International Journal of Clinical Pharmacy

, Volume 33, Issue 1, pp 61–65 | Cite as

Polypharmacy associated with medical tourism: a critique on drug therapy

  • Khalid A. J. Al KhajaEmail author
  • Reginald P. Sequeira
  • Awatif H. H. Damanhori
Case Report


Medical tourism is the practice of patients seeking health care services from an area outside their home country. In recent years, medical tourism has rapidly grown for the following reasons: (a) inadequate access to health care services at home country; (b) the treatment is not covered by health insurance providers; (c) the service is available at a much lower cost elsewhere; and (d) long waiting period to get access to care as a result of overburden on public health-care system at home country [1]. Complicated urgent surgeries and elective procedures are the most frequently sought procedures by patients as medical tourists [2].

Polypharmacy is the prescription, administration, or use of more medications than are clinically warranted [3]. Polypharmacy has been shown to predispose patients to drug-drug interactions, adverse drug reactions, and poor patient compliance [4].

We present a case of polypharmacy associated with medical tourism in a middle-aged Bahraini who sought...


Metformin Tramadol Rosiglitazone Fenofibrate Pregabalin 
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We are grateful to the patient who has given consent for publication of this report. We acknowledge Mr. Mohd Ghali Rashid (Reference Librarian) for information retrieval, and Ms. Radha Raghavan for assistance in preparing this manuscript.



Conflicts of interests

There is no conflict of interest to declare.


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Copyright information

© Springer Science+Business Media B.V. 2010

Authors and Affiliations

  • Khalid A. J. Al Khaja
    • 1
    Email author
  • Reginald P. Sequeira
    • 1
  • Awatif H. H. Damanhori
    • 2
  1. 1.Department of Pharmacology & TherapeuticsArabian Gulf UniversityManamaKingdom of Bahrain
  2. 2.Primary Care, Ministry of HealthManamaKingdom of Bahrain

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