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 1820.
- First U.S. college of pharmacy: Philadelphia College of Pharmacy (est. 1821).
- American Pharmacists Association (APhA) founded in 1852.
- Main goal: establish medication standards.
20th Century & Four Stages of Pharmacist Evolution
- 1900s: Traditional era – form and dispense from natural sources.
- 1930s: Scientific era – new medications and testing (e.g., antibiotics).
- 1960s: 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.