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
Activities
A.Professional Functions
1. Dispensing
2. Compounding
3. Storage and handling of drugs
4. Providing professional advise
5. Selecting product for inventory
6. 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
Companies
1.United Laboratories Inc
2.GSK Phils, Inc
3.Pfizer, Inc
4.Wyeth Philippines, Inc
5.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
professional
competent
legally 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 Diagnostic
Communication
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