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Rational Use of Drug

Rational Use of Drug. Ali Abad hospital April 12 th , 2005. PLAN. Main Concepts-Definitions Problems of Irrational Use of Drugs Programmation Chart: 3 approaches Change prescribing habits Improve knowledge of doctors and pharmacists Improve drug management. GENERIC MEDICINE.

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Rational Use of Drug

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  1. Rational Use of Drug Ali Abad hospital April 12th, 2005

  2. PLAN • Main Concepts-Definitions • Problems of Irrational Use of Drugs • Programmation Chart: 3 approaches • Change prescribing habits • Improve knowledge of doctors and pharmacists • Improve drug management

  3. GENERIC MEDICINE

  4. Generic Medicine • What is it? ICD: International Common Denomination Same active ingredient, same dosage, same route of administration Same therapeutic effect

  5. Generic Medicine • Why using generics? Less expensive to produce Easier to buy Easier to use

  6. Generic Medicine • How using generics? Packing when the patient submits the presciption to the pharmacist Pre-packing

  7. ESSENTIAL DRUG

  8. Essential Drug • What is it? Medicines which cover the most urgent needs for the population

  9. Essential drug • Why using essential drugs? Good benefit-risk ratio Efficacity proved Safe use

  10. Essential Drug • How using it? Following standardized guidelines

  11. ESSENTIAL DRUG LIST

  12. EDL • Specific for each country, according to its priorities in the health policy. • Limited number and types of drugs available at each level of health services • In Afghanistan, list established by the BPHS; it consists of 237 medicines and items of medical material, available at 4 levels

  13. EDL

  14. STANDARD TREATMENT GUIDELINES

  15. STG A systematically developped collection of statements designed to assist prescribers decisions about appropriate health care for specific clinical circumstances

  16. Definition of RUD The Rational Drug Use requires that patients receive medicines appropriate to their clinical needs, in doses that meet their individual requirements, for an adequate period of time, and at the lowest cost to them and the community. WHO, 1998

  17. Surveys about RUD

  18. Results

  19. PROBLEMS OF IRRATIONAL USE OF DRUGS

  20. CAUSES

  21. From the prescriber • Lack of knowledge about diagnosis, therapeutics • Acquired habits • False beliefs about illness and drugs • Economic motivations

  22. Between patient and prescriber • Patient’s demand: lack of knowledge, family pressure • Quality of communication

  23. Work Environment • Influence of drugs availability • Availability of diagnosis services • Lack of space • Workload • Availability of female staff

  24. HOW IMPROVING RATIONAL USE OF DRUGS?

  25. By changing prescribing habits • Standardization of therapeutic schemes • Audits: prescription control sheet

  26. By improving knowledge of doctors and pharmacists • Specific trainings • Printed educational material: • Therapeutic manuals (guidelines, EDL) • Clinical litterature (Salamati magazine) • Posters (most frequently used drugs dosages, tables of dilution, preparation and storage of antiseptic solutions...)

  27. Improving the dispensation to the patient (1/1) Possibility of packaging by advance Correct labeled packets: • Name of the patient • Name and dosage of the drug • Schedule and duration

  28. Improving the dispensation to the patient (1/2) Explanations and advice to the patient: • How and when to take the treatment • Potential side effects, in which case he must stop • Advise not to take other medication at the same time if not compatible • When he must come back if no improvment

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