International Journal of Hospital Pharmacy


Review Article of International Journal of Hospital Pharmacy RETRACING RATIONALITY FOR COVID -19 - A UNION THERAPY INITIATIVE Merging Mythological Scientific Clinical and Economical Aspects of Rationality to Optimize Utilization of Healthcare as a Comprehensively Holistic Model Kanishk Kala Rupinder Kaur Sodhi IK Gujral PTU Rationality is not a phenomena restricted to drugs It is also included in behavioral, psychological mythological spiritual and religious elements. Every aspect of health as per WHO health definition affects the treatment process of illness to restore health. This review is based on rationality as per the union therapy concept/ Sayojyachikitsa which aims to integrate various aspects of rationality and aims to integrate supernatural mythological and scientific aspects of rationality and devised 15 R to make treatment comprehensively holistic. This would make therapy accessible acceptable on global scale. This would help to use drugs in COVID -19 threat where in addition to clinical elements behavioral, psychological mythological spiritual and religious elements of rational drug use can play a vital role. Keywords: Union Therapy,  Covid 19 ...


Review Article of International Journal of Hospital Pharmacy PHARMACEUTICAL PROFESSIONAL PERFORMANCE IN PRIMARY HEALTH CARE Ortência Kelly Jacinto Rodrigues1, Adna Maria Tavares1, Cinthya Maria Pereira de Souza2 1Pharmacy student UNIFACISA; 2Mentor teacher UNIFACISA. Introduction: The pharmacist’s role in pharmaceutical care occurs especially in two axes: medication management and pharmaceutical care. Direct patient care is a challenge for the Brazilian health system, as this context provokes the construction of a new professional identity of the pharmacist: the clinic. Objective: To analyze a current panorama of the role of pharmaceutical professionals in primary health care. Methodology: This was a descriptive and exploratory literature review study with a qualitative approach. The descriptors “primary care”, “pharmacist” and “pharmaceutical care” were used, searched in an integrated way in the Scielo and Medline database. Results: The pharmacist still has a relevant role in management, but increasingly the system encourages the pharmacist to a more inclusive approach to patient care. There is consensus among the authors that the low number of pharmacists in primary care, coupled with the lack of perception of these professionals as part of the team and the lack of clarity about their attributions, contribute to the lack of recognition of this professional in the field of clinical practice. Conclusion: The incorporation of pharmaceutical clinical services has been shown to be an important strategy for resignification of the pharmacist in primary care. Actions involving clinical services need to be developed more frequently, so that the patient care bias is as explicit as the bureaucratic bias of pharmaceutical care. Keywords: Clinical Pharmacist, Primary Care, Pharmaceutical Care ...

Nimesulide-induced Fixed Drug Eruption

Research Article of International Journal of Hospital Pharmacy Nimesulide-induced Fixed Drug Eruption T.V.Harsha Varun and R.E.Ugandhar Santhiram College of Pharmacy, Nandyal, Kurnool Dt, Andhra Pradesh Nimesulide is a cyclooxygenase (COX) inhibitor with a high degree of selectivity to COX-2. Nimesulide is a nonsteroidal anti-inflammatory agent with antipyretic and analgesic properties. It is being commonly prescribed in India.[1] Some of the side effects reported with its use are Pruritus, urticaria, purpura, maculopapular rash and localized toxic pustuloderma.[2],[3] Due to severe hepatotoxicity and hemolytic anemia associated with its use, Nimesulide is likely to be withdrawn from the market in many countries. Case report: The authors report a case of a patient with a history of antihistamine hypersensitivity that developed a bullous form of pigmented fixed drug eruption after Nimesulide. Patch tests performed on residual skin lesion were positive to Nimesulide, confirming that this was the culprit drug. Keywords: Drug eruption, Fixed drug eruption, Lesion patch testing, Nimesulide, Nonsteroidal anti-inflammatory drugs ...

A Comprehensive Review of Clinical Pharmacists in Chronic Care Management

Review Article of International Journal of Hospital Pharmacy A Comprehensive Review of Clinical Pharmacists in Chronic Care Management Abdul Kader Mohiuddin Dr. M. Nasirullah Memorial Trust, Tejgaon, Dhaka Pharmacy practice has changed substantially in recent years. The professionals have the opportunity to contribute directly to patient care in order to reduce morbimortality related to medication use, promoting health and preventing diseases. Healthcare organizations worldwide are under substantial pressure from increasing patient demand. Unfortunately, a cure is not always possible particularly in this era of chronic diseases, and the role of physicians has become limited to controlling and palliating symptoms. The increasing population of patients with long-term conditions are associated with high levels of morbidity, healthcare costs and GP workloads. Clinical pharmacy took over an aspect of medical care that had been partially abandoned by physicians. Overburdened by patient loads and the explosion of new drugs, physicians turned to pharmacists more and more for drug information, especially within institutional settings. Once relegated to counting and pouring, pharmacists headed institutional reviews of drug utilization and served as consultants to all types of health-care facilities. In addition, when clinical pharmacists are active members of the care team, they enhance efficiency by: Providing critical input on medication use and dosing. Working with patients to solve problems with their medications and improve adherence. Keywords: Chronic care; pharmacy intervention; diabetes care; CVD prevention; inflammatory bowel disease ...

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International Journal of Hospital Pharmacy