Restrictions on Syringe Sales in Pharmacies Heighten Risks of Bloodborne Diseases

Fri 4th Apr, 2025

More than 40% of pharmacies in Oregon require a prescription for the purchase of syringes, despite regulations allowing over-the-counter sales. This restriction poses significant public health risks, particularly in a state grappling with high rates of hepatitis C infection.

A recent study conducted by researchers from Oregon State University, which surveyed over 400 community pharmacies, revealed that 43% would not sell a 10-pack of syringes without a prescription. This finding is particularly concerning as urban areas showed the highest levels of refusal to sell syringes.

The implications of this policy extend beyond mere inconvenience for individuals managing diabetes or pet owners needing syringes for medication. Access to sterile syringes is crucial in preventing the transmission of bloodborne diseases such as hepatitis C and HIV, especially given the connection between injection drug use and these infections.

Adriane Irwin, a professor at the OSU College of Pharmacy, emphasized that the opioid crisis has exacerbated the need for safe access to sterile syringes. She noted that the ongoing opioid epidemic has made syringe access an urgent public health issue, as it plays a critical role in reducing the risks associated with drug use.

The study highlighted that while many may view pharmacy policies as business decisions, they have substantial implications for community health. The Oregon Board of Pharmacy has consistently advocated for increased access to sterile syringes as a measure to combat the opioid crisis and minimize disease transmission.

Interestingly, the study found that rural pharmacies were more likely to sell syringes over the counter compared to their urban counterparts, which contrasts with previous research linking pharmacy access to prescription medications in rural areas.

These findings are part of a growing body of evidence indicating that community pharmacies are often inconsistent sources for syringe access in various regions of the United States. Irwin noted that while some areas have successfully implemented safe injection practices, more research is necessary to understand the dynamics of pharmacy access to syringes and how best to address the health needs of individuals who use drugs.

The researchers, including Victor Abreu and several collaborators from the OSU College of Pharmacy, highlighted the importance of this issue in the broader context of public health and disease prevention. The study serves as a call to action for policymakers and healthcare providers to bridge the gap between evidence-based practices and real-world pharmacy operations.


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