RESUMO
Background: Though studies have looked at the attitudes of dermatologists towards psychodermatology, few have highlighted the attitudes of pharmacists towards these conditions. Objectives: To study the knowledge, attitudes and practices of pharmacists towards the prescription of psychotropic medications to dermatology patients. Methods: This cross-sectional analysis included 80 pharmacists from Mumbai, India. We used an interviewer-administered questionnaire to collect information from pharmacists on their demographics, psychotropic medications in dermatological patients, knowledge about psychocutaneous conditions and comfort about dispensing these medications. Results: In our study, 37 (46%) of pharmacists received prescriptions of psychotropic drugs from dermatologists; however, 24 (30%) were not comfortable dispensing them. Sixty (75%) pharmacists felt that only psychiatrists should prescribe psychotropic drugs and 37 (46%) felt that they had a right to refuse to dispense prescribed medication; of these, 15 (19%) had actually refused to give medications to patients. Pharmacists who disagreed with the statement that 'the state of mind is associated with medical conditions', were more likely to discourage psychotropic prescription from dermatologists (29% vs 11%, P = 0.04). Pharmacists with experience of more than five years were significantly more likely to refuse to dispense medications (odds ratio: 5.14, 95% confidence interval: 1.02, 25.83; P = 0.047). Limitations: We did not have a list of all pharmacists in Mumbai; thus, no sampling frame could be applied. Conclusion: Pharmacists do comment on doctors’ prescriptions, discourage certain medications and even refuse to dispense them based on their personal opinions. Since they are the last stop for patients between the doctor and the medication, their inclusion (in addition to dermatologists, psychiatrists and psychologists) in integrated awareness, training and care programs would improve the quality of care of patients with psychocutaneous disorders
RESUMO
The present paper deals with the observations on ethnomedicinal uses of wild plants by the Santal tribal people of villages surrounding the Susunia hill of Bankura district, West Bengal. Data were collected by interviewing Santal medicine men and knowledgeable persons with the help of semi-structured and open-ended questionnaire. The data have been analyzed employing suitable statistical tools like Informant Consensus value for Plant Part (CPP), Consensus Factor (Fic), Fidelity Level (FL%), Preference ranking exercise, Importance value (IVs) and Pearson Correlation Coefficient (PCC). Altogether 25 plants have been recorded which are used by the Santal people in formulation of 40 ethnomedicinal preparations for curing 27 types of diseases. Leaves secured the highest CPP value (0.33). Circulatory system disorder, Nervous System disorder and Birth/Puerperium disorder secured the highest Fic value (1). Abrus precatorius L., Ampelocissus latifolia (Roxb.) Planch., etc. secured the highest FL value(100%). Curcuma longa L. has been identified as most preferred species by preference ranking exercise. The highest score of IVs observed in Borassus flabellifer L., Cajanus cajan (L.) Millsp.,etc. The PCC between IVs and FL was 0.679 showing moderate positive significant association. Bioassay of these ethnomedicinal remedies has to be carried out further for their scientific validation.