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COMMUNITY PHARMACY

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  • 1. September 11, 2010

2.

  • A community pharmacist is the health professional who focuses on the patients drug therapy.
  • While a physician prescribes drugs and a nurse administers them, the pharmacistis the drug expert .
  • Pharmacists expertise lies in
    • How medications should be used?
    • How to maximize benefits and minimize adverse effects of drug therapy?
    • How prescription drugs interact with other medications.
  • The pharmacists primary role is
    • To ensure that the medications used by a patient are the most effective and are used in the most appropriate manner

September 11, 2010 3.

  • In general:
    • They can recommend an over-the-counter (OTC) product for a cold,
    • Demonstrate the proper use of an asthma inhaler, and
    • Help patients manage their diabetes.
    • Clients can also talk to their pharmacist about
      • How to store and take medication?
      • What foods or activities to avoid, and
      • what to do if a dose is missed.
    • Working with patients, physicians and other health care providers to help patients achieve their health goals by improving the quality of their drug therapy
    • Ensuring safe, secure and effective distribution of medications
    • Taking medication histories and maintaining patient drug profiles
    • Monitoring adverse drug reactions and patients adherence with their drug treatment

September 11, 2010 4.

    • Assessing patients drug therapy for possible interactions with current medications and health conditions
    • Making recommendations to prescribers and other health care professionals for adjustments to patients drug regimens to enhance the quality of care
    • Providing education to patients and caregivers on proper use of medications and medical devices
    • Managing minor illnesses by providing information to patients on self-care and nonprescription medications
    • Providing referrals and advice on health promotion and wellness

September 11, 2010 5.

  • In their current role, pharmacists contribute to the health care system by:

September 11, 2010 6. September 11, 2010 7. September 11, 2010 8.

  • Role of physicians is prescribing and the pharmacists dispensing
    • Developed countries
    • Rural India
  • Reasons
    • Unqualified doctors
    • Qualified doctors prescribe and dispense medicines in their clinics
  • Historically, the General Practitioners and community pharmacist have a common ancestor in the apothecary, an adviser on health and dispenser of medicines.
  • Hence their is necessity to improve the pharmacy practices on professional scales in India
    • India is becoming a fast developing nation in the world.
    • Major exporters to European countries and in USA, in generics

September 11, 2010 9.

  • In India there is major transformation in Research and Development, production, marketing etc.
    • how ever the trend has not penetrated down the line to:
      • The vital link in supply chain
      • The pharmaceutical Trade.
  • In this chain - the ultimate and vital link isCommunity Pharmacy .

September 11, 2010 10.

  • Rural India
    • Illiterate rural masses
    • Non-availability of basic quality medical health care
    • Quackery practice in rural areas
    • Vast number of drug
    • Non availability of qualified pharmacists
    • Mainly focused by Indian pharma companies
    • Weak regulatory control
  • Urban India
  • Educated progressive consumers.
  • Emerging quality medical health care in urban centers
  • Highly competent medical profession
    • Good awareness
    • Large turnout of qualified pharmacists.
    • Focused by Indian/MNC pharma companies.
    • efficient State level Drug agencies in control

September 11, 2010 11.

  • In this context it is crucial that we take bold initiative to :
    • educate the practicing pharmacists,
    • change their mind set and
    • prepare them as Community Pharmacists by introducing refresher courses at State and district Head quarters with a time frame
  • Recently Indian Pharmaceutical Association has taken some intiatives to improve the health care practices

September 11, 2010 12.

  • Everyday, the pharmacist is asked by customers for advice about minor ailments.
    • They may require advice on symptoms
    • May ask for a medicine by brand name;
    • May require general health advice e.g. about dietary supplements, precautions etc.
    • Management of the sale of over-the-counter (OTC) medicine

September 11, 2010 13.

  • There is need to educate and advice the consumers on proper and safe use of medicines, because
    • There is growing OTC segments of products
    • Lay press advertisements
    • Self medication
    • Drug abuse
    • Non-compliance of dosage regimen
    • Mixing of OTC medicines with prescription medicines
    • Changing life style and food habits
    • Prevalence of diseases like asthma, tuberculosis, diabetes etc.,
  • Hence it requires regular refresher courses to prepare the community pharmacists in patient care and counseling.
  • With the advent of IT, a wealth of information is available through web sites and Drug Information Centers which can be used by the community pharmacists

September 11, 2010 14.

  • It is in the interest of pharmacists that they buy the medicines from authorized sources with proper purchase records.
  • Maintain sales memos with patients name and address, batch number of the medicines sold, as a legal requirement and to safeguard themselves in the event of any drug found substandard or unsafe requiring recall etc.

September 11, 2010 15.

  • Pharmaceutical associations, manufacturers can provide brochures to be distributed to patients at the counters on disease like asthma, diabetes, hypertension, epilepsy even common cold and cough, with Dos and Don'ts etc,.

September 11, 2010 16.

  • For Immunization and
  • If space permits, vaccination programs can be organized with the help of manufacturers in the pharmacies.

September 11, 2010 17.

  • Elderly patients tend to get confused or forget to take medicines properly.
  • Complementary packs for keeping each medication separately with dosage marked will help them to take medicines as prescribed.

September 11, 2010 18.

  • In the counseling area pharmacists can
    • Provide BP apparatus,
    • Devices that are available to test blood sugar etc

September 11, 2010 19.

  • All medicines are temperature sensitive and to retain their potency and efficacy proper storage is essential, protected from sunlight and heat.
  • While it is recommended that all Community Pharmacies are air conditioned, there is a proposal to amend D&C Rules to provide air conditioners compulsorily.

September 11, 2010 20.

  • To
    • Drug Information centres
    • reference books
    • web-sites on drug information
  • This is possible by providing Computers and Inter-net connectivity.

September 11, 2010 21.

  • As pharmacists, to understand customer needs, it is necessary to develop
    • listening skills,
    • Questioning skills.
  • To develop a positive mind set for ethical pharmacy practices, evolving all professional, legal and moral obligations to the society.
  • Thes

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