Prescription

John Paul B. Garrido, RPh

PHARMACY
φάρμακον
phármakon
medicine
drug
 art and science of
preparing, dispensing and
proper utilization of
medications and the provision
of drug-related information
to the public.
 The art and science of preparing from natural and
synthetic sources, suitable and convenient materials for
distribution and use in the treatment and
prevention of disease.
 It embraces
knowledge of
identification,
selection,
pharmacological
action, preservation,
and analysis and
standardization of
drugs and medicines.
SCOPE OF PHARMACY:
Interpretation of prescription orders
It involves:
Compounding.

Labeling.

Dispensing of drugs and devices.

Drug product selection and drug utilization reviews.

Patient monitoring and interventions.

Provision of information of medications and devices.

“The profession responsible
for the appropriate use of
medications, devices and
services to achieve optimal
therapeutic outcomes.”
– American Pharmaceutical Association
“Pharmacy should be
conceived basically as a
knowledge system that
renders a health service
by concerning itself
with understanding drugs
and their effects.”
– The report of Commission of
Pharmacy, Pharmacists for
the Future (Millis Report)
 PHARMACEUTICAL CARE:

• This is the current philosophy or approach to

professional practice in pharmacy’

• “The responsible provision of drug therapy for

the purpose of achieving definite outcomes that
improve a patient’s quality of life.”
THE PHARMACIST
 PHARMACIST
• Those who are educated and licensed to dispense
drugs and to provide drug information
• They are known to be as drug experts.
• They are the most accessible member of today’s
healthcare team
• The first source of assistance and advice on
many common ailments and healthcare matters.
DRUG
1 Articles recognized in the:
• Official United States Pharmacopoeia-
National Formulary (USP-NF) and other
Pharmacopoeia of the United States
• British Pharmacopoeia
• Philippine Pharmacopoeia
• Philippine National Drug Formulary
• European Pharmacopoeia
• Japanese Pharmacopoeia
• Indian Pharmacopoeia
• any national compendium or any
supplement to any of them
2 Articles intended for use in the diagnosis, cure,
mitigation, treatment, or prevention of diseases
3 Articles, other than food, intended to affect
the structure or any function of the human
body or animals
4 Articles intended for use as a component of
any article specified but does not include
devices or their components, parts or
accessories
5
Herbal and or traditional drugs which
are articles of plant or animal origin
used in folk medicine which are:
i. Recognized in the PNDF
ii. Intended for use in the tx or cure
or mitigation of disease symptoms,
injury or body defects in humans
iii. Other than food, intended to
affect the structure or any
function of the human body
iv. In finished or ready-to-use dosage
forms
v. Intended for use as a component
of any of the articles specified
UNITS OF MEASUREMENT
PRESCRIPTION
PRESCRIPTION
are written orders from
a practitioner for the
preparation and
administration of a
medicine or a device.
Community pharmacist’s dispense
directly to the patient and the patient is
expected to administer the medication
according to the pharmacist’s directions
In institutional settings, nursing staff
generally administer medication to patients.
 PRESCRIPTION PROCESS
• A prescription is written by the
prescriber
• The written prescription is presented at
the pharmacy
• Prescription information is checked
• Patient and prescription data is entered
into the system
• Prescription is processed
Prescription Book

PRESCRIPTION
BOOK
All prescriptions dispersed in the drugstore shall be
recorded in the book kept for the purpose
name of
indicating therein, among others, the
the manufacturer, the original stock, lot
and control numbers of the main
ingredients of the prescriptions
RA 5921
 generic name and
brand name
quantity dispensed fully served or
expiry date partially filled?
The book shall be open to inspection by the proper
authorities at any time of the day when the
pharmacy is open to the public and
must be preserved for a period of
not less than two years the last
entry in it has been made.
RA 5921
ERRONEOUS
• Where the brand name precedes the
generic name
• Where the generic name is the one in
parenthesis
• Where the brand name is not in
parentheses
• Where more than one drug product is
prescribed on one prescription form.
 the brand
name precedes
the generic name
Where the generic name is
the one in parenthesis
OR
Where the brand name is
not in parentheses
OR
Where the brand name
precedes the generic
name
Where the brand
name is not in
parentheses
Where more than
one drug product
is prescribed on
one prescription
form.
WHAT TO DO?
WHAT TO DO?
Erroneous prescriptions shall be
filed. Such prescription shall also
be kept and reported by the
pharmacist of the drug outlet or
any other interested party to the
nearest DOH office for
appropriate action.
 VIOLATIVE
• Where generic name is not written
• Where the generic name is not legible
and a brand name which is legible is
written
• When the brand name is indicated and
instructions added (such as the phrase "
no substitution") which tend to obstruct,
hinder or prevent proper generic
dispensing.
 Where
generic name
is not written
Where the generic
name is not legible
and a brand name
which is legible is
written
 When the brand name is
indicated and
instructions added (such
as the phrase " no
substitution") which tend
to obstruct, hinder or
prevent proper generic
dispensing.
WHAT TO DO?
Violative prescriptions shall not be
filed. They are kept and reported by
the pharmacist of drug outlet or any
other interested party to the nearest
DOH office for appropriate action. The
pharmacist shall advise the
prescriber of the problem and/or
instruct the customer to get the
proper prescription.
 IMPOSSIBLE
• When only the generic name is written
but it is not legible.
• When the generic name does not
correspond to the brand name
• When both the generic name and the
brand name are not legible
• When the drug product prescribed is
not registered with FDA
 When only the
generic name is
written but it is
not legible.
When the generic
name does not
correspond to the
brand name
 When the drug
product
prescribed is not
registered with
FDA
WHAT TO DO?
Impossible prescription shall not be
filed. They shall be and reported by
the pharmacist of drug outlet or any
other interested party to the nearest
DOH office for appropriate action. The
pharmacist shall advise the
prescriber of the problem and/or
instruct the customer to get the
proper prescription.
 In all cases enumerated in violative and impossible prescriptions, the local DOH
office shall be responsible for giving written notice to the erring doctor concerned
and for transmitting through channels the report of violation/error to the
Professional Regulation Commission (PRC) or to the fiscal's office for appropriate
action.