines in both countries is shaped by the combined effects of multiple regulatory and financial instruments rather than by individual policy measures. Both systems apply strict control of prescribing and dispensing, external reference pricing, and positive reimbursement lists, reflecting alignment with international recommendations. However, significant differences in policy design lead to divergent access outcomes. Bulgaria’s more advanced digitalisation of prescribing and reimbursement, including mandatory electronic prescribing for selected therapeutic groups, enhances regulatory oversight and expenditure control but is associated with higher patient out-of-pocket expenditure, partly due to the application of the standard value-added tax on medicines. In contrast, North Macedonia combines lower taxation with capped patient co-payments, higher regulated pharmacy margins, and fixed pharmacy remuneration per prescription, contributing to improved financial affordability for patients while supporting pharmacy sustainability. Additional instruments, such as the Generics without Co-Payment List, further strengthen patient financial protection. The study provides comparative evidence relevant to pharmaceutical policy reforms and highlights the importance of balanced regulatory approaches that promote affordability, system sustainability, and equitable access to medicines. Full article

Universities play a strategic role in advancing the Sustainable Development Goals (SDGs) through community engagement, particularly within medical education. This study examines medical students’ involvement in volunteering activities and evaluates how such engagement contributes to SDG 3 (Good Health and Well-being) and SDG 4 (Quality Education). A cross-sectional survey was conducted among 499 students from the Victor Babeș University of Medicine and Pharmacy in Timișoara, using a structured questionnaire assessing perceived community impact, soft skills development, motivation for volunteering, sustainability orientation, and institutional support. Results indicate a high level of availability and prior participation in volunteering, reflecting strong internalization of public health and social responsibility values. While no significant differences were observed between volunteers and non-volunteers regarding perceived community impact (SDG 3), volunteer experience was significantly associated with higher levels of soft skills development and motivation (SDG 4). Strong positive correlations were identified between perceived community impact and motivational, educational, and sustainability related dimensions. The intensity of involvement was modestly associated with sustainability orientation and institutional support. Despite high motivation, students reported limited structured institutional frameworks for sustained engagement. The findings suggest that medical volunteering functions as a dual mechanism, strengthening professional competencies while reinforcing community health orientation. Institutionalizing structured outreach programs, particularly in underserved areas, could enhance long-term impact and align medical education more effectively with the 2030 Sustainable Development Agenda. Full article

Background: Understanding patient-specific patterns of medication intensification and de-intensification is essential for personalizing diabetes management and minimizing hypoglycemia risk in patients with type 2 diabetes. Objectives: To assess treatment changes in hypoglycemia-associated medications over five years and explore patient characteristics associated with these changes. Methods: We conducted a longitudinal cohort study using the IADB.nl database containing prescription data from Dutch community pharmacies. Individuals aged ≥35 years with at least two dispensations of glucose-lowering medications were identified. We estimated transition probabilities of changes in hypoglycemia-associated medications (sulfonylureas and/or insulin) using a Markov model for each year of follow-up. Associations with age, sex, and estimated hypoglycemia risk were explored with regression analysis. Results: Overall, 25,057 patients were included. Medication remained unchanged for the majority of the patients in the follow-up period. De-intensification increased from 4.7% (Year 1) to 6.5% (Year 5), while intensification decreased from 7.7% to 6.9% over the same period. Markov models showed that patients predominantly remained in a no change state over 5 years (transition probabilities: 0.92–0.94). High estimated hypoglycemia risk, age and being female were associated with intensification and/or de-intensification. Conclusions: While treatment regimens remained unchanged for most patients, de-intensification of hypoglycemia-associated medications increased modestly over five years. Factors like hypoglycemia risk, age and sex influenced changes. These findings support the need for personalized, risk-stratified approaches to diabetes medication management. Full article

Diabetes mellitus is a growing global health challenge, and digital health technologies offer new opportunities to support self-management. Mobile applications can benefit both patients and healthcare professionals; however, awareness and integration of these tools into community pharmacy practice remain limited. As accessible frontline providers, pharmacists are well positioned to promote digital health, yet their readiness and engagement require further investigation. A cross-sectional survey was conducted among community pharmacists in Serbia using a structured questionnaire. Developed through a consensus-based process, the instrument assessed pharmacists’ awareness, attitudes, and experiences with digital health technologies, focusing on mobile applications for diabetes self-management. Only 15.8% of pharmacists were aware of such applications, and 2.4% reported receiving relevant training. Higher digital health technology literacy was associated with greater awareness, confidence, and preference for digital learning. Most participants supported expanding pharmacists’ roles in advising patients on digital tools and expressed interest in structured education and official guidance. These findings indicate limited awareness and training in mobile health applications among community pharmacists. Enhancing digital competencies through targeted education and structured guidance may facilitate greater integration of digital tools into routine pharmacy practice and strengthen pharmacists’ roles in chronic disease management. Full article

Introduction: This repeated cross-sectional study examined community pharmacies in Aotearoa New Zealand and the services they provide, including retail, dispensing, and expanded scope services (e.g., minor ailment management). Methods: Two cross-sectional surveys were conducted in 2021 (n = 504) and 2023 (n = 1000). Both assessed demographics, service use, and perceptions of pharmacists. The 2021 survey focused on trust, approachability, and role awareness, while the 2023 survey added willingness to pay, telehealth use, and comparisons with other health professionals. Best–Worst Scaling and logistic regression quantified and compared preferences. Results: Prescription filling remained the most preferred service, while beauty product sales were least preferred. Preference for vaccination declined, indicating post-pandemic shifts in preventive care. Trust in pharmacists remained high, with strong comfort discussing health needs. Awareness of pharmacist roles improved slightly, though cost barriers persisted. Conclusions: Consumer priorities for prescription services remained stable, while interest in vaccination declined. The low preference for non-clinical retail activities suggests pharmacies should focus on health services. The high trust in pharmacists supports expanded clinical roles, but targeted policies and funding are needed to reduce cost barriers and enhance equitable access to primary healthcare. Full article

This study analyses the educational and social impact of a series of innovative teaching projects developed at the Museum of the History of Pharmacy of the University of Seville. The initiatives—including historical video documentaries, the “student guides” programme, and the digital outreach project “Voices that Empower”—explore the pedagogical potential of scientific heritage as a learning tool and as a medium for public communication. Through experiential and service-learning methodologies, these projects have enhanced students’ communication skills, critical thinking, and awareness of cultural and gender dimensions within pharmaceutical studies. The results demonstrate that the integration of audiovisual production, museum-based learning, and digital storytelling fosters meaningful engagement between the university and society, while also revitalising the historical and humanistic dimensions of pharmacy. Furthermore, the inclusion of a gender perspective in the “Voices that Empower” initiative contributes to the visibility of women in STEM and highlights the museum as a space for empowerment and social transformation. This work concludes that university museums can act as strategic platforms for innovation in higher education, combining heritage preservation, teaching excellence, and civic outreach to promote a more inclusive and sustainable scientific culture. Full article

Background/Objectives: Burn wounds are complex injuries associated with extensive inflammation, extracellular matrix (ECM) damage, and a high risk of impaired tissue remodeling and scarring. Modern wound dressings are expected not only to protect the wound bed but also to actively support the healing process. Biodegradable polymer-based nonwoven dressings incorporating natural bioactive compounds, such as propolis, may favorably influence wound repair. The aim of this study was to evaluate the effect of propolis-containing biodegradable, nonwoven poly(lactide-co-glycolide) (PLGA) dressings on the dynamics of dermatan sulfate and chondroitin sulfate content during burn-wound healing. Methods: The present study investigated temporal alterations in sulfated glycosaminoglycans (GAGs), including dermatan and chondroitin sulfates, during the healing of experimentally induced burn wounds in white domestic pigs treated with biodegradable, nonwoven poly(lactide-co-glycolide) (PLGA) dressings containing 5 wt% or 10 wt% of propolis. Control tissue samples were obtained from wounds treated with physiological saline or nonwoven PLGA dressings without propolis. Quantitative analysis of GAG content was performed on days 0, 3, 5, 10, 15, and 21 of the healing process using enzyme-linked immunosorbent assay (ELISA). Statistical differences between groups were assessed by one-way multivariate analysis of variance (MANOVA) followed by Tukey’s post hoc test. Results: Propolis-containing biodegradable nonwoven PLGA dressings significantly increased dermatan sulfate and chondroitin sulfate content in the burn wound bed compared to control treatments. The effect was observed at multiple time points and was more pronounced for dressings containing 10 wt% of propolis than for those containing 5 wt%. Conclusions: Biodegradable nonwoven PLGA dressings incorporating propolis modulate glycosaminoglycan dynamics during burn-wound healing, indicating enhanced extracellular matrix remodeling and supporting their potential use as bioactive burn wound dressings. Full article