Publication:

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

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.