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The 13th World Conference on Tobacco OR Health

Building capacity for a tobacco-free world

July 12-15, 2006, Washington, DC, USA

Thursday, July 13, 2006 - 12:00 PM

Comprehensibility of Patient Package Insert of Nicotine Replacement Therapy Products in Community Pharmacies in Thailand

Nantawarn Kitikannakorn, Pharm.D and Chanthonrat Sitthiworranan, PhD. Department of Pharmacy Practice, Faculty of Pharmaceutical Sciences, Naresuan University, Muang, Phitsanulok, Thailand

Objective: Nicotine Replacement Therapy (NRT) is the most drug therapy for use in smoking cessation and available in community pharmacies. One of treatment failure is caused by non-adherence of product usage such as incomprehensibility information, complexity of usage, adverse effects and symptoms of nicotine withdrawal. Patient Package Insert (PPI) is one of tools for enhancing comprehensibility of patients in medication uses. Therefore, the aim of this study was to determine the potential benefit of establishing PPI of NRT in community pharmacy to approach patients and advice beyond that oral counseling.

Methods: PPI of NRT was derived from valid sources and verified by health specialists. Patients of smoking cessation clinic in 30 community pharmacies were recruited. They were asked to complete a self-administered questionnaire of smoking cessation diary that detailed their smoking cessation performance in previous and after receiving PPI. All samples were then contacted 2-4 weeks later to determine if their smoking cessation patterns had changed.

Results: A total number of 300 patients in smoking cessation clinics were enrolled in this study. The majority of samples were male with ages of over 30 years old. Patient who had approached their pharmacists for smoking cessation, expressed a high degree of satisfaction with the advice received with PPI. Only some patients never read PPI because they think that it is self-incomprehensible and pharmacists already give enough information about drug use. This intervention study demonstrates that PPI is affordable, effective health education matters for smoking cessation clinics and suit for add-on with oral counseling.