Evidence map›Paper›PMID 34194259›Full record

ArticleSaudi pharmaceutical journal : SPJ : the official publication of the Saudi Pharmaceutical Society2021

Awareness of isotretinoin use and Saudi FDA pregnancy prevention program in Riyadh, Saudi Arabia: A cross-sectional study among female patients.

Alnada Abdalla Mohamed Ibrahim, Amal Almotiry Alshatri, Salem Alsuwaidan, Lulu Almutairi, Nasser Aljasser, Mansour Adam Mahmoud, Afnan Alaseeri, Abrar Almonysir, Badraa Alotaibi, Batoul Alrasheed and 1 more

Open access · hybridAbstract read
In one paragraph

Article in Saudi pharmaceutical journal : SPJ : the official publication of the Saudi Pharmaceutical Society, 2021. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 8 papers.

0numbers the graph read from it
0cells of the map it votes in
8citing papers in PubMed
1.9field-weighted citation impact, top 14% of its field
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

8 citing papers in PubMed, 9 citations in OpenAlex.

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4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

11 authors at 4 institutions in 1 country.

Alnada Abdalla Mohamed IbrahimDepartment of Pharmacy Practice, College of Pharmacy, Princess Nourah bint Abdulrahman University, Riyadh, Saudi Arabia.
Amal Almotiry AlshatriDrug Safety and Risk Management Department, Saudi Food and Drug Authority (SFDA), Riyadh, Saudi Arabia.
Salem AlsuwaidanKind Saud Medical City, Research and Innovation Center, Riyadh, Saudi Arabia.
Lulu AlmutairiResearch Center & Consulting Studies, Saudi Food and Drug Authority (SFDA), Riyadh, Saudi Arabia.
Nasser AljasserDrug Safety and Risk Management Department, Saudi Food and Drug Authority (SFDA), Riyadh, Saudi Arabia.
Mansour Adam MahmoudDepartment of Clinical and Hospital Pharmacy, College of Pharmacy, Taibah University, Al-Madinah Al-Munawarah, Saudi Arabia.
Afnan AlaseeriCollege of Pharmacy, Princess Nourah bint Abdulrahman University, Riyadh, Saudi Arabia.
Abrar AlmonysirCollege of Pharmacy, Princess Nourah bint Abdulrahman University, Riyadh, Saudi Arabia.
Badraa AlotaibiCollege of Pharmacy, Princess Nourah bint Abdulrahman University, Riyadh, Saudi Arabia.
Batoul AlrasheedCollege of Pharmacy, Princess Nourah bint Abdulrahman University, Riyadh, Saudi Arabia.
Maram AlfawazCollege of Pharmacy, Princess Nourah bint Abdulrahman University, Riyadh, Saudi Arabia.
Princess Nourah bint Abdulrahman University · SASaudi Arabian Monetary Authority · SAKing Saud Medical City · SATaibah University · SA

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

introductionOral isotretinoin is an effective agent for the treatment of severe cystic acne. Isotretinoin is a teratogen; there is an increased risk of congenital defects in infants exposed to the drug in the uterus. The Saudi Food and Drug Authority (SFDA) has implemented a pregnancy prevention program (PPP) to protect females from those teratogenic effects.

objectivesTo investigate the awareness of women, of reproductive age who were using Isotretinoin or used it previously, about isotretinoin use and the SFDA-approved PPP in Riyadh, Saudi Arabia.

methodsThis cross-sectional study was conducted during the period from June to October 2019. A questionnaire was developed based on the published literature and the PPP recommendations. The study was carried out online among female patients who were on Isotretinoin therapy or have used it previously in Riyadh city. The Statistical Package for Social Sciences (SPSS for Windows, version 24) was used to analyze the study data.

resultsDuring the study period, 483 patients participated in the study. Among them, 97.3% reported that they used the drug based on a doctor's prescription, 94.6% were aware of Isotretinoin's teratogenic effect, and 30.6% confirmed their awareness of the PPP. Amongst the participants, 9.1% (n = 44) used Isotretinoin while being married or planning to get married within a one-month period after using it. Concerning the use of two contraceptive methods according to the PPP guidelines, of the participants, 43.2% reported that they have been informed by their healthcare providers to use two contraceptive methods before starting the medication. Also 43.2% reported that they have been informed to use two contraceptive methods while using the medication, and 50% reported that they have been informed to use two contraceptive methods for one month after stopping the medication. Regardless of the information they had, participants' actual practice, was as follow: 15.9% used two contraceptive methods before starting the medication, 15.9% used two contraceptive methods during the treatment, and 13.6% used two contraceptive methods for one month after stopping the medication.

conclusionsAlthough this study revealed that the vast majority of participants were aware of isotretinoin's teratogenic effect, still a considerable number of them had no idea about the PPP. This issue needs to greatly be addressed to minimize the risk of teratogenicity.

Indexed as

AwarenessIsotretinoinPregnancy prevention programTeratogenicity

Identifiers

PMID34194259
PMCPMC8233528
OpenAlexW3157156064

What OpenQuestion holds

Textmetadata
LicenceCC BY-NC-ND
Read underepoch 390

Registered trials

None linked

Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.