Awareness of black box warnings and high-risk medications among second-year MBBS students: a cross-sectional study

Authors

  • Navneeth Selvan Department of Pharmacology, Indira Medical College and Hospitals, Thiruvallur, Tamil Nadu, India https://orcid.org/0000-0003-3181-1503
  • Kiran Adithya Department of Pharmacology, Indira Medical College and Hospitals, Thiruvallur, Tamil Nadu, India
  • Manju Priya Department of Pharmacology, Indira Medical College and Hospitals, Thiruvallur, Tamil Nadu, India
  • Jacob Varghese Department of Pharmacology, Indira Medical College and Hospitals, Thiruvallur, Tamil Nadu, India

DOI:

https://doi.org/10.18203/2319-2003.ijbcp20260430

Keywords:

Black box warnings, MBBS students, Cross-sectional study

Abstract

Background: Black box warnings (BBWs) are the strongest medication safety alerts issued by regulatory authorities. This study evaluates awareness, knowledge, attitudes, and practices toward BBWs among second-year MBBS students.

Methods: A descriptive cross-sectional online survey was conducted among 150 students using a validated questionnaire. Knowledge was assessed using a 7-item key. Descriptive statistics summarized findings.

Results: Only 28% were aware of BBWs. Mean knowledge score was 2.18±1.4, with 61.3% classified as poor knowledge. Attitude scores were positive (mean 14.6±2.9). Only 17% had ever checked BBWs.

Conclusions: Students demonstrated low BBW awareness but strong willingness to learn, supporting the need for BBW-focused curriculum revision.

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Author Biographies

Navneeth Selvan, Department of Pharmacology, Indira Medical College and Hospitals, Thiruvallur, Tamil Nadu, India

Department of Pharmacology,

Indira Medical College and Hospitals,

Thiruvallur

Kiran Adithya, Department of Pharmacology, Indira Medical College and Hospitals, Thiruvallur, Tamil Nadu, India

Department of Pharmacology

Indira Medical College and Hospitals

Thiruvallur

Manju Priya, Department of Pharmacology, Indira Medical College and Hospitals, Thiruvallur, Tamil Nadu, India

Department of Pharmacology

Indira Medical College and Hospitals

References

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Published

2026-02-23

How to Cite

Selvan, N., Adithya, K., Priya, M., & Varghese, J. (2026). Awareness of black box warnings and high-risk medications among second-year MBBS students: a cross-sectional study. International Journal of Basic & Clinical Pharmacology, 15(2), 300–303. https://doi.org/10.18203/2319-2003.ijbcp20260430

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Section

Original Research Articles