Pre-Pharmacy Society umdprepharm@gmail.com studentorg.umd.edu/prepharm

1. Pre-Pharmacy Societyumdprepharm@gmail.comstudentorg.umd.edu/prepharm 5TH GENERAL BODY MEETING NOVEMBER 8TH, 2010 Get on Our ListServ..Join Our Facebook Group..Visit Our Website..LifeLink Updates

2. Agenda • Welcome! Don’t forget to sign-in • Active Membership Requirements • Community Service Events!!! • On-Campus / Off- Campus • Drug of the Week: Antiemetics • Pharmaceutical Issue: MTM - Medication Therapy Management • “What kind of assistance should be available to help patients avoid dangerous drug misadventures?” • College of Notre Dame of Maryland, School of Pharmacy Admissions

3. Active Membership Requirements • 3 Meetings per semester • 3 Hours of Community Service per semester • Please do not wait until till the end of the semester to fulfill your community service hours • Exceptions will not be made

4. Community Service Events • *Active Membership Requires 3 Hours of Community Service • On-Campus Community Service Events • 1 Hour of Community Service is granted • Off-Campus Community Service Events • 2 Hours of Community Service are granted • Don’t wait until the end of the semester for extra opportunities! • Questions? • Contact Community Service Co-Chairs • Chelsey Song [csong123@umd.edu] – Off Campus Events • Krishna Dalsania [krdalsania@gmail.com] – On Campus Events

5. National Children’s Hospital(Off Campus) National Children's Hospital Mission Statement: As the nation’s children hospital, the mission of Children National Medical Center is to excel in Care, Advocacy, Research and Education. We accomplish this through: - Providing a quality health care experience for our patients and families - Improving health outcomes for children regionally, nationally, internationally -Leading the creation of innovative solutions to pediatric health challenges What we’re going to do: • Making Paper Turkeys and Friendship Bracelets WHEN? THURSDAY NOVEMBER 11th 6-7 pm Limited Spaces!!! (6) All Spaces Filled Contact: Chelsey Song – csong123@umd.edu

6. Ronald McDonald’s House(Off Campus) Ronald McDonald’s House’s Mission Statement: The mission of Ronald McDonald House Charities (RMHC) is to create, find and support programs that directly improve the health and well being of children. Guiding us in our mission are our core values: - Focusing on the critical needs of children - Celebrating the diversity of the programs we offer and the staff, volunteers and donors who make them possible - Staying true to our heritage of 36 years of responsible stewardship - Operating with accountability and transparency What we’re going to do: • Household Chores WHEN? Thursday, NOVEMBER 18th- 6-8 pm Limited Spaces!!! (10) All Spaces Filled Contact: Chelsey Song – csong123@umd.edu

7. Jason’s Deli Fundraiser(On Campus) Date: Monday 11/22/2010 Time: 5-8 PM Location: College Park Shopping Ctr – Route 1 / Knox Road Hours: 1 hour Contact: Krishna Dalsania krdalsania@gmail.com

8. Drug of the Week Drug Class: Antiemetics Source: http://www.ncbi.nlm.nih.gov/bookshelf/br.fcgi?book=antiem&part=A4

9. Uses of Antiemetics • mainly used for nausea and vomiting, as caused by: • Chemotherapy • Radiotherapy • Surgery • Pregnancy • Viral Infections • Concussion • Ulcers • Bulimia • ..and others… • used also for motion sickness (OTC)

10. Antiemetics: Rx and OTC • Most require a prescription because of their effects on the chemoreceptor trigger zone; inhibition of the respiratory center of the brain, near the chemoreceptor trigger zone, can cause a decrease in respiration • OTC antiemetics do not affect the chemoreceptor trigger zone, and are mainly used for motion sickness

11. Examples of Antiemetics • Meclizine (Antivert, Univert, Vertin) • Ondansetron (Zofran) • Promethazine (Phenergan) • Metoclopramide (Reglan) • Trimethobenzamide (Tigan) • Thiethylperazine maleate (Torecan)

12. Pharmaceutical Issue:Medication Therapy Managment What kind of assistance should be available to help patients avoid dangerous drug misadventures? • Source: Medication Therapy Management: A New Opportunity to Optimize Therapeutic Outcomes in Medicare.Smith, S. R., and C. M. Clancy. Patient Safety & Quality Healthcare. 2006.

13. Legislation • Passage of the Medicare Part D benefit. • The law that created the Medicare Part D prescription drug program — the Medicare Modernization Act of 2003 (MMA) — mandated that participating insurers assist beneficiaries through the establishment of medication therapy management (MTM) programs.

14. Positive Outlook • This represents a historic opportunity for millions of older Americans to increase their access to prescription drugs. • Seniors previously without drug coverage may start taking prescription drugs for the first time.

15. Negative Consequences • The anticipated rise in pharmaceutical use also presents significant potential risks for consumers adding new drugs to their treatment regimens. • Some with chronic illnesses may add new drugs to complex and sensitive regimens. Others, due to cognitive decline or various disabilities, may find it difficult to properly take new medications without additional assistance.

16. The Burning Issue • What kind of assistance should be available to help such patients avoid dangerous drug misadventures?

17. Shortcomings of Legislation • The MMA law contains only limited information on how MTMs should be designed. But earlier models of medication management have shown promise.

18. MTM Program Possibilities • In one program, pharmacists educated patients, checked for drug interactions and adverse events, monitored adherence, and communicated with doctors. The model significantly reduced self-reported hospital stays and emergency department visits. • Another program, aimed at adult asthma patients, utilized a certified asthma educator plus regular long-term follow-up care by pharmacists. The proportion of patients with asthma action plans increased, and patients enrolled in the MTM were six times less likely to visit an emergency department or be hospitalized subsequent to program interventions. • A third program offered a pharmaceutical case management program (PCM) to Medicaid patients taking 4 or more medications for chronic illnesses. More than 9 in 10 enrolled patients had at least one medication problem before enrollment. The percentage of PCM recipients using high-risk medications decreased significantly compared with those who were eligible but did not enroll.

19. Discussion • While those examples and others suggest reason for optimism, much remains unknown about how MTM programs will evolve and what impact they will have on patients' health. • Do you believe any of the previously presented MTM plans are viable solutions to the current is presented by Program D legislation? If not, what may be some other potential MTM plans?

20. Pre-Pharmacy Society Proudly Presents…. College of notre dame of maryland School of pharmacy

21. Pre-Pharmacy Societyumdprepharm@gmail.comstudentorg.umd.edu/prepharm THE END! THE END! 5TH GENERAL BODY MEETING NOVEMBER 8TH, 2010 Get on Our ListServ..Join Our Facebook Group..Visit Our Website..LifeLink Updates