Rational use of medicines for BPH
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The document discusses rational use of drugs and strategies to promote rational use. Rational use means using the right drug, for the right indication, at the right dose and duration, for the right patient. Irrational use can lead to ineffective treatment, adverse drug events, increased resistance, and costs. Common causes of irrational use include lack of information, diagnostic uncertainty, patient demands, and promotional activities. Strategies to promote rational use include educational programs for providers, printed materials, media campaigns, essential drug lists, structured order forms, generic substitution, and regulating promotions. Rational prescribing involves defining the problem, setting objectives, selecting strategies, writing prescriptions, and monitoring treatment.
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Rational use of medicines for BPH
- 1. For BPH 1st Year Dr. Pravin Prasad 2nd Year Resident, MD Clinical Pharmacology Maharajgunj Medical Campus 16th March, 2017 (3rd Chaitra, 2073), Thursday
- 3. Rational Use of Drugs (Medicines)◦Requires that patients receive medications: ◦Appropriate to their clinical needs, ◦In doses that meet their own individual requirements, ◦For an adequate period of time, and ◦At the lowest cost to them and their community. WHO conference of experts Nairobi 1985 So, what would you understand by Irrational use of Medicines?
- 4. Rational Use of Drugs (Medicines) ◦Right Patient ◦Right Drug ◦Right Amount ◦Right Indication ◦Right Time ◦Right Information
- 5. Why Rational Use is Important? ◦Irrational Use has various harms. Ineffective & unsafe treatment Increased morbidity (Adverse Drug Events, prolonged illness) and mortality
- 6. Why Rational Use is Important? ◦Irrational Use has various harms. Increased drug resistance Distress, harm and cost burden to patient and community as a whole
- 7. Why used irrationally?? ◦Lack of information ◦Role models – Teachers or seniors ◦Lack of diagnostic facilities/Uncertainty of diagnosis – medicine for all possible causes ◦Demand from the patient
- 8. Why used irrationally??◦Patient load ◦Promotional activities of pharmaceutical industries ◦Drug promotion and exaggerated claim by companies ◦Defective drug supply system & ineffective drug regulation
- 9. Irrational Use: Few examples ◦Injudicious use of antimicrobials ◦Unnecessary combinations ◦Use of drugs not related to diagnosis ◦Incorrect route, dosing or duration ◦Unnecessary use of expensive medicines ◦Unsafe use of corticosteroids ◦Polypharmacy
- 11. Educational Strategies Training for Providers Undergraduate education Continuing in-service medical education (seminars, workshops) Face-to-face persuasive outreach e.g. academic detailing Clinical supervision or consultation
- 12. Educational Strategies Printed Materials Clinical literature and newsletters Formularies or therapeutics manuals Persuasive print materials
- 13. Educational Strategies Media-Based Approaches Posters Audio tapes, plays Radio, television
- 14. Managerial Strategies Changes in selection, procurement, distribution to ensure availability of essential drugs Essential Drug Lists Morbidity based quantification Kit system
- 15. Managerial Strategies Strategies aimed at prescribers Targeted face-to-face supervision with audit Peer group monitoring Structured order forms Evidence-based standard treatment
- 16. Managerial Strategies Dispensing strategies Course of treatment packaging Labelling Generic substitution
- 17. Economic Strategies Avoid perverse financial incentives Prescribers’ salaries from drug sales Insurance policies that reimburse non- essential drugs or incorrect doses Flat prescription fees
- 18. Regulatory Strategies Drug registration Banning of unsafe drugs Regulating the use of different drugs to different levels of health sector Regulating pharmaceutical promotional activities
- 19. Rational Prescribing Define Patient’s Problem Set Therapeutic Objectives Select Therapeutic Strategies Prescription Writing Giving Information, instructions, warnings Monitoring Treatment
- 20. That will be all for today!! ◦Any Queries? ◦Thank you!
Editor's Notes
- Appropriate indication Appropriate drug considering efficacy, safety, suitability for the patient, and cost appropriate dosage, administration, duration no contraindications correct dispensing, including appropriate information for patients patient adherence to treatment
- Appropriate indication Appropriate drug considering efficacy, safety, suitability for the patient, and cost appropriate dosage, administration, duration no contraindications correct dispensing, including appropriate information for patients patient adherence to treatment
- Ineffective & unsafe treatment over-treatment of mild illness inadequate treatment of serious illness
- Ineffective & unsafe treatment over-treatment of mild illness inadequate treatment of serious illness