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Dispensing

prescription analysis extemporaneous


Proper analysis and interpretation of various
prescriptions and medication orders by the Pharmacist compounding
are vital steps in dispensing.
Extemporaneous compounding is an essential role of a
 √ Prescriber information and signature Pharmacist that aims to cater to the special needs of the
 √ Patient information and signature patients.
 √ Date prescription was written
 √ Superscription
 √ Inscription Categories of Compounding:
 √ Subscription • Simple
 √ Signa • Moderate
 √ Special Instructions • Complex

Pharmacists should be keen on checking prescriptions to


avoid prescription errors. The Need for Extemporaneous Compounding:
• Erroneous Prescription • Lack of market
• Violative Prescription • Drug stability issues
• Impossible Prescription • Off label use of the drug
• Higher dose requirements
• Endogenous biologicals
Appropriate medication • Changing route for existing drug
scheduling and dosing are • Region specific requirements
essential in achieving • Rare disorders/ diseases
compliance for the • Orphan drugs
patients. • Unpreserved drugs for hyper sensitive patients

Additional dispensing
Patient compliance instructions should be
can be achieved given to the patient
through proper about storage and
dispensing techniques handling including the
by the Pharmacist. beyond-use-date, to
ensure maximum
therapeutic outcome of
the medication.

Medication Review medication assessment and


The primary goal of Medication Review is to maximize the
therapeutic outcome of the therapy and minimize therapeutic planning
adverse effects.
Medication Assessment greatly improves the patient’s
quality of health by maximizing the course of medication
Types of medication review:
therapy and minimizing medication errors.
• Prescription review
• Compliance and concordance review
• Clinical medication review Path to Patient-Centered Care Improve Outcomes
Approaches in Medication Review:
Enhance Improvement
1. Reviews that are carried out
without patient involvement Drive Accountability
2. Face-to-face review
Involve Patient and Family
Medication Review Process
Engage Staff
Identifying patients
Carrying out the review Partner with Leadership
Quality Assurance and Audit

Pharmaceutical Care Process


Medication
Reconciliation is an Complete Intervention
essential part of and Implement Follow
the Medication
Review Process Develop pharmaceutical care plan
since it ensures
quality and safe use Assess info (patient assessment)
of medicines as
patients transition Gather patient information (subjective & objective)
between the
community and Initiate relationship with the patient or caregiver
hospital.
Therapeutic planning is one of the most essential part of
medication assessment which endpoint is to cure or
prevent a disease as well as to help medical practitioners
in diagnosing a disease.

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