Manual For Medicines Good Dispensing Practice-Books Pdf

Manual for Medicines Good Dispensing Practice
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Food Medicine and Healthcare Administration, and Control Authority of Ethiopia. Printed by www masterprintingpressplc com, Table of contents Page. Acknowledgement iii, Acronyms iv, Operational Definitions vi. Background 1, 1 DISPENSING ENVIRONMENT AND STOCK MANAGEMENT 3. 1 1 Dispensing Environment 3, 1 2 Stock management 5.
2 PRINCIPLES AND PROCESSES OF MEDICINES GOOD, DISPENSING PRACTICE 13. 2 1 Principles of Good Dispensing 13, 2 2 Dispensing Process 15. 2 3 The Dispenser 66, 3 MEDICINE INFORMATION 69, 3 1 Importance of Medicine Information 69. 3 2 Sources of Medicine Information 70, 3 3 Dissemination of Medicine Information 71. 4 QUALITY ASSURANCE OF MEDICINES AND, DISPENSING PRACTICE 74.
4 1 Quality Assurance of Medicines 74, 4 2 Techniques for Quality Medicines Dispensing 76. Annex 1 Dispensing aid and Materials 77, Annex 2 Standard Prescription Paper 78. Annex 3 Tips for Managing Adverse Drug Reactions ADRs 80. Annex 4 Adverse Drug Event Reporting Form 84, Annex 5 Filled Prescription Paper Registration Book PRB 86. Annex 6 Daily Medicine Requisition Form from In patient. Pharmacy for Unit Dose System 87, Annex 7 Medicines Dispensing Guide 88. Annex 9 Counseling Points for Selected Dosage Forms 90. Annex 10 Tips for Managing Drug Interactions 97, Annex 11 Medicines with sound alike and look alike spellings.
which are potentially prone for medication error 98. Annex 12 Equipments and Materials for Compounding in Health Facilities 101. References for Further Reading 102, List of Consultative Workshops Participants 104. Acknowledgement, The Food Medicine and Health Care Administration and Control Authority. FMHACA of Ethiopia would like to extend its gratitude to USAID Funded. Project Systems for Improved Access to Pharmaceuticals and Services. SIAPS for technical and financial support associated with the execution of. the consultative workshop and printing of this manual for Medicines good. dispensing practice The Authority would also like to thank all participants of. the workshop for their valuable contribution, ADR Adverse Drug Reaction. ART Anti Retroviral treatment, EML Essential Medicine List. FEFO First Expire First Out, FIFO First in First Out.
FMHACA Food Medicine and Healthcare Administration and Control. FMOH Federal Ministry of Health, LME List of Medicines for Ethiopia. MSH SPS Management Sciences for Health Strengthening Pharmaceutical. NPS Narcotics and Psychotropic Substances, OTC Over The Counter. PRB Prescription Registration Book, USP United States Pharmacopoeia. WHO World Health Organization, Good dispensing of medicines is an important component of rational medicine. therapy in order to maximize the benefits and minimize the risks to end. users However dispensing practices in Ethiopia are may not to the standard. expectations It is therefore of utmost importance to prepare this manual. that would aid individuals involved in dispensing and improve the quality. of pharmaceutical service Furthermore the manual is useful for other health. care professionals and training institutions, This revised edition of the manual is intended to cope up with new Food.
Medicine and Health Care Proclamation no 661 2010 and Regulation no. 189 2011 It is also thought to go with new national standards and directives. updates This edition has also accommodated new topics especially in good. dispensing process and also contains useful annexes that will help in day to. day activities of the medicines dispensers as quick references. The manual contains four main Parts The first one deals briefly about. dispensing environment and medicines stock management The second. describes principles processes of good dispensing practices and about the. dispensers followed by medicines information Finally the fourth part gives. guidance to quality assurances of the dispensing practice and dispensed. medicines Readers are encouraged to read this manual and others references. mentioned in the annex section of this manual for further reading It is hoped. that the manual would enhance the quality of pharmaceutical services so that. improve treatment outcomes of clients, YEHULU DENEKEW ALAMNEH. Director General, Ethiopian Food Medicine and Healthcare Administration and Control Authority. Operational Definitions, Adverse drug reaction A noxious and unintended effect of medicine. that occurs in doses normally used in humans or animals for the diagnosis. prophylaxis or treatment of disease, Dispenser Any person who is licensed or authorized by the appropriate body. to dispense medicines and or medical supplies, Dispensing The act of preparing medicines and or medical supplies and.
distributing to users with adequate information counseling and appropriate. Label Any material which is printed or affixed to a packing material which. provides the necessary information about medicine and includes an insert. Medical Instrument Any instrument or supply that may be used on the inner. or outer part of the body for diagnosis or treatment of a disease in human and. includes various diagnostic laboratory surgery dental medical instruments. and suturing materials syringes and needles, Medicine Any substance or mixture of substances used in the diagnosis. treatment mitigation or prevention of a disease in human and includes. narcotic drugs psychotropic substances and precursor chemicals traditional. medicines complementary or alternative medicine poisons blood and blood. products vaccine radioactive pharmaceuticals cosmetics and sanitary items. and medical instruments, Over the counter medicines Medicines that can be dispensed without. prescription, Packing material means any article that may be used for filling inserting. or wrapping or packing medicine and includes immediate container and other. materials for wrapping the product, Patient client A person presenting to an authorized health care provider to. promote health prevent or treat disease, Prepacking Repackaging of medicines into usable quantities before they are.
requested by of patients users, Prescriber Any medical practitioner who is licensed or authorized by the. appropriate body to write a prescription, Prescription medicines medicines dispensed only with prescription. Prescription Any order for medicine written and signed by a duly licensed. or authorized practitioner issued to a patient in order to collect medicine from. dispensing outlet, Regulatory body Food Medicine and Health Care Administration and. Control Authority of Ethiopia or Regional Food Medicine and Healthcare. Administration and Control body as appropriate, Repacking Packing of any processed or semi processed medicine by a. different manufacturing company in any other way, Shelf life The length of time a medicine product may remain on the shelf in.
the original package and under usual environmental conditions and retain an. acceptable level of its original potency and overall quality. Stock The amount of medicines and or medical supplies available in legal. medicine retail outlets, Stock solution A solution of higher strength of a medicine that requires. dilution before use, Background, Background, Good medicine dispensing practice refers to the delivery of the correct. medicine to the right patient in the required dosage and quantities in the. package that maintains acceptable potency and quality for the specified. period clear medicine information counseling and appropriate follow up. This practice is a key step for effective treatment outcome Though rational. medicine therapy requires the concerted efforts of all health care professionals. the role of pharmacy professional is immense, Traditionally pharmacy professionals primary responsibility has been. stocking distributing and maintaining quality of medicines dispensed. Nowadays this role has emphasized more on advising the prescribers and. other health professionals about medicine therapy counseling patients about. medicines and monitoring medicine use Pharmacy professionals bridge the. gap between the prescriber and the patient and serve as the gate keepers of. medicine supply system, Irrational medicines dispensing practices is common in Ethiopia like any other. developing country The dispensing of prescription only medicines at partial. doses and without prescription poor labeling of the dispensed items lack of. patient counseling incomplete compiling and recording of prescriptions and. charging patients unreasonably high prices for the dispensed medicines are. some of the practices that reflect an irrational dispensing For Examples. According to assessment of the pharmaceutical sector in Ethiopia in 2006. It was observed that on average only 19 95 of medicines dispensed. to patients in health facilities were adequately labeled while the ideal. Medicines Good Dispensing Practice, value is 100, Only 12 18 of the respondents understood how to take their medicines.
as compared with an ideal value of 100, The national average dispensing time was 78 69 seconds excluding the. time needed for payment which is not adequate, In addition to this according antimicrobials use resistance and containment. baseline survey report 2009, Only 40 dispensers use written labels or adherence aids while. dispensing antibacterials, Only one third of drug dispensers have practiced feedback mechanisms. to ensure patients adherence and better outcome to dispensed. antibacterials, Therefore this second edition of good dispensing manual is issued as one.
means of promoting proper use of medicines It is believed to support. health professionals as source of information for good medicines dispensing. practices and medicines management The manual should be supported by. other reference materials such as standard treatment guidelines drug lists and. medicine formularies dispensing SOP etc and by no means it substitutes the. above documents, Generally the purposes of the manual are to. Provide the general steps for good medicines dispensing practices. Describe the principles of good dispensing process that should be practiced. in Ethiopia, Describe the six steps for good dispensing processes to be used while. dispensing of medicines, Encourage professionals to promote ethical practices. Dispensing Environment and Stock Managment, 1 DISPENSING ENVIRONMENT AND STOCK. MANAGEMENT, 1 1 Dispensing Environment, Premises and facilities.
The premises on which a dispensing service is provided would reflect the quality. of service and inspire confidence on patients in the nature of pharmaceutical. service delivered Therefore working conditions are recommended to take. into considerations the safety and health of the public and people working on. the premises, The walls floors windows ceiling and all other parts of the premises. should be as per the requirement set by the regulatory body. Rooms with minimum area specified are required for dispensing. storing and compounding medicines, Toilet with water supply and drainage system is also a requirement. All parts of the premises should be maintained in an orderly and tidy. Pharmaceutical products should be protected from the adverse effect. of light freezing or other temperature extremes and humidity. The dispensing environment should possess, Appropriate temperature. Sufficient lighting, Optimum humidity control, Cold storage facilities. Adequate number and type of shelves, Lockable cabinet for Narcotic medicines Psychotropic substances.
and poisons, Medicines Good Dispensing Practice, Patient care provider waiting area. Dispensing aids etc, Careful consideration is to be given to the overall security of the dispensary. and the stores Special attention must be paid to controlled medicines and. flammables which must be kept separately from other medicines and be. locked properly, Hygiene and Sanitation, The physical surroundings must be maintained as free of dust and dirt as. possible Although the dispensary must be accessible to patients care should. be taken to locate it in a protected place and not beside or open to a road or. other area where dust dirt and pollution are common. Maintaining a clean environment requires a regular routine of cleaning shelves. and a daily cleaning of floors and working surfaces There should be a regular. schedule for checking cleaning and defrosting the refrigerator Spills should. be wiped up immediately especially if the liquid spilled is sticky sweet or. attractive to insects and flies Food and drink must be kept out of the dispensing. area with the refrigerator used strictly for medicines. Dispensing equipment used for measuring liquids or counting tablets or. capsules should be kept clean at all times For example uncoated tablets. normally leave a layer of powder on any surface they touch which can easily. be transferred to other tablets or capsules counted on the same surface This. is called cross contamination and could be dangerous if the contaminating. substance e g aspirin or penicillin is one to which a patient is sensitive. All persons engaged in dispensing should observe high standards of personal. cleanliness and wear protective cloths that should be laundered regularly. Dispensing Environment and Stock Managment, Smoking should be prohibited in any area where medicines are dispensed sold. Manual for Medicines Good Dispensing Practice Second Edition May 2012 Food Medicine and Healthcare Administration and Control Authority FMHACA of Ethiopia Recording the transaction Receive a prescription DISPENSING PROCESS Evaluation amp Interpretation of a prescription Provision of information amp instruction Labeling amp packaging of the medicine Selection amp manipulation of medicin

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