Pharmacy History & Key Concepts (Summary)

Key Terms

  • Formulary: list of prescription medications covered by a health insurance plan; includes brand-name and generic drugs.
  • Apothecary: person who prepared and sold medicines and drugs.
  • Pharmacopoeia (Pharmacopoeia): official reference book listing drugs, chemicals, and medicinal preparations, providing standards for their production, identification, and use.
  • Drug etymology: the word drug comes from the Greek word pharmakon.
  • Early contributors/terms: Shen Nung, Theophrastus, Hippocrates, Galen; Theophrastus researched medicinal herbs; Papyrus Ebers collected Rx; Hippocratic Oath; Galenicals.

Ancient Times

  • Origins of medicine and pharmacy shaped by Greek and Chinese/healing traditions.
  • The word drug derives from pharmakon.
  • Key figures: Shen Nung, Theophrastus, Hippocrates, Galen.
  • Theophrastus studied medicinal herbs; Papyrus Ebers collected ~800 prescriptions; Hippocrates' oath guided patient care; Galenals referenced in historical practice.

Middle Ages & Islamic Golden Age

  • Monks in Europe used herbs and animal components to treat illness.
  • Middle Eastern healers separated the roles of apothecary and physician.
  • 13th century Sicily first to separate pharmacists and physicians in practice.
  • 15th century Nuovo Receptario became the first official pharmacopoeia; European apothecaries followed.
  • Question to consider: why separate physician and pharmacist? (Historical rationale related to safety, specialization and standards.)

Renaissance – The Pharmacist

  • 1617: first organized pharmacists’ association in England.
  • American colonies: John Winthrop established the first apothecary.
  • Pioneers: Elizabeth Gooking Greenleaf and Elizabeth Marshall as notable female pharmacists.
  • John Morgan encouraged physicians to write prescriptions in the mid-18th century.

19th Century Developments

  • Pharmacists practiced in hospitals and advocated for medicine–pharmacy separation.
  • William Procter, Jr. regarded as the father of American pharmacy; helped create the United States Pharmacopeia (USP) in 18201820.
  • First U.S. college of pharmacy: Philadelphia College of Pharmacy (est. 18211821).
  • American Pharmacists Association (APhA) founded in 18521852.
  • Main goal: establish medication standards.

20th Century & Four Stages of Pharmacist Evolution

  • 1900s1900s: Traditional era – form and dispense from natural sources.
  • 1930s1930s: Scientific era – new medications and testing (e.g., antibiotics).
  • 1960s1960s: Clinical era – pharmacists provide medication information, warnings, advice.
  • Pharmaceutical era (20th century–present): patient-centered care.

Pharmacy Technician

  • Origins: first technicians developed as pharmacy assistants in the United States armed forces.
  • 21st century: pharmacists and technicians collaborate to improve safety and outcomes.
  • Programs like Medication Therapy Management (MTM) and medication reconciliation evolve the role of pharmacy technicians.

21st Century Concepts: MTM & Medication Reconciliation

  • Safety becomes a primary goal.
  • Medication Therapy Management (MTM): a set of services to optimize therapeutic outcomes for individual patients; involves pharmacists and other clinicians.
  • Medication Reconciliation: process of reviewing patient medications to avoid omissions, duplicates, dosing errors, and potential interactions.

Make a New Symbol of Medicine (Activity)

  • Task: design a modernized symbol of medicine or a new symbol.
  • Deliverables: sketch the symbol and provide a reasoning/explanation; propose a new name for the symbol.