Practices of Pharmacy

Fields of Pharmacy Community Pharmacy Industrial Pharmacy Hospital Pharmacy Clinical Pharmacy Government Service

Community Pharmacy

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

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

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)

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

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

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

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

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

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

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

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