Lesson I

1. Pharmaceutical care

2. Evidence based pharmacy

3. Meeting patient’s needs

4. Chronic patient care

5. Self medication

6. QA In pharmacy services

7. Clinical pharmacy

8. Pharmacovigilance

What are the new dimensions of Pharmacy Practice

1. Caregiver

2. Decision maker

3. Communicator

4. Manager

5. Life long learner

6. Teacher

7. Leader

Seven star pharmacist

RA 6675 Generic Dispensing Act

Rules and Regulations to Implement Prescribing Requirements under the Generics Act of 1988

LIST A (ANNEX 1)

Controlled Substances Act Classification

• List of Pharmaceutical Products classified as Prohibited Drugs or Regulated Drugs by the Dangerous Drug Board

LIST B (ANNEX 2)

Controlled Substances Act Classification

• List of Products Requiring Strict precaution in Prescribing, Dispensing, and Use

• Use generic terminology

• Adequate supply and lowest possible cost of generics

• Encourage the use of generics

• Emphasize the scientific basis of generics

• Promote drugs safety

What are the main policies of Generics Act of 1988

A.O. No. 62 s. 1989

Rules and Regulations to Implement Prescribing Requirements under Generics Act of 1988 (RA 6675)

Where does this fall under

Generic prescribing

• Is prescribing of drugs using their generic name(s) or generic terminology

• Prescribing the patient’s /buyer’s choice from among generic equivalent

Generic name or terminology

is the identification of drugs and medicines by their scientifically and internationally recognized active ingredient(s), same dosage form and same strength as the prescribed drug.

Prescription

Is the written order and instruction of a valid registered physician, dentist or veterinarian to use a specific drug product for a specific patient.

Dispensing

Is the act by a validly-registered pharmacist of filling a prescription or doctor’s order on the patient’s chart.

Drug product

is the finished product form that contains the active ingredients, generally but not necessarily in association with inactive ingredients

Dangerous drugs

refer to either prohibited drugs or regulated drugs which require a special prescription form, the use which is monitored by the Dangerous Drugs Board

Prohibited drug

which includes opium and its active components and derivatives, such as heroin and morphine; coca leaf and its derivatives, principally cocaine; alpha and beta eucaine; hallucinogenic drugs, such as mescaline, lysergic acid diethylamide (LSD) and other substances producing similar effects; Indian hemp and its derivates; all preparations made from any of the foregoing; and other drugs, whether natural or synthetic, with the physiological effects of a narcotic drug

Regulated drug

which includes self-inducing sedatives, such as secobarbital, phenobarbital, pentobarbital, barbital, amobarbital and any other drug which contains a salt or a derivative of a salt of barbituric acid; any salt, isomer or salt of an isomer, of amphetamine, such as benzedrine or dexedrine, or any drug which produces a physiological action similar to amphetamine; and hypnotic drugs, such as methaqualone or any other compound producing similar physiological effects

Loose drugs

In dispensing to the buyer, drug products in unit doses or products which are not in their original containers but transferred to small bottles, tin cans, plastic and/or paper envelopes and Name of the patient: the like.

What is this

1. Px name

2. Generic name

3. Brand name

4. Manufacturer

5. Dosage strength

6. Expiry date

7. Instructions

8. Pharmacist name

For loose drugs, The pharmacist shall place legibly on the required drug outlets label the following information:

Partial filling

The following should be filled in what fillingg

True

True or false

• The drugstore which completes the filling of the prescription shall keep the prescription in files.

False

True or false

• Partial filling of prescription for drugs belonging to List A is allowed.

Simple prescription

with only one ingredient, those written for a single component or prefabricated product and not requiring compounding or admixture by the pharmacist.

Compound prescription

with more than one ingredient, those written for more than a single component and requiring compounding.

Dangerous drug prescription

Prescription for controlled substances contains a narcotic substance or other habit-forming drugs.

E-prescriptions

these are prescriptions transmitted to a pharmacy by computer.

Polypharmacy

with ten or more than two ingredients of the same therapeutic uses. Also called the shotgun preparation

Magistral prescription

is a prescription which is prescribed very often by the same doctor, of the same ingredients and compounded by the same pharmacist

Coded prescription

also called the blind prescription and consists of words, symbols, to represent the names of the drugs. This is an unethical practice.

1. OTC/Non-prescription drugs

2. Prescription/Ethical/Legend drugs

2 Broad Legal Classifications of Medications

Dangerous drug board

Provides special prescription form for practitioners authorized to prescribe dangerous drugs (which include both prohibited and regulated drugs) printed in security paper and subsequently numbered.

• Blue - retained by physician

• Yellow - retained by pharmacist

• White - retained by patient

DDB-FORM 1-72 may be issued in three copies:

DDB Form 1-72

Only physicians whi S2 license can issue this

Recite

Answer recite

Praescriptus

The word "prescription" stems from the Latin term

Superscription

which consists of the heading where the symbol Rx (an abbreviation for recipe, the Latin for take thou ) is found. The RX symbol comes before the inscription.

Inscription

is also called the body of the prescription, and provides the names and quantities of the chief ingredients of the prescription. Also in the inscription you find the dose and dosage form, such as tablet, suspension, capsule, syrup.

Subscription

which gives specific directions for the pharmacist on how to compound the medication. These directions to the pharmacist are usually expressed in contracted Latin or may consist of a short sentence such as: "make a solution," "mix and place into 10 capsules," or "dispense 10 tablets." However, that was in the old days. Today... doctors just name the pill!

Signatura

(also called sig, or transcription), gives instructions to the patient on how, how much, when, and how long the drug is to be taken. These instructions are preceded by the symbol “S” or “Sig.” from the Latin, meaning "mark."

None or no refills

Instead of writing 0 in refills, use —

DEA (Drug enforcement agency) Registration number

— was implemented as a way to successfully track controlled substances from the time they are manufactured until the time they are dispensed to the patient.

1. Processing the prescription order

2. Receiving the prescription

3. Reading and checking the Rx

4. Labeling

5. Packaging

6. Recording

7. Filling

What are the prescription procedures

True

True or false

• Out of the three prescription errors, only erroneous can be filed

True

True or false

• Failure to report to the nearest DOH office cases of 3 incorrect prescriptions within 3 months after receipt of such prescriptions.

Generically equivalanet drugs

Are finished pharmaceutical products having the same active ingredients, same strength, and are of same dosage form.

Round vials

used primarily for solid dosage forms as capsules and tablets

Prescription bottles

used for dispensing liquids of low viscosity

Wide mouthed bottles

used for bulk powders, large quantities of tablets or capsules, and viscous liquids that cannot be poured readily from the narrow-necked standard Rx bottles

Dropper bottles

used for dispensing ophthalmic, nasal, otic, or oral liquids to be administered by drops

Applicator bottles

used for applying liquid mediation to a wound or skin surface

Oint jars and collapsible tubes

used to dispense semisolid dosage forms, such as ointments and creams

Sifter rop containers

used for powders to applied by sprinkling

Hinged lids or slide boxes

used for dispensing suppositories and powders prepared in packets

Aerosol containers

used for pharmaceutical aerosol products. They are pressurized systems dispensed by the pharmacist in the original container.