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1 Di Jabatan Farmasi HRPZ II If you have any queries with regards to drugs / health, feel free to contact us at : Drug Information Service (DIS), Pharmacy Department HRPZ II 09-7452000 Ext: 2478 (Office hours) [email protected] Januari-April 2014 MOH/P/KEL/94.14(BUL)

Buletin HRPZ JanApr 2014

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Page 1: Buletin HRPZ JanApr 2014

1

Di Jabatan Farmasi HRPZ II

If you have any queries with regards to drugs / health, feel free to contact us

at :

Drug Information Service (DIS), Pharmacy Department HRPZ II

09-7452000 Ext: 2478 (Office hours)

[email protected]

Januari-April 2014

MOH/P/KEL/94.14(BUL)

Page 2: Buletin HRPZ JanApr 2014

2

ADVISOR

Puan Fatimah Abdullah

Ketua Pegawai Farmasi

CHIEF EDITOR

EDITOR

Content Page

♠ Introduction to each VAS 3-5

♠ Statistic VAS 6

♠ Kajian Kepuasan Pelanggan VAS 7-8

♠ Berita Denggi 9

♠ Senarai Ubat KPK Stok Hospital 10

♠ New Listing Drug in FUKKM 11-12

♠ Activities 13-14

♠ Welcoming our new Family Members 15-16

Puan Sudarwaty Abd Rajab

Pegawai Farmasi U48 Puan Aziani Yacob

Pegawai Farmasi U44

Behind from left: Yong Kai Heng, Muhammad Husni Abd Rahman, Lim Boon Han, Farahanim Kassim,

Nurhanis Maliki, Basyirah Afifah Ab Razak

Front from left: Izzaty Abdullah, Nur Asma Abdullah@Zakaria, Lee Wan Nee, Nur Hidayah Mohd Isa

Page 3: Buletin HRPZ JanApr 2014

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SYSTEM PENDISPENSAN

UBAT BERSEPADU (SPUB) Sistem pembekalan ubat-ubatan untuk kes-kes yang dirujuk oleh Jabatan Farmasi, dimana pesakit akan mendapatkan bekalan ubat-ubatan susulan dari hospital/klinik kesihatan/institusi KKM yang te-lah ditetapkan.

Prosedur ini digunakan bagi semua pesakit yang mendapatkan rawatan dan meneria preskripsi jangka panjang dari hospital/klinik kesihatan/institusi Kementerian Kesihatan Malaysia (KKM) sa-haja.

UBAT MELALUI POS

1 MALAYSIA (UMP1M) Perkhidmatan Ubat Melalui Pos 1Malaysia (UMP 1Ma-laysia) adalah perkhidmatan pembekalan ubat susul-an terus ke lokasi pilihan pesakit melalui Pos Laju dengan caj kiriman yang telah ditetapkan.

UMP 1Malaysia merupakan salah satu daripada perkhidmatan tambah nilai yang disediakan untuk kemudahan pesakit mendapatkan bekalan ubat su-sulan mereka. Perkhidmatan UMP1M adalah satu ker-jasama di antara Kementerian Kesihatan Malaysia dan Pos Malaysia Berhad.

KAD TEMUJANJI Melalui Kad Temujanji preskripsi pesakit akan dikepilkan bersama-sama Kad Temujanji. Ubat per-lu dituntut pada tarikh temujanji. Syarat-syarat menyertai: Pesakit adalah dari klinik-klinik pakar di HRPZII Pesakit telah mendaftarkan diri sebagai pengguna ‘KAD TEMUJANJI’. Pesakit mesti membawa bersama preskripsi asal dan KAD TEMUJANJI pada hari pengambilan ubat Pesakit mesti mengambil bekalan susulan TE-

PAT pada tarikh yang diberikan oleh farmasi Kebaikan: JIMAT MASA kerana anda tidak perlu menunggu lama untuk mengambil bekalan ubat susulan

Page 4: Buletin HRPZ JanApr 2014

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SMS DAN AMBIL Melalui sistem ini pesakit akan membuat panggi-lan SMS ke No 012-9670664 sekurang-kurangnya 2 hari sebelum tarikh TCA ubat (hari bekerja saha-ja). Syarat-syarat Pesakit telah mendaftarkan diri sebagai pengguna ‘Telefon/SMS dan ambil’ Pesakit yang mengambil ubat susulan dan ubat yang diambil (hari bekerja). Maklumat yang diberikan mestilah tepat. Pesakit mesti membawa bersama preskripsi

asal dan Kad Temu Janji pada hari pengambi-lan ubat

TEL & AMBIL Pesakit boleh membuat panggilan ke 012-9670664 sekurang-kurangnya 2 hari sebelum tarikh ubat hendak diambil. Maklumat yang diperlukan adalah nombor pendaftaran, nama penuh, nombor kad pengenalan dan tarikh ubat hendak diambil

DRIVE-THRU

PHARMACY Kaunter Pandu Lalu terletak berhadapan dengan Stor Farmasi dan Jabatan Forensik. Pe-sakit boleh mengambil ubat di Kaunter Pandu Lalu tepat pada tarikh ambil ubat tanpa menunggu nombor giliran di kaunter Farmasi.

Page 5: Buletin HRPZ JanApr 2014

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LOCKER 4U.. Locker4u ialah perkhidmatan pembekalan ubat susulan melalui loker yang boleh didapati di dinding bersebelahan pintu Far-masi Pesakit Luar. Perkhidmatan ini adalah terhad kepada pesakit yang ubatnya jenis tablet/kapsul , bukan ubat psikotropik atau ubat simpanan peti sejuk. Pesakit boleh mengambil ubat tanpa had masa dalam ma-sa 1 minggu. Terdapat 80 buah locker yang boleh digunakan oleh 200 orang pesakit pa-da satu-satu masa.

TUNTUT ESOK.. Pesakit boleh meninggalkan preskripsi ubat masing-masing dan mengambil pa-da keesokan harinya.

Page 6: Buletin HRPZ JanApr 2014

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Page 7: Buletin HRPZ JanApr 2014

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Page 8: Buletin HRPZ JanApr 2014

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Research on VAS (continue)

Page 9: Buletin HRPZ JanApr 2014

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The latest report from the Health Ministry states that as of March 22, both the

number of cases and deaths nationwide for the year have increased by 314%

compared to the same period last year. The number of dengue cases in the lat-

est report totalled 23,633, while the number of deaths was 58.The problem is

not just limited to Malaysia, although we are considered an endemic dengue

hotspot.The World Health Organisation (WHO) estimates there may be 50-100

million dengue infections globally every year, with two-fifths of the world pop-

ulation, or 2.5 billion people, at risk of this mosquito-borne infectious disease

~The Star Online, 13 April 2014

PETALING JAYA: The current surge of dengue cases is the result of a change in

variation of the dengue virus, the Health Ministry said.Deputy Health director-

general Datuk S. Jeyaindran said there was usually an outbreak whenever

there was a change in the dengue virus serotype as fewer people would be im-

mune to the serotype after the change.Moreover, the current serotype, DEN-2,

was more virulent, he said, adding: “That is why we are seeing more deaths.”It

was reported that 10,712 cases and 19 deaths were reported this year up to

Feb 6 compared to 2,836 cases and eight deaths over the same period last year.

~The Star Online, 15 February 20i4

Page 10: Buletin HRPZ JanApr 2014

10

Ubat-ubatan yang tidak tersenarai di dalam FUKKM perlu mendapat kelulusan daripada Ketua

Pengarah Kesihatan ( KPK) terlebih dahulu sebelum pembelian boleh dibuat untuk pesakit. Borang

BPF/103-KPK01 (Pindaan 2) boleh didapati di www.pharmacy.gov.my @ dapatkan borang di Unit DIS

HRPZII.

STOK HOSPITAL

Bil Nama Ubat

Jabatan/Pakar yang memohon

1 Abacavir 20mg/ml Syrup Paed

2 Abacavir 300mg Tab Paed/PC

3 Abciximab 10mg/5ml Inj. Kardiology

4 Artesunate 200mg + Mefloquine 250mg Tab Semua pesakit

5 Betaine HCl 250mg Tab Untuk pesakit Dr Nor Azni (Paed) sahaja

6 Caffeine powder Paed

7 Calcium Chloride 10% Inj. Bius

8 Co-enzyme Q10 30mg Cap Paed

9 Colistin 1MU inj Critical Care/PC

10 Cyclophosphamide 50mg Tab Perubatan

11 Dantrolene Sodium 20mg Inj Untuk semua pesakit

12 Dexamethasone 4mg Tab Oncology/O&G- Dr Anita

13 Fluodrocortisone 0.1mg Tab Paed

14 Green Pit Viper Antivenom Inj. A & E

15 Hemato Polyvalent Antivenom Inj. A & E

16 Hydralazine 10mg Tab Endokrin- Dr Norhayati

17 Ibuprofen 10mg/2ml Inj. Paed

18 Isoprenaline HCl 5mg Inj Bius & Kardiologi

19 King Cobra Antivenom Inj. A & E

20 L-Arginine 5g/10ml Inj. Paed

21 Lopinavir 100mg + Ritonavir 25mg Tab (Kaletra Low Dose)

Paed

22 Medroxyprogesterone Acetate 100mg Tab O&G

23 Melatonin 3mg Cap Paed

24 Methylene Blue 1% Inj. O & G

25 Milrinone 10mg Inj. Bius

26 Misoprostol 200mcg Tab O&G

27 Neuro Polyvalent Antivenom Inj. A & E

28 Nevirapine 10mg/ml Syrup Paed

29 Nicardipine 2mg/2ml Inj. Bius

30 Oseltamivir 12mg/ml Syr. H1N1

31 Oseltamivir 75mg Cap H1N1

32 Papaverine HCl 30mg/ml Inj. KAP

33 Paracetamol 100mg/100ml Inj. Paed Surgery

34 Phenylephrine HCl 1% Inj. Bius

35 Prednisolone 1mg Tab Rheumatology- Dr Asmahan

36 Sodium Benzoate 2g/10ml Inj. Paed

37 Sodium Phenylbutyrate 2g/10ml Inj. Paed

38 Tetracosactrin Acetate 250mg/ml Inj. Endokrine- Dr Norhayati

39 Trimetoprim 300mg Tab Semua

*Ubat KPK: Ubat yang memerlukan kelulusan Ketua Pengarah Kesihatan

Page 11: Buletin HRPZ JanApr 2014

11

Generic

Names

Indications Dosage Form Cate-

gory

Golimumab 50

mg (0.5ml) solu-

tion for injec-

tion in a pre-

filled syringe

i) Rheumatoid arthritis (RA):

In combination with methotrexate (MTX), is indicated for:

The treatment of moderate to severe active rheumatoid

arthritis in adult patients when the response to DMARD

therapy including MTX has been inadequate.

The treatment of active, severe and progressive rheumatoid

arthritis in adult patients not previously treated with

MTX.

ii) Psoriatic arthritis (PsA) :

Golimumab alone or in combination with MTX, is indicated for:

The treatment of active psoriatic arthritis in adult patients when

the response to previous DMARD therapy has been inadequate.

iii) Ankylosing spondylitis (AS):

Golimumab (used alone) is indicated for: The treatment of active

ankylosing spondylitis in adult patients when the response to

conventional therapy has been inadequate.

i) Rheumatoid arthritis 50 mg given as a subcutane-

ous injection once a month, on the same date each

month.

ii) Psoriatic arthritis 50 mg given as a subcutaneous

injection once a month, on the same date each

month.

iii) Ankylosing spondylitis 50 mg given as a subcuta-

neous injection once a month, on the same date each

month.

A*

Buprenorphine

5 mcg/hr trans-

dermal patch

Treatment of non-malignant pain of moderate intensity

when an opioid is necessary for obtaining adequate analge-

sia. Not suitable for the treatment of acute pain. Re-

strictions: For elderly patients or patients with comorbidi-

ties/difficult to swallow

Once weekly transdermal patch/for hospital use only.

Patient aged 18 years and over. Initial dose : 5 mcg/hr

For elderly :

Renal impairment.

No special dose adjustments necessary in patients

with renal impairment

Hepatic impairment

Patients with hepatic insufficiency should be care

full monitored during the treatment with bupren-

orphine patch. Alternate therapy should be con-

sidered. Patch should be used with cautions in

severe hepatic impairment patient

A*

Buprenorphine

10 mcg/hr

transdermal

patch

Treatment of non-malignant pain of moderate intensity when an opi-

oid is necessary for obtaining adequate analgesia. Not suitable for the

treatment of acute pain. Restrictions: For elderly patients or patients

with comorbidities/difficult to swallow

Once weekly transdermal patch/for hospital use only.

Patient aged 18 years and over. Initial dose : 5 mcg/hr

For elderly :

Renal impairment.

No special dose adjustments necessary in patients with

renal impairment

Hepatic impairment

Patients with hepatic insufficiency should be care full

monitored during the treatment with buprenorphine

patch. Alternate therapy should be considered. Patch

should be used with cautions in severe hepatic impair-

ment patient

A*

New listing drugs in

FUKKM (Circular 1/2014)

Page 12: Buletin HRPZ JanApr 2014

12

Generic Names Old Category New Category

Irbesartan 300mg/HCTZ 12.5mg Tablet A* A/KK

Montelukast Sodium 10mg Tablet A* A/KK

Celecoxib 200mg Capsule A* A

Simvastatin 10mg,20mg & 40mg Tablet A/KK B

Reason Generic Names

Total Utility Score (TUS) yang rendah di bawah kum-

pulan HMG-coenzyme A reductase inhibitor (statin)

Lovastatin 20mg Tablet

Linagliptin 5 mg tablet As monotherapy in adult patients with type 2 dia-

betes mellitus (T2DM) to improve glycaemic control

in conjunction with diet and exercise ,or as add-on

to metformin ,sulphonylureas or metformin plus

sulphonylureas.

Adults: 5 mg once daily.

When linagliptin is added

to metformin, the dose of

metformin should be main-

tained and linagliptin ad-

ministered concomitantly.

A*

Fingolimod 0.5 mg

Capsule

Treatment of patients with relapsing forms of mul-

tiple sclerosis to reduce the frequency of clinical

exacerbations and to delay the accumulation of

physical disability

0.5mg orally once daily A*

Rifampicin 150 mg +

Isoniazid 75 mg tablet

For pulmonary tuberculosis in which organisms

are susceptible in continuation phase treatment for

4months

30-37 kg : 2 tabs OD

38-54 kg : 3 tabs OD

55-70 kg : 4 tabs OD

Above 70 kg : 5 tabs OD

B

Gadoxetic acid disodi-

um 0.25 mmol/ml so-

lution for injection

(10ml pre-filled sy-

ringe)

For use in adults for the enhancement of magnetic

resonance imaging (MRI)of focal liver lesions

0.1 ml/kg body weight

(equivalent to 25 μmol per

kg body weight). Not rec-

ommended for patients

younger than 18 years

A*

Page 13: Buletin HRPZ JanApr 2014

13

SAMBUTAN MAULIDUR RASUL & JAMUAN PERPISAHAN PERTUKARAN ANGGOTA

23 Januari 2014

LAWATAN TAPAK KE ACC Tarikh: 5 Feb 2014

LAWATAN KERJA KE HOSPITAL SUNGAI BULOH & HOSPITAL TENGKU AMPUAN

RAHIMAH Tarikh:12-13 Feb 2014

RENUNGAN PAGI JABATAN Tarikh: 20 Feb 2014

GERAI D’PHARM CORNER SEMPENA LARIAN SIHAT

Tarikh: 22 Feb 2014

MESYUARAT BERSAMA PENGURUSAN & CME JABATAN

Tarikh: 1 Mac 2014

LAWATAN KERJA DARIPADA JABATAN FARMASI HUSM

Tarikh: 13 Mac 2014

FESTIVAL FARMASI 2014 Tarikh: 14-15 Mac 2014

Page 14: Buletin HRPZ JanApr 2014

14

BUNGA KEMBOJA PUTIH BERSERI

PUTIHNYA MELUR DI HUJUNG DAHAN

ATAS KERJASAMA DAN BANTUAN YANG DIBERI

PUJIAN DAN TERIMAKASIH KAMI UCAPKAN

ENCIK SAIFUL ADLAN B. ABDUL RAHMAN Pegawai Farmasi U44 Bertukar ke Klinik Kesihatan Tengkera,

Melaka Berkhidmat di HRPZII selama 4 tahun

PUAN HASMAH BT SULAIMAN Penolong Pegawai Farmasi U32 Naik Pangkat U36 ke Hospital Serdang Berkhidmat di HRPZII selama 30 tahun

PUAN ZALILAH BT ABDULLAH Penolong Pegawai Farmasi U38 Naik pangkat U40 ke JKN Wilayah

Persekutuan Kuala Lumpur Berkhidmat di HRPZII selama 25 tahun

Page 15: Buletin HRPZ JanApr 2014

15

Cik Nur Diyana Bt

Che Ismail Jawatan: Pegawai Farmasi U44

Pengalaman bekerja: 2007: PRP di Hospital Raja Perempu-

an Zainab II 2008: Pegawai Farmasi di Hospital

Kuala Krai Mula bertugas di HRPZ: 1/1/2014

Encik Ahmad Hirzan Bin

Abdul Hamid Jawatan: Pegawai Farmasi U48

Pengalaman bekerja: 2005: PRP di BPFK

2006: Pegawai Farmasi di JKN Jo-hor

2013: Pegawai Farmasi di KK Bachok dan KK Selising

Mula bertugas di HRPZ: 30/1/2014

Puan Aziani Bt Yacob

Jawatan: Pegawai Farmasi U44 Pengalaman bekerja:

2008: PRP di Hospital Raja Per-empuan Zainab II

2010: Pegawai Farmasi di KKB Pasir Mas

2012: Pegawai Farmasi di Hospital Gua Musang

Mula bertugas di HRPZ: 1/1/2014

Encik Jabirin Bin Lamusik

Jawatan: Pembantu Pegawai Farmasi U40

Pengalaman bekerja: 1983: Pembancuh ubat C9 di Hospital

Keningau 1985: Pembantu Pegawai Farmasi U29

di Hospital Tambunan 1996: Pembantu Pegawai Farmasi U32

di Hospital Tenom 2007: Pembantu Pegawai Farmasi U36

di JKN Sabah 2009: Pembantu Pegawai Farmasi U38 di Hospital Queen Elizabeth Kota Kina-

balu 2011: Bertukar ke Hospital Keningau

Mula bertugas di HRPZII: 1/1/2014

Encik Assan Bin Wijiarto

Jawatan: Pembantu Pegawai Far-masi U38

Pengalaman bekerja: 1986: Pembantu Pegawai Farmasi U29 di Hospital Queen Elizabeth,

Kota Kinabalu 2003: Pembantu Pegawai Farmasi

U32 di PKD Kudat 2009: Pembantu Pegawai Farmasi

U36 di Hospital Taiping Mula bertugas di HRPZII:

27/1/2014

Cik Zubaidah Bt Yusoff @ Daud

Jawatan: Pembantu Pegawai Far-masi U29

Pengalaman bekerja: 2011: Pembantu Pegawai Farmasi

di Hospital Permai 2012: Pembantu Pegawai Farmasi

di PKD Tanah Merah 2013: Pembantu Pegawai Farmasi

di Hospital Pasir Mas Mula bertugas di HRPZII: 6/4/2014

WELCOMING OUR NEW FAMILY MEMBERS

Page 16: Buletin HRPZ JanApr 2014

16

Encik Nazmi Zabri bin Zakaria Jawatan: Penolong Pegawai

Tadbir N27 (Stor Farmasi) Tempat bertugas terdahulu

Hospital Kemaman, Tereng-ganu

Tempoh Perkhidmatan: 4 tahun Mula bertugas di HRPZII: 1/1/2014

WELCOMING OUR NEW FAMILY MEMBERS

Encik Rafizan bin Ariffin Jawatan: Penolong Pegawai

Tadbir N32 (Stor Farmasi) Tempat bertugas terdahulu:

Hospital Pasir Mas

Unit Pembangunan HRPZ11 Tempoh Perkhidsmatan:

11 tahun Mula bertugas di Stor Farmasi

HRPZII: 25/3/2014

Encik Roslee bin Mat Jawatan: Pembantu Tadbir

N22 (Stor Farmasi) Tempat bertugas terdahulu

Pejabat Kesihatan Daerah Machang

Tempoh Perkhidmatan : 20 tahun

Mula bertugas di HRPZII: 1/1/2014

Puan Rohana binti Yusoff Jawatan: Pembantu Tadbir N22

(Stor Farmasi) Tempat bertugas terdahulu

Bahagian Perkhidmatan Farma-si Pengkalan Chepa

Tempoh Perkhidmatan: 33 tahun Mula bertugas di HRPZII: 1/1/2014

Puan Ayu Noorazami binti Safiai Jawatan: Pembantu Tadbir N22

(Stor Farmasi) Tempat bertugas terdahulu

Jabatan Kesihatan Wilayah Persekutuan Kuala Lumpur Tempoh Perkhidmatan:

2 tahun 9 bulan Mula bertugas di HRPZII:

23/2/2014