Community pharmacists are the most accessible healthcare professionals. Recently, the increasing trend of tramadol and gabapentinoids prescription has become a global problem, with a high risk of misuse and abuse. This study mainly assessed the knowledge and practice of Lebanese pharmacists regarding the use of gabapentinoids and tramadol, and also identified the predictors of knowledge. A cross-sectional survey was conducted on a sample of 295 Lebanese community pharmacists over a period of 4 months. Data were collected using a questionnaire filled online by the participants. Knowledge scores for tramadol and gabapentinoids together and for each separately were computed and dichotomized into poor and good knowledge. Data were analyzed using SPSS version 22 (SPSS Inc., Chicago, IL, USA). The mean scores of tramadol and gabapentinoids knowledge individually were 18 ± 7 and 18 ± 6, respectively; 52.9% and 52.5% had good knowledge, whereas 47.1% and 47.5% had poor knowledge concerning these drugs, respectively. Moreover, it was observed that having a master's degree increases knowledge about tramadol and gabapentinoids by approximately two times. Regarding pharmacists' practice concerning tramadol and gabapentinoids dispensing, 97.6% and 71.5% of pharmacists, respectively, do not dispense them without prescription. About 43% of pharmacists believe that current governmental regulations are not adequate to control the problem of misuse, with 86.8% citing the need for new laws and better supervision on such drugs to limit their misuse. This study highlighted that pharmacists' knowledge concerning tramadol and gabapentinoids needs to be improved, reflecting the importance of enrolling pharmacists in continuous learning system.

Medical cannabis legalization in Lebanon has been a controversial issue. No research has been done to study the aspects of knowledge and attitudes toward its prescription in Lebanon. The primary objective of this study was to assess the level of knowledge and attitude of Lebanese community pharmacists toward its legalization. The secondary objective focused on identifying the predictors of their corresponding knowledge and attitude. A cross-sectional survey was conducted using a sample of 233 Lebanese community pharmacists. A questionnaire comprising questions about sociodemographic details, knowledge, attitude, and preferences for getting information concerning medicinal cannabis was used for data collection over a period of 3 months. Four knowledge-related scores were computed, and descriptive, bivariate, and multivariate analysis was performed using SPSS version 23 (SPSS Inc., Chicago, IL, USA). About 51% of pharmacists were considered to have a good level of knowledge. More than half of the community pharmacists had good knowledge about its uses, side effects, and interactions. Although only 44.7% supported cannabis legalization in Lebanon, 79.4% agreed that it should be present in prescriptions for certain indications. Moreover, associations were found between knowledge and experience, source of information, residence, and hours spent in pharmacy. Furthermore, attitude toward cannabis prescription is associated with residence, degree perceived, having patients that can benefit, and comfort to explain cannabis efficacy. Effective educational strategies should be implemented in Lebanon in order to improve knowledge regarding cannabis not only among pharmacists but the community as a whole, and thus aid in its proper use for therapeutic purposes rather than recreational uses.