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N. VENKATA RAMA RAO
ASSOCIATE PROFESSOR &HOD
DEPT. OF PHARACY PRACTICE
GOVT.GENERAL HOSPITAL
CHALAPATHI INSTITUTE OF
PHARMACEUTICAL SCIENCES, GUNTUR
CHOICE OF MEDICINE
BY COST
BY TASTE
BY BRAND
BY SAFETY AND EFFICACY
BY COST BENIFITS
Cost-350
Rs-24
The 3 most common are barriers from the pharmacy environment
Pharmacy Environment
Pharmacist Barriers
Pharmacists should keep in mind
Be an active listener
Use clear, unambiguous language appropriate to the knowledge of the patient
Be cognizant of nonverbal cues
Ask for feedback so as to clarify any misunderstandings
Provide feedback, outlining the message
•Active listening are
• multitasking,
•selectively listening to the patient
• having internal monologue or planning one's next point
while the patient is speaking,
• leaping ahead to make a conclusion,
•listening with one's ears only, or being too quick to jump
in.
•Pharmacists need to recognize these obstacles to
nonprescription counseling and take steps to overcome
Patient Barriers
• Overview of medication safety
• Engage in patient safety!
• Keep a current medication list
• Know your medications
• Store and dispose of medications safely
• Report and learn from medication incidents
Why is Medication Safety
Important?
• Medication incidents can happen
• Everyone has a role to play in preventing
harm from medication incidents
Where can medication
ACCEDENTS occur?
• At your doctor’s office when a
medication is prescribed
• At your pharmacy
– When a prescription is filled
– When you select an over the
counter medication
• In your home, when you take or use
the medication
• In the hospital, when medications are
ordered or prepared by the pharmacy
• At your bedside, when medications are
given/taken
You can help improve
medication safety
• Patients are the best source of
information on the medications they are
taking
• Be involved in medication safety - there
are lots of ways to do this!
• Ask questions!
A current medication list
helps:
• you learn about your medications
• you take your medications correctly
• your doctors, nurses and pharmacists
know about your medications
• in an emergency
Get a list of current medications when you move
from one setting of care to another
Know Your Medications
Check name and purpose of medications
when you:
• get a prescription
• fill a prescription
• are given medications
Your community pharmacist can
help you!
How to Read a Prescription Label
Keep a Current Medication
List
List:
• what you are actually taking
• how you are taking it
• why you are taking it
5RIGHTS- RIGHTS DRUG, Right
TIME, RIGHT DOSE, RIGHT ROUTE
RIGHT PATIENT
• patient name
• medication name (generic and/or
brand)
• dose (amount)
• time of day to be taken
• route (by mouth, onto skin, etc.)
Auxiliary Labels
STATINS, ANTI
HISTAMINS
Many of the medicines that people use to treat common
problems like
headaches, fever, stuffy nose, allergies, cough, upset stomach, or
diarrhea are over-the counter medicines.
A medicine or drug…
–changes how your body works, or
–treats or prevents a disease or symptom
Who Has Used an Over-the-Counter
Medicine This Week?
What are some reasons for using an OTC
medicine?
Prescription and Over-the-Counter
Medicines
How are they different?
How are they the same?
Prescription
1. Ordered by a
doctor
2. Bought at a
pharmacy
3. Ordered for and
used by only one
person
Both types of
medicine:
• Directions must be
followed carefully
and correctly
• Children should use
only with permission
of a parent or
guardian
• A pharmacist can
answer questions
Over-the-Counter
1. Can buy without a
doctor’s order
2. Bought off the shelf
in store aisles
3. May be used by more
than one person for
the same symptom or
problem
3 Important Medicine
Rules
• Never share your prescription medicine
with someone else.
• Never use someone else’s prescription
medicine.
• With all medicines, always check the
dose.
– The right dose for you may be different
than for your friend or family member.
How do you decide which medicine is
the right OTC medicine for you?
Read the Drug Facts label
All OTC medicines have a Drug Facts label
Active Ingredients:
The parts of the medicine that make it work.
What does Drug Facts tell us about each active
ingredient ???
• Its name
• How much is in each pill or teaspoon (5 mL)
• What it does (its purpose or job)
• The problems it treats (its uses)
What does this medicine treat?
• When your body has an allergic reaction, you may
have
– Itching - Swelling
– Rash - Fainting
– Hives - Trouble breathing
• If you think you are allergic to a medicine, do not
use it.
• If you think that you or someone else is having an
allergic reaction,
– tell an adult right away.
Allergy Alert
CANNABIES
COCAINE
THE NARCOTIC DRUGS AND PSYCHOTROPIC SUBSTANCES ACT,
1985
DRUG IS DANGEROUS TO PATIENT ?!
P
Phenytoin induced Stevens-Johnson syndrome
(mucocutaneous reaction )
Non-nucleoside Reverse Transcriptase
Inhibitors
Efavirenze tabelet 200
mg induced Nodular
rash
Prednisolone induced oral thrush
Prednisolone induced MOON FACE
WE LEARN FROM FAILURE, NOT
FOR SUCCESS ! !
I HOPE I HAVE JUSTIFIED YOUR
TIME !!!!!!!

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PHARMACIST ROLE IN COMMUNITY PHARMACY , OTC GUIDELINES , PRESCRIPTION PRECAUTIONS , NARCOTICS

  • 1. N. VENKATA RAMA RAO ASSOCIATE PROFESSOR &HOD DEPT. OF PHARACY PRACTICE GOVT.GENERAL HOSPITAL CHALAPATHI INSTITUTE OF PHARMACEUTICAL SCIENCES, GUNTUR
  • 3. BY COST BY TASTE BY BRAND BY SAFETY AND EFFICACY
  • 5.
  • 6.
  • 7.
  • 9. The 3 most common are barriers from the pharmacy environment Pharmacy Environment Pharmacist Barriers
  • 10.
  • 11. Pharmacists should keep in mind Be an active listener Use clear, unambiguous language appropriate to the knowledge of the patient Be cognizant of nonverbal cues Ask for feedback so as to clarify any misunderstandings Provide feedback, outlining the message •Active listening are • multitasking, •selectively listening to the patient • having internal monologue or planning one's next point while the patient is speaking, • leaping ahead to make a conclusion, •listening with one's ears only, or being too quick to jump in. •Pharmacists need to recognize these obstacles to nonprescription counseling and take steps to overcome
  • 13. • Overview of medication safety • Engage in patient safety! • Keep a current medication list • Know your medications • Store and dispose of medications safely • Report and learn from medication incidents
  • 14. Why is Medication Safety Important? • Medication incidents can happen • Everyone has a role to play in preventing harm from medication incidents
  • 15. Where can medication ACCEDENTS occur? • At your doctor’s office when a medication is prescribed • At your pharmacy – When a prescription is filled – When you select an over the counter medication • In your home, when you take or use the medication
  • 16. • In the hospital, when medications are ordered or prepared by the pharmacy • At your bedside, when medications are given/taken
  • 17. You can help improve medication safety • Patients are the best source of information on the medications they are taking • Be involved in medication safety - there are lots of ways to do this! • Ask questions!
  • 18. A current medication list helps: • you learn about your medications • you take your medications correctly • your doctors, nurses and pharmacists know about your medications • in an emergency Get a list of current medications when you move from one setting of care to another
  • 19. Know Your Medications Check name and purpose of medications when you: • get a prescription • fill a prescription • are given medications Your community pharmacist can help you!
  • 20. How to Read a Prescription Label
  • 21. Keep a Current Medication List List: • what you are actually taking • how you are taking it • why you are taking it
  • 22. 5RIGHTS- RIGHTS DRUG, Right TIME, RIGHT DOSE, RIGHT ROUTE RIGHT PATIENT • patient name • medication name (generic and/or brand) • dose (amount) • time of day to be taken • route (by mouth, onto skin, etc.)
  • 24.
  • 26. Many of the medicines that people use to treat common problems like headaches, fever, stuffy nose, allergies, cough, upset stomach, or diarrhea are over-the counter medicines. A medicine or drug… –changes how your body works, or –treats or prevents a disease or symptom
  • 27.
  • 28. Who Has Used an Over-the-Counter Medicine This Week? What are some reasons for using an OTC medicine?
  • 29.
  • 30.
  • 31.
  • 32.
  • 33.
  • 34.
  • 35.
  • 36. Prescription and Over-the-Counter Medicines How are they different? How are they the same?
  • 37. Prescription 1. Ordered by a doctor 2. Bought at a pharmacy 3. Ordered for and used by only one person Both types of medicine: • Directions must be followed carefully and correctly • Children should use only with permission of a parent or guardian • A pharmacist can answer questions Over-the-Counter 1. Can buy without a doctor’s order 2. Bought off the shelf in store aisles 3. May be used by more than one person for the same symptom or problem
  • 38. 3 Important Medicine Rules • Never share your prescription medicine with someone else. • Never use someone else’s prescription medicine. • With all medicines, always check the dose. – The right dose for you may be different than for your friend or family member.
  • 39. How do you decide which medicine is the right OTC medicine for you? Read the Drug Facts label All OTC medicines have a Drug Facts label
  • 40. Active Ingredients: The parts of the medicine that make it work. What does Drug Facts tell us about each active ingredient ??? • Its name • How much is in each pill or teaspoon (5 mL) • What it does (its purpose or job) • The problems it treats (its uses)
  • 41. What does this medicine treat?
  • 42.
  • 43.
  • 44. • When your body has an allergic reaction, you may have – Itching - Swelling – Rash - Fainting – Hives - Trouble breathing • If you think you are allergic to a medicine, do not use it. • If you think that you or someone else is having an allergic reaction, – tell an adult right away. Allergy Alert
  • 45.
  • 46.
  • 47.
  • 49.
  • 50.
  • 51.
  • 52.
  • 53. THE NARCOTIC DRUGS AND PSYCHOTROPIC SUBSTANCES ACT, 1985
  • 54.
  • 55.
  • 56. DRUG IS DANGEROUS TO PATIENT ?! P Phenytoin induced Stevens-Johnson syndrome (mucocutaneous reaction )
  • 57. Non-nucleoside Reverse Transcriptase Inhibitors Efavirenze tabelet 200 mg induced Nodular rash
  • 60.
  • 61. WE LEARN FROM FAILURE, NOT FOR SUCCESS ! ! I HOPE I HAVE JUSTIFIED YOUR TIME !!!!!!!