Medication package inserts' usefulness for Sudanese pharmacists and patients: pharmacists perspective

Background: Written medication information is important to health care professionals and patients, alike. Medication package inserts (PI) can prove useful sources for written medication information for pharmacist and patients. The main objective of this study was to evaluate the knowledge, attitude, and practice of the Sudanese pharmacists toward PIs. Methods: A total of 120 randomly selected Sudanese community and hospital pharmacists, were addressed with a questionnaire of 14 free to answer closed-ended questions. Results: Results showed clear dominance of the young (96.5%), females (63.3%)pharmacists population, whose majority (90.8%) had their undergraduates studies in Sudan. Majority (79.2%) of respondents was keen to read the PIs, and (75.8%)considered them as reliable written medication information sources and references. Correlation between respondents' reliability and reading of PIs was significant (**p=0.038). How to use medications (95%) their dose (92.5%), and compliance (67.5%), topped the medication information particulars provided by respondents to patients. Drug-interactions and side-effects (36.7%) were downplayed by the respondents. Only a small minority (21.7%) of respondents used to advise patients to read PIs. Majority (85%) of respondents believed that PIs were difficult for patients to understand. Their texts' language (68.2%), technical terminology (75%) and font size (10%) were cited as main barriers to understandability. Conclusions: To secure usefulness of PIs, they shall be written in lay terminology of patients' native language. Pharmacists shall seek independent sources of medication information, advice and motivate patients to read PIs and keep them for ongoing reference.