Misuse of corticosteroids in the Morrocan city of Laayoune

Authors

  • Aziz ELALAMI High School of Technology-Salé, University Mohammed V.
  • Mohamed TALBI High Institute of Nursing Professions and Health Techniques, Ministry of Health and Social protection, Rabat.
  • Ayyoub LABAIHI Faculty of dentistry, Mohammed V University, Madinat Alirfane, Rabat.
  • Fahar Eddine BEN ABDALLAH Faculty of Pharmacie of Marseille, Aix Marseille University, 27 Bd Jean Moulin, Marseille.

DOI:

https://doi.org/10.80481/revuetest38997

Keywords:

Misuse, Corticosteroids, Obesity, Morocco

Abstract

Introduction: Since the 1960s, Morocco has experienced a continuous increase in obesity. Several causes are incriminated including the abuse of corticosteroids especially in women. The study aims to describe the characteristics of this use and to understand its reasons in the city of Laayoune.

Materials and methods: Two different surveys were conducted simultaneously in community pharmacies. These surveys are questionnaires for corticosteroid users and pharmaceutical teams.

Results: 95% of the 60 corticosteroid users recruited were women. The main reason was to gain weight. Users are mostly unmarried, illiterate, obese and aged 19-50. About half of them used a combination of corticosteroids and cyproheptadine products.

Conclusion: Misuse of corticosteroids is widespread among women in the city of Laayoune. This phenomenon contributes to the increase in obesity in Morocco. To address this issue, health authorities should conduct awareness-raising campaigns among the people of the region about the potential risks.

Author Biographies

Aziz ELALAMI, High School of Technology-Salé, University Mohammed V.

Doctor in biology (Biochemistry-microbiology), Research and Cooperation Service.

Mohamed TALBI, High Institute of Nursing Professions and Health Techniques, Ministry of Health and Social protection, Rabat.

Professor of Epidemiology; Department of Pharmacists

Ayyoub LABAIHI, Faculty of dentistry, Mohammed V University, Madinat Alirfane, Rabat.

Hospital pharmacy preparer;master's degree in "biology and materials of the buccal medium"

Fahar Eddine BEN ABDALLAH, Faculty of Pharmacie of Marseille, Aix Marseille University, 27 Bd Jean Moulin, Marseille.

master's student in health engineering "drug design"

References

Alafnan, S.S., Alhussaini, S.A., Alshammarie, A.A., Alshammari, R.S. and Elagib, H.M. (2019) “Misuse of topical corticosteroids in women in Hail region Saudi Arabia”, International Journal of Community Medicine and Public Health, Vol. 6, pp. 1880-1885.

Alan, I.S., Alan, B. (2019) “Side Effects of Glucocorticoids”, In Malangu N, (Ed), Pharmacokinetics and Adverse Effects of Drugs - Mechanisms and Risks Factors, Chap 6, pp. 94-124.

Arraghraghi, N. (2017) “Le mésusage de la cyproheptadine et des corticoïdes au Maroc”, Doctoral thesis, University Mohammed V of Rabat.

Bastian, L. (2015) “La corticothérapie : précautions d’emploi et conseils à l’officine. Étude sur la qualité de vie de patients sous corticothérapie prolongée”, Doctoral thesis, University of lorraine.

Borchers, A.T., Keen, C.L. and Gershwin, M.E. (2003) “Use and Misuse of Corticosteroids”, Comprehensive Therapy, Vol 29, pp. 157–165.

Dey, V.K. (2014) “Misuse of topical corticosteroids: A clinical study of adverse effects. Indian Dermatology”, Indian Dermatology Online Journal, Vol. 5, pp. 436-440.

Esposito, A. (2022) “Force-Feeding and Drug Abuse: The Steep Price of Beauty in Mauritania”, [En ligne], https://hir.harvard.edu/force-feeding-and-drug-abuse-the-steep-price-of-beauty-in-mauritania/

Hengge, U.R., Ruzicka, T., Schwartz, R.A. and Cork, M.J. (2006) “Adverse effects of topical glucocorticosteroids”, Journal of the American Academic Dermatology. Vol. 54, pp. 1-15.

Inakanti, Y., Thimmasarthi V.N.R., Anupama., Kumar S., Nagaraj A., Peddireddy S. and Rayapati A. (2015) “Topical corticosteroids: Abuse and Misuse”, Our Dermatol Online, Vol. 2, pp. 130-134.

Lulebo, A.M., Bavuidibo, C.D., Mafuta1, E.M., Ndelo, J.D., Mputu, L.C.M., Kabundji, D.M. and Mutombo, P.B. (2016) “The misuse of Cyproheptadine: a non-communicable disease risk behaviour in Kinshasa population, Democratic Republic of Congo”, Substance Abuse Treatment, Prevention, and Policy, vol. 11, pp. 1-7.

Onishi, N. (2001) “Corpulence Is Beauty In Niger / Heavy women seen as goddesses”, [En ligne], https://www.sfgate.com/news/article/Corpulence-Is-Beauty-In-Niger-Heavy-women-seen-2950927.php

Rahim, S., Baali, A. (2011) “Étude de l’obésité et quelques facteurs associés chez un groupe de femmes marocaines résidentes de la ville de Smara (sud du Maroc)”, Antropo, Vol. 24, pp. 43-53.

Shakeel, S., Nesar, S., Iffat, W., Rehman, H., Aziz, S., Mumtaz, T., Hadi, H. and Jamshed, S. (2021) “Pharmacists’ Insights and Behaviors in Preventing the Misuse of Topical Corticosteroids in Pakistan: A Mixed-Method Study”, Cosmetics, Vol. 8, pp. 1-14.

Shekar, M. and Barry P., eds. (2020) “Obesity: Health and Economic Consequences of an Impending Global Challenge”, Human Development Perspectives series. Washington, DC: World Bank. doi:10.1596/978-1-4648-1491-4. License: Creative Commons Attribution CC BY 3.0 IGO.

World Health Organization, news room, fact sheets, Obesity and overweight, last updated 9 juin 2021, [En ligne], https://www.who.int/news-room/fact-sheets/detail/obesity-and-overweight (consultation on 23, decembre, 2022)

Zewdu, F.T., Abdulkerim, A., Nigatu, M.D., Akenaw, G.M. and Alemayehu, M.M. (2017) “Topical corticosteroid misuse among females attending a dermatology outpatient department in Ethiopia”, Trichology and Cosmetology Open Journal, Vol. 2, pp. 33-36. doi:10.17140/TCOJ-2-108.

Downloads

Published

03-05-2023

Issue

Section

Articles