OTC

Zienab halem

SCU
OBJECTIVES

Dosage form •
Importance of community pharmacy •
OTC rules •
Dosage form and abbreviations
Cap. Capsule •
Tab. Tablet •
Cr. Cream •
Oint. Ointment •
Susp. Suspension •
Soln. Solution •
Sub.tab sublingual tablet •
Sach. Sachets •
Amp. Ampules •
Vial vial •
 V.O Vaginal ovules •
Ch.tab chewable tablet •
Supp . Suppository •
M.W mouth wash •
Eff. Effervesence •
Pow. Powder •
V.D vaginal douche •
E.D eye drops •
N.D nasal drops •
E.O eye ointment •
Syp. Syrup •
System of different pharmacy . •

Tablets , vial , amp. , syp.

Antibiotics
Supplements
Creams and ointments
Medical cosmetics
Preparations
Eye drops
Vaginal
Eff.
 Mission of the community pharmacy •

improve patient’s understanding of :-

1- disease 2- medication •
3- life style •
4- drug-drug , drug- food , drug-disease interaction •
5- side effects •
6- refer to the suitable specialist •
7- red flags •
 OTC RULES
1- behavioral competency and knowledge •
competency .

Be human … be helpful … be patience

2- keep updating your self . •

Always learning
Practice
Guidelines
 Books •
Community pharmacy
Macleod’s clinical diagnosis
Decision making in medicine
Pharmacotherapy BNF
Pharmacotherapy handbook
Alarm bells in medicine
100 cases in acute medicine
Emtyazology
Pharma guide
*terminology

Library genesis ( gen.lib.rus.ec )

 Drugs.com •
Linksmedicus.com •
Medscape •
lexicomp •

Drug eye
Aqaqeer
Medscape
3- you treat the patient not the •
disease .
 4- you assess •
Don’t diagnose .

More than 44 OTC case .

 5- history taking •

Who is the patient ? ( sex , -

age )
What are “exactly “ the symptoms ? -
Duration of the symptoms ? -
History of medications ? -
Any other symptoms ? -
patient's profession ? -
6- ask for further investigation . •

Clinical biochemistry
7- listen carefully •
8- patient counseling •
Later …
9- economic status•
( consider cost )
10- consider expiry •

Antibiotics ?•
Eye drops ? •
Tablets ? •
Susp . ? •
Syp ? •
Which medications are unsafe after their expiration date? •

Insulin
aspirin
Oral nitoglycerins
Vaccines , biological
( protiens )
Eye drops , injections
 N.B •

Discuss with the patient how to store the drugs •

*in cold , dark place

Antibiotics -
Some of eye drops -
Insulin -
Some of dissolution vials -
 Ampicillin / sulbactam ( unasyn vial , unictam vial ) & amoxicillin / •
flucloxaxillin (flumox vial )
After reconstitution use within 2 hrs if stored at room temp. or within 4
hrs if stored under refrigeration .
SIMILARS AND IDENRICAL DRUGS
Brand and generic
*quality control

*excipients (inactive ingredients) may differ

*digoxin , phenytoin , warfarin , theophylline

, antiarrhythmics

•
 N.B •
let patients know you are •
concerned about them

** privacy