Role of Pharmacist

1. Role of Pharmacist in
Education and Prevention.
Presented By Miss Sudipta Roy
Associate Professor Bangalore India

2. • There are four basic approaches to control of AIDS.
• 1. Prevention.
• It includes two components.
• a. Education.
• Education about avoiding indiscriminate sex, use of
condoms is suggested. Use of shared razors and tooth
brushes should be avoided. Intravenus drug users
should be informed that sharing of needles and
syringes is risky. Women suffering from AIDS should
avoid pregnancy. Educational material and guidelines
should be readily made available to the public. All mass
media channels shoul be involved in educating the
people on AIDS, its nature, transmission and
prevention.

3. • Prevention of blood-borne HIV transmission:
People in high risk groups should be urged to
refrain from donating blood, body organs, sperm or
other tissues. All blood samples should be screened
for HIV1 and HIV2 before transmission. Strict
sterilization practices should be preferred.
Infections should be avoided.

4. • Antiretroviral treatment:
• Three kinds of antiretrovirall drugs are available.
They are nucleoside analogs, protease inhibitors
and non-nucleoside reverse transciptase inhibitors
(NNRTIs). Names and dosages of these drugs are
indicated in the Table.

5. Antiretroviral Therapy.
Drug Dose
Zidovudine (AZT)
Diadanosine (ddl)
Zalcitabine (ddc)
Stavudine (d4T)
Lamivudine (3TC)
500-600mg orally daily in 2-3
divided doses
12-300mg orally twice daily
0.375-0.75 mg orally thrice daily
40mg orally twice daily
150mg orally twice daily

6. Drug Dose
Protease inhibitors
Saquinavir
Ritonavir
Indinavir
Nelfinavir
600mg orally thrice daily
600mg orally twice daily/400mg
orally twice daily with other
protease inhibitors
800mg orally thrice daily
750mg orally thrice daily

7. Drug Dose
NNRTIs
Nevirapine
Dalvirdine
200mg orally daily for two weeks
then 200mg orally twice daily
400mg orally thrice daily

8. Preventive Care.
• Specific prophylaxis:
• Primary prophylaxis against P. carinii pneumonia
should be offered to patients with CD4 count below
200cells/microlitre. Prophylaxis against M.
tuberculosis is 300mg isoniazide daily for 9months
to one year. Oesophagal candiasis or recurrent
vaginal candidiasis can be treated by fluconazole or
ketoconazole. Herpes simplex infection and Herpes
zoater can be treated with acyclovir or foscamet.

9. • Primary health care:
• AIDS touches all aspects of primary health care,
including mother and child health, family planning
and education. It is necessary that primary health
care of AIDS should be integrated with
comprehensive primary health plan.

10. • Define the term epidemiology and elaborate on an
epidemic, endemic and pandemic.
• Describe epidemiology of communicable diseases.
• Describe causative agent, clinical presentation and
role of pharmacists in following infections:
• Tetanus
• Leprosy
• STDs
• HIV/AIDS
• Trachoma