The bustling city of Kumasi, the heart of Ghana’s Ashanti region, is witnessing a concerning trend in pharmaceutical sales: a burgeoning demand for emergency contraceptives, infection treatments, and sexual performance enhancers, particularly among its younger population. This surge in demand is evident across major pharmaceutical outlets like Osons Chemist and Gilant Chemist located in the vibrant Kejetia market, Asempa Pharmacy in the commercial hub of Adum PZ, and Tagvee Pharmacy situated near the renowned Manhyia Hospital. These establishments consistently report these specific drug categories as their top-selling items, raising significant concerns about the underlying drivers of this trend.

The readily available access to these medications, coupled with the apparent lack of proper guidance and education regarding their usage, paints a worrisome picture. Emergency contraceptive pills, commonly known as “morning-after pills,” are designed for occasional use following unprotected intercourse or contraceptive failure. Their frequent use, however, can disrupt hormonal balance and lead to other health complications. Similarly, the widespread use of antibiotics for the treatment of sexually transmitted infections (STIs) without proper medical consultation is a serious concern. This practice not only contributes to the development of antibiotic resistance, rendering these crucial medications ineffective against infections in the future, but can also mask underlying health issues that require more comprehensive medical attention. Add to this the rising popularity of sexual performance enhancers, marketed under various names like “Redson,” and the picture becomes even more complex. These products, often touted as quick fixes for enhancing sexual stamina, often lack rigorous scientific backing and can pose significant health risks, especially when misused.

A pharmacist interviewed on Tuesday, September 23, 2025, shed light on the gravity of this situation. While acknowledging that some purchases are driven by legitimate health needs, the pharmacist expressed deep concern over the alarming number of young men and women who acquire these medications without prescriptions or a proper understanding of their potential side effects. This cavalier attitude towards medication underscores a critical gap in sexual health education and responsible drug use awareness among the youth. The ease with which these drugs can be obtained, combined with the pervasive misinformation and social pressures surrounding sexual performance, creates a dangerous cocktail that puts the long-term health of young people at risk.

The anecdotal evidence from pharmacists on the ground further strengthens this concern. A pharmacist at Osons Chemist, interviewed by Otec News, described instances where young men purchased multiple tablets of performance enhancers, mistakenly believing that higher doses would translate to greater efficacy. This dangerous practice, driven by misinformation and a lack of understanding of the drugs’ mechanisms, can lead to a range of adverse effects, including hormonal imbalances, kidney problems, and even more serious health complications. The lack of questioning and the apparent disregard for potential consequences highlight the urgent need for intervention and education. The “more is better” mentality, when applied to medication, can have devastating consequences.

The underlying causes of this trend are multifaceted and require a multi-pronged approach to address. One key factor is the persistent stigma surrounding sexual health, which often prevents young people from seeking professional medical advice. This stigma is compounded by societal pressures and unrealistic expectations regarding sexual performance, driving individuals towards quick fixes and self-medication rather than seeking informed medical guidance. Furthermore, the easy accessibility of these medications over the counter in some pharmacies contributes to their misuse. While access to essential medications is important, it must be balanced with responsible dispensing practices and appropriate counseling by pharmacists.

Addressing this growing concern requires a comprehensive strategy focused on education, awareness, and responsible dispensing practices. Strengthening public health campaigns that promote open conversations about sexual health and responsible drug use is crucial. These campaigns should target young people specifically, providing them with accurate information about the risks associated with misusing these medications and encouraging them to seek professional medical advice when needed. Pharmacists also play a vital role in this effort. They are uniquely positioned to provide counseling and guidance to patients, ensuring that they understand the proper usage and potential side effects of the medications they dispense. Furthermore, regulatory bodies should strengthen oversight of pharmaceutical sales and ensure that pharmacies adhere to ethical dispensing practices, requiring prescriptions for medications where appropriate. A collaborative effort involving healthcare professionals, educators, community leaders, and policymakers is essential to curb this alarming trend and protect the health of future generations.

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