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INNOSC Theranostics

                                                  and Pharmacological Sciences




                                        ORIGINAL RESEARCH ARTICLE
                                        Knowledge, perception, and practices of

                                        ecopharmacovigilance among government and
                                        private medical students in Bangladesh



                                                                                        2
                                        Sadia Binte Anwar Sonia 1  , Iftekhar Hossain Chowdhury * , Kamrun Nahar 2  ,
                                        Syeda Kaniz Fatema 2  , Farjana Haque Mitu 3  , Sadia Sultana 2  ,
                                        Md Abdullah Al Mamun 4  , Muhammad Nurul Alam Siddiki 5  , and
                                        Sarmin Sultana 6
                                        1 Department of Pharmacology, Armed Forces Medical College, Dhaka, Bangladesh
                                        2 Department of Pharmacology, Mugda Medical College, Dhaka, Bangladesh
                                        3 Department of Pharmacology, Shahabuddin Medical College, Dhaka, Bangladesh
                                        4 Department of Cardiology, Mugda Medical College Hospital, Dhaka, Bangladesh
                                        5 Department of Ophthalmology, Combined Military Hospital, Dhaka, Bangladesh
                                        6 Department of Pharmacology, Gazi Medical College, Khulna, Bangladesh


            *Corresponding authors:
            Iftekhar Hossain Chowdhury
            (chowdhuryiftekhar60@gmail.com)  Abstract
            Citation: Sonia SBA,
            Chowdhury IH, Nahar K, et al.   Given the rapid growth of the pharmaceutical industry and the increasing use
            Knowledge, perception, and   of medication, ecopharmacovigilance (EPV) has become an effective approach
            practices of ecopharmacovigilance   for managing and reducing the environmental impact of pharmaceuticals. EPV
            among government and private
            medical students in Bangladesh.   addresses and explains the undesired environmental effects of pharmaceutical use.
            INNOSC Theranostics and     This study aimed to evaluate the knowledge, perceptions, and practices related to
            Pharmacological Sciences.   the disposal of unused and expired medications among undergraduate medical
            2025;8(3):59-70.
            doi: 10.36922/itps.7678     students in Bangladesh. A questionnaire-based cross-sectional study was conducted
                                        over a period of 3 months, from August to October 2024, at Armed Forces Medical
            Received: December 16, 2024
                                        College, Mugda Medical College and Hospital, and Shahabuddin Medical College
            1st revised: February 24, 2025  in Dhaka. A  total of 300  3 -  and 4 -year medical students from these medical
                                                                       th
                                                               rd
            2nd revised: March 25, 2025  colleges in Bangladesh completed a self-administered questionnaire. In this study,
                                        knowledge of EPV was found to be only 27%. Overall, medical students’ perceptions
            Accepted: April 1, 2025
                                        of environmental medication contamination and EPV were encouraging. Among
            Published online: April 17, 2025  those interviewed, 54.3% “strongly agreed” that leftover medications could have a
            Copyright: © 2025 Author(s).   negative impact on the environment. Despite knowledge of the environmental risks
            This is an Open-Access article   posed by pharmaceuticals, the common practice of storing medications at home
            distributed under the terms   until they expire and then discarding them persists. This highlights both a lack of
            of the Creative Commons
            AttributionNoncommercial License,   knowledge and the absence of safe disposal procedures. Thus, greater efforts are
            permitting all non-commercial use,   needed to improve medical students’ knowledge of EPV. Respondents also expressed
            distribution, and reproduction in any   a preference for evidence-based and environmentally friendly methods for disposing
            medium, provided the original work
            is properly cited.          of unwanted medications.
            Publisher’s Note: AccScience
            Publishing remains neutral with   Keywords: Ecopharmacovigilance; Medical students; Knowledge; Perception;
            regard to jurisdictional claims in
            published maps and institutional   Environment; Pharmaceuticals
            affiliations.






            Volume 8 Issue 3 (2025)                         59                               doi: 10.36922/itps.7678
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