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Title Saudi Pharmaceutical Journal October 2024
Edition October 2024
Call Number
ISBN/ISSN
Author(s)
Subject(s) Substance use disorder
Saudi Arabia
Captagon
Hashish
Classification
Series Title
GMD Jurnal
Language Indonesia
Publisher University of Jeddah
Publishing Year 2024
Publishing Place Arab Saudi
Collation
Abstract/Notes ABSTRACT
Introduction: This review examines substance misuse disorder (SMD) in Saudi Arabia, drawing insights from 43
prior studies. It explores the prevalence and patterns of SMD across diverse demographics.

Methodology: Our analysis integrated data from various studies involving adolescents, university students, psy-
chiatric patients, and the general population as well as postmortem cases. It identifies key risk factors and

challenges in managing SMD, underscoring the importance of comprehensive data collection for evidence-based
policymaking.
Results: SMD in Saudi Arabia were categorized into two groups: common traditionally abused drugs (such as

Captagon, khat, heroin, ethanol, and cannabis) and substances that have emerged in recent years (e.g., meth-
amphetamine “Shabu”, pregabalin, and benzodiazepines). Trends in SMD include early substance initiation and

increased amphetamine and polysubstance use.
Conclusion and recommendations: Drug-related challenges persist in Saudi Arabia; however, because of limited
data from recent epidemiological studies on drug disorders, the full extent is unknown. Saudi Arabia is unique
because it as an Islamic country with strict regulations against drug trafficking and a religious prohibition on
drugs and alcohol, which contributes to distinct trends in substance misuse disorder (SMD). Although some
aspects mirror global patterns, others exhibit regional characteristics specific to the country. Despite data
variability, actionable recommendations have emerged for SMD prevention and treatment. During the COVID-19
pandemic, a high number of reports was evident; however, SMD publications often reiterate old findings and overlook emerging psychoactive substances (EPS), such as ‘Shabu”, pregabalin, and benzodiazepines. Further
studies are needed, including educational initiatives, national surveys, stricter drug regulations, and an early warning system for traditional SMD and EPS.
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