Case Reports

. 2023 Sep 14;11(9):e7795.

doi: 10.1002/ccr3.7795. eCollection 2023 Sep.

Duplication errors due to brand name confusion; It is not always the name-Short case series

N Mamunuwa¹, S Jayamanne², N Wijekoon³, J Coombes⁴, D Perera⁵, T Shanika⁶, F Mohamed^{7

8}, C Lynch⁹, A De Silva¹⁰, A Dawson⁸

Affiliations

¹ Department of Pharmacy, Faculty of Health Sciences The Open University of Sri Lanka Jaffna Sri Lanka.
² Department of Medicine, Faculty of Medicine University of Kelaniya Ragama Sri Lanka.
³ Department of Pharmacology, Faculty of Medical Sciences University of Sri Jayewardenepura Nugegoda Sri Lanka.
⁴ School of Pharmacy University of Queensland Brisbane Australia.
⁵ Department of Pharmacy Austin Health Melbourne Australia.
⁶ Department of Allied Health Science, Faculty of Medical Sciences University of Sri Jayewardenepura Nugegoda Sri Lanka.
⁷ Department of Pharmacy, Faculty of Allied Health Sciences University of Peradeniya Peradeniya Sri Lanka.
⁸ Faculty of Medicine University of Sydney Sydney Australia.
⁹ Collaboration of Australian Sri Lankan Pharmacy Practice Education Research (CASPPER) Brisbane Australia.
¹⁰ Department of Pharmacology, Faculty of Medicine University of Kelaniya Ragama Sri Lanka.

PMID: 37720712
PMCID: PMC10502196
DOI: 10.1002/ccr3.7795

Case Reports

Duplication errors due to brand name confusion; It is not always the name-Short case series

N Mamunuwa et al. Clin Case Rep. 2023.

. 2023 Sep 14;11(9):e7795.

doi: 10.1002/ccr3.7795. eCollection 2023 Sep.

Authors

N Mamunuwa¹, S Jayamanne², N Wijekoon³, J Coombes⁴, D Perera⁵, T Shanika⁶, F Mohamed^{7

8}, C Lynch⁹, A De Silva¹⁰, A Dawson⁸

Affiliations

¹ Department of Pharmacy, Faculty of Health Sciences The Open University of Sri Lanka Jaffna Sri Lanka.
² Department of Medicine, Faculty of Medicine University of Kelaniya Ragama Sri Lanka.
³ Department of Pharmacology, Faculty of Medical Sciences University of Sri Jayewardenepura Nugegoda Sri Lanka.
⁴ School of Pharmacy University of Queensland Brisbane Australia.
⁵ Department of Pharmacy Austin Health Melbourne Australia.
⁶ Department of Allied Health Science, Faculty of Medical Sciences University of Sri Jayewardenepura Nugegoda Sri Lanka.
⁷ Department of Pharmacy, Faculty of Allied Health Sciences University of Peradeniya Peradeniya Sri Lanka.
⁸ Faculty of Medicine University of Sydney Sydney Australia.
⁹ Collaboration of Australian Sri Lankan Pharmacy Practice Education Research (CASPPER) Brisbane Australia.
¹⁰ Department of Pharmacology, Faculty of Medicine University of Kelaniya Ragama Sri Lanka.

PMID: 37720712
PMCID: PMC10502196
DOI: 10.1002/ccr3.7795

Abstract

Confusion of drug names has been identified as a leading cause of medication errors and potential iatrogenic harm. Most of these errors occur because of look-alike or sound-alike drugs. This case series gives examples of duplication errors due to brand confusion, where there are no similarities in the names.

Keywords: brand confusion; duplication errors; medication errors.

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Conflict of interest statement

None declared.

Cited by

The Effects of Trade Names on the Misuse of Some Over-The-Counter Drugs and Assessment of Community Knowledge and Attitudes in Alkarak, Jordan.
Shaqfeh MI, Alsayed AR, Hasoun LZ, Khader HA, Zihlif MA. Shaqfeh MI, et al. Patient Prefer Adherence. 2024 Dec 27;18:2697-2708. doi: 10.2147/PPA.S490277. eCollection 2024. Patient Prefer Adherence. 2024. PMID: 39741872 Free PMC article.

References

1. Rataboli PV, Garg A. Confusing brand names: nightmare of medical profession. J Postgrad Med. 2005;51(1):13‐16. - PubMed
1. Joshi MC, Joshi HS, Tariq K. A prospective study of medication errors arising out of look‐alike and sound‐alike brand names confusion. Int J Risk and Safety in Med. 2007;19:195‐201.
1. Ciociano N, Bagnasco L. Look alike/sound alike drugs: a literature review on causes and solutions. Int J Clin Pharm. 2014;36(2):233‐242. - PubMed
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1. Coggins MD. Evaluating potential diuretic overuse. Today's Geriactric Medicine. 2013;6(6):5. http://www.todaysgeriatricmedicine.com/archive/110113p5.shtml

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Duplication errors due to brand name confusion; It is not always the name-Short case series

Affiliations

Duplication errors due to brand name confusion; It is not always the name-Short case series

Authors

Affiliations

Abstract

Conflict of interest statement

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Abstract

Conflict of interest statement

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