Mendoza, Joice Ann G.

HOSPITAL INTERNSHIP
BS PhARM 4-A M-F (8:00am-5:00pm)

APPLICATION PROJECT 2: THE PHARMACY AND THERAPEUTICS COMMITTEE (P&TC)

I. OBJECTIVES
A. Understand the importance of Pharmacy and Therapeutics Committee
B. Evaluate the policies, guidelines, and procedures in choosing members of the
Hospital’s P&TC
C. Assessment of the policies, functions and scope of the Hospital’s P&TC
D. Evaluate the objectives, policies, guidelines and procedures of the Hospital’s
formulary system (P&TC)
E. Apply competencies in developing formulary system (PTC)
F. EvaluatetheroleofPharmacistinpharmacovigilanceandrationaluseofmedicines

II. ACTIVITIES:
A. Illustrate the organizational chart of the P&TC

B. Make a Schematic diagram on how to report ADRs.

C. Create and submit a simple formulary system based on the criteria learned in
the selection of formulary drugs. List only five drugs in each drug therapeutic
category. Use the Philippine National Formulary as your reference guide. Attach
or paste in the space provided or submit it as google document.
FORMULARY
BRAND NAMES GENERIC NAMES CLASSIFICATION INDICATION
Imodium Loperamide HCL Anti diarrheal Management of acute
& chronic diarrhea
Diatabs Loperamide HCL Anti diarrhea Acute non-specific
diarrhea; chronic
diarrhea associated
w/ inflammatory
bowel disease.
Reduction of number
& vol of discharge in
patients w/
ileostomies &
colostomies.

Erceflora Bacillus clausii Anti diarrhea Acute diarrhea ≤14

days duration due to
infections, drugs or
poisons. Chronic or
persistent diarrhea
>14 days duration.

Diatril Racecadotril Anti diarrhea Management of acute

& chronic diarrhea
Lorban Loperamide Anti diarrhea Management of acute
& chronic diarrhea.
Ileostomy
management to
control the vol of
discharge

Arbloc Losartan Anti hypertensive HTN, hypertensive

patients w/ left
ventricular
hypertrophy &
nephropathy in type 2
diabetic patients.

Amlife Amlodipine besilate + Anti hypertensive Treatment of mild to

losartan potassium moderate HTN; HTN
not responding to
monotherapy w/ Ca
antagonists or AIIA.

AnzaPlus Losartan + Anti hypertensive HTN

Hydrochlorothiazide
Actimed Lozartan Losartan + Anti hypertensive HTN
100mg + Hydrochlorothiazide
Hydrochlorothiazide
25mg
Accuzide Quinapril + Anti hypertensive HTN in patient for
Hydrochlorothiazide whom combination
therapy w/ quinapril
& a diuretic is
appropriate.
Aforvir Cetirizine Antihistamine Symptomatic relief of
allergic conditions
including rhinitis &
chronic urticaria

Benaxil Diphenhydramine Antihistamine Symptomatic relief of

conditions including
urticaria &
angioedema, rhinitis
& conjunctivitis, & in
pruritic skin disorders

Allerta Tablet Loratadine Antihistamine Symptomatic relief of

allergic rhinitis.
Treatment of chronic
idiopathic urticaria &
other allergic
dermatologic
disorders

Claricort Betamethasime + Antihistamine Relief of symptoms of

Loratadine atopic dermatitis,
angioedema,
urticaria, seasonal &
perennial allergic
rhinitis, food & drug
allergic reaction,
allergic contact
dermatitis, severe
seborrheic
dermatitis...

Alnix Plus Tablet Cetirizine diHCl 5mg, Antihistamine Relief of clogged

phenylephrine HCl nose; sneezing;
10mg runny, itchy nose;
itchy watery eyes
associated w/ allergic
rhinitis

Azukon Gliclazide Anti diabetic Type II DM

Boie Metformin HCl Metformin HCl Anti diabetic Type II DM
Formetin Metformin Anti diabetic Management of Type
II DM
Glitab Gliclazide Anti diabetic Type II DM
Gludin Metformin Anti diabetic Monotherapy or in
combination w/
sulphonylurea in
treatment of NIDDM
patients who are no
longer responding to
sulphonylureas.

Aclir 400/ Aclir 800 Aciclovir Antiviral Acute treatment of

herpes zoster
(shingles). Treatment
of initial episodes &
 management of
recurrent episodes of
genital herpes.
Chickenpox
(varicella).

Covifor Remdesivir Antiviral Treatment for

coronavirus disease
2019 (COVID-19)
requiring
hospitalization in
adults & ped patients
≥12 yr & at least 40
kg.

Dexpenem Meropenem Antiviral Treatment of

susceptible infections
including pneumonia,
nosocomial
pneumonia, UTI;
intra-abdominal,
gynecological (eg,
endometritis), skin &
skin structure, bone
& joint infections;

Efavir Efavirenz Antiviral HIV-1 infection in

adults & ped patients
at least 40 kg in
combination w/ other
antiretrovirals.

Herpex Aciclovir Antiviral HSV infections of the

skin & mucus
membranes including
initial & recurrent
genital herpes;
herpes zoster
(shingles) infections,
chickenpox (varicella)
in childn >2 yr.