Rational Drugss Use in community Pharmacy

Rational Drugss Use in community Pharmacy

• 1.
  RATIONAL USE OFDRUGS Right Patient Right Drug Right Dose Right Route Right Time Right Person Sreenu Thalla Assistant Professor Department of Pharmacology
• 2.
  Definition “ Prescribing rightdrug, in adequate dose for the sufficient duration and appropriate to the clinical needs of the patient at lowest cost ”. • Rational drug use attained more significance nowadays in terms of medical, socio economical and legal aspect. • The concept of rational drug use is old, as evident by the statement made by the Alexandrian physician Herophilus 300 B.C that is “ Medicines are nothing in themselves but are the very hands of god if employed with reason and prudence .”
• 3.
  The Rational Useof Drugs Demands  The appropriate drug to be prescribed.  It is to be taken in the right dose.  It is to be taken at the right intervals and for right length of time.  Administered by the right route of administration.  It should be effective.  It should be of acceptable quality.  It should be safe.  Available when needed.  At a price can afford.
• 4.
  Factors that haveled sudden realization for Rational Drug Use Drug explosion • Increase in the number of drugs available has incredibly complicated the choice of appropriate drug for particular indication. Efforts to prevent the development of resistance • Irrational use of drugs may lead to the premature demise of highly efficacious and life saving new antimicrobial drug due to development of resistance. Growing awareness • Today, the information about drug development, it’s uses and adverse effects travel from one end of the planet to the other end with amazing speed through various media.
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  Increased cost ofthe treatment • Increase in cost of the drug increases economic burden on the public as well as on the government. • This can be reduced by rational drug use. Consumer protection Act. (CPA) • Extension of CPA in medical profession may restrict the irrational use of drugs.
• 6.
  ASPECTS OF IRRATIONALDRUG USE Diagnosis  Inadequate examination of the patient  Incomplete communication between patient and doctor  Lack of documented medical history  Inadequate lab resources Prescribing  Extravagant prescribing  Incorrect prescribing  Multiple prescribing/ers
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  Dispensing  Incorrect interpretationof the prescription  Inaccurate counting, compounding or pouring  Inadequate labeling  Packaging - Poor quality packaging materials Patient adherence  Inadequate verbal instructions  Inadequate follow-up/support of patients  Treatment that do not consider the patient’s beliefs, environment or culture
• 8.
  Irrational Medicine Use Use of too many medicines per patient i.e polypharmacy  Inappropriate use of antimicrobials, often in inadequate dosage for non-bacterial infections  Overuse of injections when oral formulations would be more appropriate  Failure to prescribe in accordance with clinical guidelines  Inappropriate self-medication.