practice of pharmacy
DESCRIPTION
Phar1 USTTRANSCRIPT
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Practices of Pharmacy
Fields of Pharmacy Community Pharmacy Industrial Pharmacy Hospital Pharmacy Clinical Pharmacy Government Service
Community Pharmacy
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Community Pharmacy Independent Drugstore
Vary in size and merchandise Very common and everyone familiar
Pharmaceutical Centers Only items related to health are kept in stocks It keeps a family system, a family health
information center, a professional library and extensive reference files
Community Pharmacy Group Practice
Formal association of three or more pharmacists serving one or more fields of specialties
Geriatrics Mental Health Pharmacy Oncology
Chain Drugstore two or mor branches operate which are
registered in the same name Multiple Pharmacy
Community Pharmacy ActivitiesA.Professional Functions
1.Dispensing2.Compounding3.Storage and handling of drugs4.Providing professional advise5.Selecting product for inventory6.Keeping records
B.Administrative, Supervisory and Managerial Function
C.Entrepreneural Function related to investment of capital and ownership of pharmacies
Industrial Pharmacy
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Industrial Pharmacy Research, Development, Production and
Quality Control Marketing and Administration cGMP - Current Good Manufacturing
Practice
Industrial Pharmacy
History 1900 - Hizon Laboratories 1913 - Manuel Zamora Laboratories
Manufacturer of "Tiki-tiki" 1918 - Philippine American Drug C
Industrial Pharmacy Drug Establishment
Any organization or company involve in the manufacture, importation, repackaging and/or distribution of drugs or medicine
Drug Establishments Drug Manufacturer
Own manufacturing facility
Engaged in operation involved in compounding, finishing, filling, packaging, repackaging altering, ornamenting and labeling
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Drug Establishment Drug Trader
Registered owner of a drug product Procure material and packaging components Provides production monographs, control
quality standards and procedure but, subcontracts the manufacture of such product
May also engage in distribution and/or marketing of its product
Example: Cyanamid Laboratories
Drug Establishment Drug Distributor/Importer
Import raw material, active ingredient, and/or finish product for its own use or for wholesale distribution to other drug establishment or outlets
Example: MDLD
Drug Distributor/ Exporter Exports raw material, active ingredient and/or
finished products to another country
Drug Establishment Drug Distributor/Wholesaler
Procures raw material, active ingredient and/or finished products from local establishments for local distribution on wholesale basis
Example: Zuellig Pharma, Metro Drug Distribution
Small manufacturer Under Filipino Drug Association (FIDA) and
Chamber of Filipino Drug Manufacturer (CFDM) Marginal manufacturing facilities Serve the generic drug requirement Drugmakers, AM Europharma
Leading Philippine Pharmaceutical Companies1.United Laboratories Inc2.GSK Phils, Inc3.Pfizer, Inc4.Wyeth Philippines, Inc5.Sanofi Aventis Phil, Inc
*Based on Philippine Pharmaceutical Industry Factbook, 7th Ed. (2008)
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Registered Pharmaceutical Outlet RA 3720 Food, Drug and Cosmetics Act
June 22, 1963 FDA issues license to drug firms
EO 851 December 2,1982 Abolished FDA and created BFAD
EO 175 May 22, 1987 Amended RA 3720 Food, Drug, Devices and Cosmetics Act
RA 9711 Food and Drug Administration Act August 18, 2009 Abolished BFAD and created FDA
RA 9711- FDA Act of 2009 Creation of separate center per product
category Regulate the manufacture, importation,
exportation, distribution, sale, offer for sale, transfer, promotion, advertisement, sponsorship of, and/or where appropriate, the use and testing of each product category
FDA License to Operate (LTO) applied first in the
corresponding Center After the release of the LTO, the company
can apply for the registration of their product
Registered when it has been approved by FDA
Certificate of Product Registration (CPR) DR/DRP - for drugs FR - for foods HSR - for household hazardous substance DVR - for medical devices
FDA Inspectors
- make sure that pharmacist are present in the designated hours
- do routine inspection of laboratories to make sure that cGMP is followed
- monitor the drug outlets for unregistered product as well as for possible counterfeit drugs
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Dangerous Drugs Board Policy making and strategy formulating
body in the planning and formulation of policies and program on drug prevention and control
Develops and adopts comprehensive, integrated, unified and balanced national drug abuse prevention and control strategy
Office of the President Issues license and DDB prescription form
DDB S1 - retail dealer of exempt dangerous
drugs S2 - Physician, dentist, or veterinarian S3 - retail dealer dangerous and exempt
dangerous drugs S4 - wholesaler dealer/distributor S5I - Importer of Dangerous drugs and
exempt dangerous drug
DDB S5C - Compounder, producer, and
manufacturer or compounder of dangerous drug and exempt dangerous drug
S5E - exporter of exempt dangerous drugs S6 - for research, instruction, or analysis S7 - importer, manufacturer, producer or
compounder of dangerous drugs in any form
DDB Philippine Drug Enforcement Agency
(PDEA) Carry out the provision of RA 9165 Create and serves as the implementing
arm of the Board Responsible for the efficient and effective
law enforcement of all the provisions on any dangerous drugs and/or controlled precursor and essential chemical
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Research Development Research
Concern with formulation of new drug compound into dosage form
Improvement of existing formulation Improvement of production process
Basic Research Directed towards the discovery and search of new
knowledge Applied Research
Application of new knowledge to benefit mankind
Federated Pharmaceutical Industry of the Philippines Composed of members of the Chamber
of Drug Manufacturers, the Philippine Pharmaceutical Manufacturers Association and Drug Association of the Philippines
Concern with solutions of common problems of the industry and undergoes direct dialogue with government agencies
Job Opportunities Company Pharmacist Regulatory Affairs Officer Clinical Trial/ Bioavailability Study Team Production Planning Inventory Control Asst/
Manager QA Manager R & D Head Operations Manager Analyst Line Inspector Medical Representative
Hospital Pharmacy- Department or service in a hospital- Under the direction of
professionalcompetentlegally qualified pharmacist
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Hospital Pharmacy From which all medications are supplied to
the nursing units and other services Where prescriptions are filled for patients
in the hospital Where prescriptions are filled for
ambulatory and out-patient
Duties of a Hospital Pharmacist Professional care regarding drugs and
management of the hospital pharmacy Knowledgeable on
Drugs and their action Pharmacy manufacturing program Control procedure (QC and drug distribution) Research activities both medical and pharm Teaching techniques (training program) Pharmacy administration in a hospital
Activities of a Hospital Pharmacist (Chief)
Prepare the annual budget Initiate drug orders Watch price fluctuation Maintain a system of record Exercise overall supervision of the
Pharmacy dept Prepare schedule of staff duties
Activities of a Hospital Pharmacist (Chief)
Coordinate with the medical and nursing staff
Represent her department in staff meeting Prepare an annual report to the
administration Serve in vital committee
P&T committee Drug Information service Policy Committee of the Administration Staff
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Duties of the Pharmaceutical Staff Dispensing of drugs, chemicals and
pharmaceutical preparation Filling and labeling of all drug containers Maintaining approve stock of antidote and
other emergency drug Dispensing of narcotic and alcohol,
maintaining a perpetual inventory of these product
Furnishing information regarding medication
Duties of the Pharmaceutical Staff Charging patient for drugs and
pharmaceutical supplies Maintain adequate control over
requisitioning and dispensing of ll drugs and pharmaceutical supplies
Implementing the decision of the P&T Committee
Filing of literature Manning the Drug Information Service
Philippine Society of Hospital Pharmacist
Organized in 1962
Promote the interest of Hospital Pharmacist
Monthly seminars to keep the members abreast with the latest development in their field
Clinical Pharmacy Health science discipline
Provide patient care that optimizes medication therapy and promotes health, wellness and disease prevention
Embraces the philosophy of Pharmaceutical Care
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Activities of a Clinical Pharmacist Consulting Selection of drug Drug Information Formulation and preparation Drug use studies and research Pharmacokinetic/ therapeutic drug monitoring Clinical trial Pharmacoeconomy Dispensation and Administration Teaching and Training
Philippine Experience Patient Oriented Make rounds with the physician and other
members of the health team Take charge of taking patients drug
histories, maintaining patient drug profile, keeping close surveillance of ADR, patient counseling
Pharmaceutical Care American Society of Health System
Pharmacist (ASHP) , 1933
Function performed by a pharmacist in ensuing the optimal use of medications to achieve specific outcome that improves a patient's quality of life
Pharmaceutical Care Responsible provision of drug therapy for
the purpose of achieving definite outcome that improve a patients' quality of life
Outcomes Cure disease Eliminate or reduce patient symptomatology Arresting or slowing of a disease process Preventing a disease or symptomatology
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Patient Care
Pharmacologic Non- Pharmacologic
Laboratory and DiagnosticCommunication
Patient Monitoring
Therapeutic planning
Drug Information
Disease
SKILLS and KNOWLEDGE
GOAL Optimize the patients's health related quality of life and achieve positive clinical outcome, within realistic economic expenditure
Government Service Career Opportunities
Commissioned officer in the Army, Navy, Air Force
Civic service employee
Government Services Food and Drugs Administration
Licensing Drug Inspection Registration of new drug
Bureau of Research and Laboratories, DOH Research on medical and public health Production of biological product
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Government Services National Academy of Science and
Technology Medical Research Center
Allergy and Viral disease Philippine Medicinal Plant
Microbiological Research Center Utilization of microbes for production of industrial
product Potent source of antibiotic
Commission on Audit Inspector of pharmaceuticals and equipment
Government Service Bureau of Plant Industry
As analyst As microbiologist
Bureau of Customs As appraiser
National Bureau of Investigation Dangerous Drugs Board PRC
Examiner
Government Service Consultant in Public Health
Environmental sanitation Mental health Occupational health Sex hygiene Maternal and child health Family planning Environmental pollution Poison Self-medication Immunization