PATIENT TO PHARMACIST

1 .Is there a generic version of the prescribed drug?

2. Are there major side effects or special instructions?
3. What if I miss a dose?
4.How should I store my medication?
5.Ask for a medication review.
6. Should I see a doctor?
7. How can I learn more about the medication my doctor prescribed for me?
8.How do I contact my pharmacy?
9.How will I know if my new prescription is safe to take with my current medications?
10.What should I do if I have a bad reaction to my medication?
11.What should I do if my medication looks different from last time and there is no note
telling me that it has changed?
12.What should I do if I miss a dose of my medication?
13.How do I know when my medication is expired?
14.How should I store my medications?
15.Is there an environmentally-friendly way to get rid of unwanted medications?
16.Are cc and ml the same amount?
17What is the metric measurement of a teaspoonful? A tablespoonful
18.Why do I have to take all of my antibiotics if I feel better after a few days?
19.Why don't I need antibiotics when I have a cold?

PHARMACIST TO PATIENT
1. Who will be taking the medication?
2. What medications are you taking?
3. Do you have other health conditions?
4. Do you have any allergy?
5. Did you know there are different interaction about drugs ( that could affect the drug
standards)
6. You could expect some side effects within your drug.
7. Do you taking any type of drugs aside from the prescription?
8. Do you want to have a generic product for your medication?
9. Educate the patient about the drugs
10. Do you have any vises?
11.

Did you Understand everything I say?

SCENE # 1 Buying cheaper medicine.

Patient: Good morning, does this drug available within your drug store?
Pharmacist: Yes.
Patient: Do you have any cheaper medicine that works the same?
Pharmacist: Yes, Sir John, we do have different types of generic drugs, written within
your prescription
Patient: Is tt safe?
Pharmacist: Yes Sir John this drugs works the same written within your prescription.
Patient: Why there are many types of generic drugs?
Pharmacist: It was manufactured by different manufacturer with a good credibility so
you can trust me.
Patient: What if the drug didn’t work for me?
Pharmacist: You could contact me immediately with my contact number.
Patient: Ok
Pharmacist: Sir John, I would like to ask you if I can take some minutes of your time for
patient counselling about the drug?
Patient: No, thanks I’m in a hurry sorry.
Pharmacist: Ok Sir John, can I ask your contact number so that I could inform you what
are the outcomes you might encounter while taking the drugs.
Patient: Ok, here’s my contact number.
Pharmacist: Ok sir John have a nice day.

SCENE # 2 A complete consult with patient, drug, direction, precautions, monitoring can
be completed within a few minutes.

Pharmacist:Hello, Bailey, I’m going to take a few minutes to go over your medication.
Your physician has prescribed Macrodantin 100mg capsules. It is used to treat your
urinary tract infection. Take one capsule by mouth twice daily, about every 12 hours, for
7 days total, with no refills. It may cause some nausea or upset the stomach, so it’s best
taken with food so that it will be better tolerated. There is also a chance that it may turn
the color of your urine to a darker yellow. If you miss a dose, take it as soon as you
remember; but if it’s almost time for your next dose, just skip it. Store this at room
temperature away from direct heat and light. You should notice an improvement in the
urinary symptoms in the next 2-3 days, and the infection should clear up by the 7 days.
If it hasn’t, please contact your physician, or give me a call at the pharmacy.
Now, while this above example does fulfill the legal requirements for counselling, it is
not the only way, nor necessarily the best way since it does not engage the patient. Try
a more interactive way of communicating by taking a “patient-centered” approach to
counselling. You can do this by incorporating prime questions.

Pharmacist: Hi Bailey, I have here your prescription for 14 capsules of MacroBID

100mg. What did your physician tell you this was for?
Patient:She told me it’s to treat my urinary tract infection.
Pharmacist:Yes, it’s an antibiotic to treat these types of infections. How did she tell you
to take it?
Patient: She mentioned I should be taking it twice daily for 7 days.
Pharmacist: Right, take one capsule about every 12 hours. It may cause some nausea
or upset the stomach, so it’s best taken with food so it will be better tolerated. There is
also a chance it may turn the color of your urine to a darker yellow. If you miss a dose,
take it as soon as you remember, but if it’s almost time for your next dose, just skip it.
What else did she tell you to expect from it?
Patient:She said my symptoms should improve over the next few days, and to call her if
they aren’t cleared by 7 days.
Pharmacist:Yes, since there are no refills, if you aren’t better after taking this for 7 days,
please
Patient:In the medicine cabinet in the bathroom.
Pharmacist:That’s actually not the best place since it can get quite humid there. It’s best
to keep this in a hallway or bedroom cabinet instead. That way, it’s in a cool dry place
away from direct heat and light. Do you have any questions at this time? Otherwise, you
can always give me a call if you have any questions or concerns.
Patient:Great, thank you.

Scene# 3 REFILLING
Pharmacist: Hi Nicole, here is another 3-month supply of your Glyburide 5mg tablets.
How is the diabetes medication working to control your sugars?
Patient:My physician was quite happy with the latest blood lab test that I had last week.
He mentioned my blood sugars were within target.
Pharmacist:That’s great! That’s why he’s keeping your dose at 1 tablet twice daily as
before, and has given you 2 additional refills. You used to get the occasional low blood
sugar reaction. Have you still been experiencing them recently?
Patient:Very seldom, now that I eat my meals at regular times. And I carry sugar tablets
with me wherever I go, just in case.
Pharmacist:Good. The weather is getting quite hot now, so just a reminder that
Glyburide can cause sun sensitivity—make sure you cover up or use sunscreen
outdoors. Other than that, have you had any problems or concerns with your Glyburide?
Patient:Well there’s the occasional time I forget to take my pills when I stay out late, but
I just take it later when I get home.
Pharmacist:That’s fine as long as you don’t double-dose—we don’t want your blood
sugars to drop too low. Maybe you can consider taking some tablets out with you if you
are planning on staying out late. Give me a call if you have any questions.

Scene# 4 TAKING ANTIBIOTICS DRUGS

Patient: Good Morning do you have any available antibiotic drug written in the
prescription?
Pharmacist: Yes mam/sir.
Patient: can i buy 5 capsule of levofloxacin 500mg?
Pharmacist: Ok mam/sir
Patient: My physician told me to take levofloxacin for 7 days with 500mg but i think 5
capsule for 5 days is enough.
Pharmacist:Mam/Sir if you dont mind can I ask some time of your for patient counseling
about your drugs
Patient: Why?
Pharmacist:It seems you didn’t understand the purpose of your drug
Patient: Ok then.
Pharmacist: So Mam/sir you were prescribed levofloxacin 500 mg for 7 days
Patient: yes indeed
Pharmacist: May I ask what medical condition was diagnose?
Patient: My physician told me I have a UTI
Pharmacist: Ok, So Sir/mam the drug that was prescribed to you is correct it is used to
treat UTI while taking the drug you might experience nausea,vomiting
diarrhea,headache,constipation,dizziness. While taking the drug you should also refrain
going outside because it interacts with the sunlight, you need to take the drug for 7 days
so that you could avoid the antimicrobial resistance wherein in you might be resistant to
this drug________________________________________
Patient; ok
Patient:
Pharmacist:
Patient:
Pharmacist:
Patient:
Pharmacist:
Patient:
Pharmacist: