This document discusses rational drug use and the role of pharmacists in promoting it. It defines rational drug use as using the appropriate drug, dose, and dosage form for the right patient at low cost. Irrational drug use can occur through incorrect diagnosis, prescription, or dispensing. Some common types of irrational prescription and dispensing are identified. Obstacles to rational drug use include financial incentives for over-prescribing and easy drug availability. Measures like education, regulation, and management can help promote rational use. Pharmacists can play a role by selecting essential drugs, maintaining good inventory, and advising patients.
Essential drug concept and rational use of medicinesPravin Prasad
Many medical students are unheard of the Essential Medicine List. This has been mentioned in very small sections in various textbooks that are in use in Nepal. The discussion on this topic is a must among medical and nursing students, as well as anyone related to field of Medicine
For proper use of medication rational drug use (RDU) is raised. Requirements of rational drug use and it's different steps and roles of pharmacists are described here.
Essential drug concept and rational use of medicinesPravin Prasad
Many medical students are unheard of the Essential Medicine List. This has been mentioned in very small sections in various textbooks that are in use in Nepal. The discussion on this topic is a must among medical and nursing students, as well as anyone related to field of Medicine
For proper use of medication rational drug use (RDU) is raised. Requirements of rational drug use and it's different steps and roles of pharmacists are described here.
Introduction to daily activities of clinical pharmacist.
Drug therapy monitoring,
Medication chart review
Clinical Progress
Pharmacist intervention
Detection and management of ADRs
An Essential Drug List, also known as a core drug list or medication list, is a carefully selected inventory of medications that are deemed essential for addressing the most prevalent health conditions within a specific population or country. It serves as a key component of national drug policies and pharmaceutical programs, ensuring the availability, accessibility, and affordability of essential medicines. The list is typically developed based on rigorous criteria, taking into consideration the medications' safety, efficacy, cost-effectiveness, and suitability for primary healthcare settings.
Rational Drug Therapy refers to the systematic and evidence-based approach to prescribing medications, aiming to maximize therapeutic benefits while minimizing the risk of adverse effects. It involves following established therapeutic guidelines and clinical protocols to ensure that medications are prescribed in a manner that is appropriate for the patient's condition, taking into account factors such as age, weight, co-existing conditions, drug interactions, and individual response. Rational drug therapy promotes the use of medications based on sound scientific evidence, emphasizing the principles of efficacy, safety, and cost-effectiveness to optimize patient outcomes and improve overall healthcare quality.
Introduction to daily activities of clinical pharmacist.
Drug therapy monitoring,
Medication chart review
Clinical Progress
Pharmacist intervention
Detection and management of ADRs
An Essential Drug List, also known as a core drug list or medication list, is a carefully selected inventory of medications that are deemed essential for addressing the most prevalent health conditions within a specific population or country. It serves as a key component of national drug policies and pharmaceutical programs, ensuring the availability, accessibility, and affordability of essential medicines. The list is typically developed based on rigorous criteria, taking into consideration the medications' safety, efficacy, cost-effectiveness, and suitability for primary healthcare settings.
Rational Drug Therapy refers to the systematic and evidence-based approach to prescribing medications, aiming to maximize therapeutic benefits while minimizing the risk of adverse effects. It involves following established therapeutic guidelines and clinical protocols to ensure that medications are prescribed in a manner that is appropriate for the patient's condition, taking into account factors such as age, weight, co-existing conditions, drug interactions, and individual response. Rational drug therapy promotes the use of medications based on sound scientific evidence, emphasizing the principles of efficacy, safety, and cost-effectiveness to optimize patient outcomes and improve overall healthcare quality.
REVIEWING THE CLINICIANS PRESCRIPTION AND TREATMENT PROGRESSION IS THE FUNDAMENTAL RESPONSIBILITY OF PHARMACIST. THIS PRESENTATION WILL DEAL WITH VARIOUS ASPECTS OF REVIEWING PATIENT DRUGTHERAPY PLAN
Irrational drug use leads to
Ineffective and unsafe drug treatment
Worsening or prolonging of illness
Adverse drug reactions.
RDU defined as the use of an appropriate, efficacious, safe and cost effective drug given for the right indication in the right dose and formulation, at right intervals and for the right duration of time.
Cell signaling is part of any communication process that governs basic activities of cells and coordinates all cell actions. The ability of cells to perceive and correctly respond to their microenvironment is the basis of development, tissue repair, and immunity, as well as normal tissue homeostasis
Both Alzheimer’s disease and Parkinson’s disease are diseases of the brain. Both may cause forgetfulness. However, the similarities end there. In fact, researchers believe that even the memory disorder that results from Parkinson’s is distinct from the memory disorder that Alzheimer’s causes.
One main difference between the diseases is how they affect the body:
Alzheimer’s disease primarily affects memory. In advanced stages, the disease also impairs motor functions.
Parkinson’s disease primarily affects movement and coordination. In advanced stages, it may impair memory and other cognitive functions.
Rotavirus is a contagious virus that can cause gastroenteritis (inflammation of the stomach and intestines). Symptoms include severe watery diarrhea, often with vomiting, fever, and abdominal pain. Infants and young children are most likely to get rotavirus disease.
Glaucoma is an eye disease that is often associated with elevated intraocular pressure, in which damage to the eye (optic) nerve can lead to loss of vision and even blindness. Glaucoma is the leading cause of irreversible blindness in the world.
Human immunodeficiency virus infection and acquired immune deficiency syndrome (HIV/AIDS) is a spectrum of conditions caused by infection with the human immunodeficiency virus (HIV).
Endocarditis usually occurs when germs from elsewhere in the body travel through the blood and attach to damaged areas of the heart. People with damaged or artificial heart valves or other heart conditions are most at risk.
micro teaching on communication m.sc nursing.pdfAnurag Sharma
Microteaching is a unique model of practice teaching. It is a viable instrument for the. desired change in the teaching behavior or the behavior potential which, in specified types of real. classroom situations, tends to facilitate the achievement of specified types of objectives.
TEST BANK for Operations Management, 14th Edition by William J. Stevenson, Ve...kevinkariuki227
TEST BANK for Operations Management, 14th Edition by William J. Stevenson, Verified Chapters 1 - 19, Complete Newest Version.pdf
TEST BANK for Operations Management, 14th Edition by William J. Stevenson, Verified Chapters 1 - 19, Complete Newest Version.pdf
MANAGEMENT OF ATRIOVENTRICULAR CONDUCTION BLOCK.pdfJim Jacob Roy
Cardiac conduction defects can occur due to various causes.
Atrioventricular conduction blocks ( AV blocks ) are classified into 3 types.
This document describes the acute management of AV block.
Explore natural remedies for syphilis treatment in Singapore. Discover alternative therapies, herbal remedies, and lifestyle changes that may complement conventional treatments. Learn about holistic approaches to managing syphilis symptoms and supporting overall health.
Ethanol (CH3CH2OH), or beverage alcohol, is a two-carbon alcohol
that is rapidly distributed in the body and brain. Ethanol alters many
neurochemical systems and has rewarding and addictive properties. It
is the oldest recreational drug and likely contributes to more morbidity,
mortality, and public health costs than all illicit drugs combined. The
5th edition of the Diagnostic and Statistical Manual of Mental Disorders
(DSM-5) integrates alcohol abuse and alcohol dependence into a single
disorder called alcohol use disorder (AUD), with mild, moderate,
and severe subclassifications (American Psychiatric Association, 2013).
In the DSM-5, all types of substance abuse and dependence have been
combined into a single substance use disorder (SUD) on a continuum
from mild to severe. A diagnosis of AUD requires that at least two of
the 11 DSM-5 behaviors be present within a 12-month period (mild
AUD: 2–3 criteria; moderate AUD: 4–5 criteria; severe AUD: 6–11 criteria).
The four main behavioral effects of AUD are impaired control over
drinking, negative social consequences, risky use, and altered physiological
effects (tolerance, withdrawal). This chapter presents an overview
of the prevalence and harmful consequences of AUD in the U.S.,
the systemic nature of the disease, neurocircuitry and stages of AUD,
comorbidities, fetal alcohol spectrum disorders, genetic risk factors, and
pharmacotherapies for AUD.
2. CONTENTS
Definition
Criteria for using medicine
Irrational use of drugs
Types of irrational use
Obstacle in Rational Drug Use
Measures to promote RDU
Drug use indicators
Guidelines
Role of Pharmacist in RDU
3. DEFINITION
Rational drug use can be defined as the usage of appropriate drug with
proven safety & efficacy for the right patient in the appropriate dose
and dosage form at proper intervals of time at low cost.
WHO: The rational use of drugs requires that patient receive
medication appropriate to their clinical needs, in doses that meet their
own individual requirements for an adequate period of time and at
lowest cost to them and their community.
4. CRITERIA FOR USING MEDICINE
Appropriate indications
Appropriate drug
Affordable
Appropriate administration, dosage and duration
Appropriate patient
Appropriate patient information
5. IRRATIONAL USE OF DRUGS
Detonation: It is the irrational use of dosage, regimen and duration of
particular ailment.
Self medication, easy accessibility of drugs, rampant usage medicines
by the prescribers are some of the reasons for the irrational usage of
drugs.
There are three types of irrational use. They are:
7. DIAGNOSIS – IRRATIONAL USE
1. Inadequate examination of patient.
2. Incomplete communication between patient and doctor
3. Lack of documented medical history
4. Inadequate laboratory
8. PRESCRIPTION – IRRATIONAL USE
1. Under prescribing
2. Incorrect prescribing
3. Extravagant prescribing
4. Over prescribing
5. Multiple prescribing
9. DISPENSING- IRRATIONAL USE
1. Innocent interpretation of the prescription
2. Retrieval of wrong ingredients
3. Inaccurate counting, compounding, or pouring
4. Unsanitary procedures
10. Cont…
6. Packaging:
o Poor quality packaging material
o Odd package size, which may require repackaging
o Unappealing package
11. The rational drug use can be promoted by practicing the concept of
essential drugs, providing adequate training etc,.
Reasons for irrational usage of drugs
1. In India there are many sources for providing unbiased information
and many of the prescribers rely heavily on medical representatives
who are not properly trained.
2. The drug therapy is effective only when it is diagnosed properly but
in many rural area it is not possible.
12. Some of the drugs which are irrationally used.
ASPIRIN:
Its is the most OTC drug for acute pains.
Its irrational use arises due to its overdose, which may precipitate GI
bleeding and ulceration.
• SEDATIVES AND HYPNOTIC: eg.Diazepam
These are prescribed for insomnia.
They are irrationally used due to usage of these drugs even after
completion of regimen results in drug dependence or addiction
13. OBSTACLES IN RATIONAL Drug USE
The prescriber may obtain some financial benefits in prescribing more drugs.
The chemist may also promote irrational drug use to enhance his sales
Easy availability of even schedule H drugs
No proper training and continues education to the prescriber
There is a wrong notion among common man that every ill has a pill resulting in
medication even in ailments which are self limiting
15. DRUG USE INDICATORS
Prescribing Indicators:
Average number of drugs per prescription.
Percentage of drugs prescribed by generic names.
Percentage of time an antibiotic is prescribed.
Percentage of drug prescribed from an essential drug list or formulary.
16. Cont…
Patient care indicator:
Average consultation time.
Average dispensing time.
Percentage of drugs actually dispensed.
Percentage of drugs adequately labelled.
Patient’s knowledge of correct dosage .
18. GUIDELINES
Most important step in drug therapy is correct diagnosis.
The second step is to assess whether the need of drug is genuine or not.
If therapy is essential then various treatment should be considered.
Next step is the selection of dose which is appropriate for the patient.
19. Patient should be clearly instructed regarding his ailment, how to
consume and when to.
Degree of effectiveness of the therapy should be monitored.
If there is no effect by the therapy then it must be diagnosis, etc and
other associated accept should be reconsidered.
20. ROLE OF PHARMACIST IN RDU
Legally pharmacist is not authorised to prescribe, but can play a major
role in promoting rational drug use.
As the pharmacist involves in the selection and procurement of drugs,
so selected drug should be accordance with the essential drug concept
and cost effectively.
Pharmacist should indulge in good inventory control which help in
regular monitoring of stocks.