Evidence map›Paper›PMID 40273134›Full record

ArticlePloS one2025

A qualitative exploration of counterfeit, substandard, spurious, and adulterated drugs in Pakistan: A perspective of drug law experts.

Farooq Bashir Butt, Hamid Saeed, Zobia Mubarak, Syed Atif Raza, Usman Rashid Malik, Furqan Khurshid Hashmi

Abstract read
In one paragraph

Article in PloS one, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 2 papers.

0numbers the graph read from it
0cells of the map it votes in
2citing papers in PubMed
–field-weighted citation impact
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

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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

2 citing papers in PubMed.

  1. Article
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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

6 authors.

Farooq Bashir ButtPunjab University College of Pharmacy, University of the Punjab, Allama Iqbal Campus, Lahore, Pakistan.
Hamid SaeedPunjab University College of Pharmacy, University of the Punjab, Allama Iqbal Campus, Lahore, Pakistan.
Zobia MubarakPunjab University College of Pharmacy, University of the Punjab, Allama Iqbal Campus, Lahore, Pakistan.ORCID 0009-0003-7639-1167
Syed Atif RazaPunjab University College of Pharmacy, University of the Punjab, Allama Iqbal Campus, Lahore, Pakistan.
Usman Rashid MalikSchool of Pharmacy, Xi'an Jiaotong University, Xi'an, China.
Furqan Khurshid HashmiPunjab University College of Pharmacy, University of the Punjab, Allama Iqbal Campus, Lahore, Pakistan.ORCID 0000-0003-4921-3739

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

objectivesThe issue of quality of medicine is a worldwide phenomenon and counterfeit, substandard, spurious, and adulterated (CSSA) drugs are a substantial threat to public health. This issue is rampant in the context of low-middle-income countries such as Pakistan. The current study involved a phenomenology-based qualitative approach to explore these drugs' perception, knowledge, practice, and issues in combating this menace.

methodsA semi-structured interview guide was developed. Eleven drug law experts were interviewed through a purposive sampling technique. All interviews were audio recorded, transcribed verbatim, and analysed using a framework analysis approach, yielding seven distinct themes.

resultsThe results showed that CSSA drugs are a serious public health threat and drug law experts confirmed its prevalence in the market. They indicated shortcomings in legislation up to the extent of undue amendments, failure to interpret and implement the law by regulators, ineffective law enforcement machinery, the sub-optimum performance of quality control boards, drug testing laboratories, and courts, and the dubious role of rogue middlemen and wholesalers in drug supply chain and corruption were salient issues highlighted.

conclusionThe study revealed that proper drug surveillance, ensuring the presence of a pharmacist, enforcing the law, securing the supply chain, infrastructure for a drug control regime, and training regulators can help tackle this problem.

Indexed as

Counterfeit DrugsDrug ContaminationLegislation, DrugSubstandard DrugsHumansMalePakistanQualitative ResearchQuality ControlCounterfeit DrugsSubstandard Drugs

Identifiers

PMID40273134
PMCPMC12021191

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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.