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PERSPECTIVE TO PHARMACY (PHARM 11)

- Monitor the health and progress of patients to


Pharmacy ensure the safe and effective use of
medication.
Defined as the "Profession which is
concerned with the art and science of - In many jurisdictions Pharmacists have
preparing drugs either from natural or synthetic prescriptive authority or in collaboration with a
sources in a suitable and convenient dosage primary care physician through an agreed upon
form for administration of treatment, and protocol.
prevention of diseases both of man and
animals." Pharmaceutical care

Pharmacy Greek word "pharmakon"= -involves taking direct responsibility for


medicine/ drug patients and their disease states, medications,
Pharmacists = person considered as expert on and the management of each in order to
drugs improve the outcome for individual patient.
Benefits:
Evolution of Pharmacist's Role
• Decreased medication error
• The traditional era (1900- 1930): formulating
• Increased patient compliance in
and dispensing drugs derived from natural medication regimen
sources. • Better chronic disease state management
• The scientific era (1930-1960): development • Strong pharmacist - patient relationship
of new drugs; scientific testing; mass production • Decreased long-term costs of medical
of synthetic drugs and antibiotics. care

• The Clinical Era (1960-1990): Pharmacists ➢ Pharmacists are often the first point-of
expected to dispense drug information, warning, contact for patients with health inquiries.
advice, and suggestion to patient. Most accessible health care professional
• The Pharmaceutical Care Era (Current Era): in the field of medicine.
Practice of pharmacy focused on ensuring - Large roles in assessing medication
positive outcomes for drug related therapies. management in pts
- Referring pts. To Dr.
Historically…
-Fundamental role of Pharmacist as Roles of Pharmacists
healthcare practitioners is to distribute drugs
that have been prescribed by a prescriber to •Clinical medication management
patient. •Assessment of pts with diagnosed and
Modern times… undiagnosed conditions and for decisions about
the clinical medication management required
- Advises patients and health care providers on
the selection, dosages interactions and side •Specialized monitoring of disease states
effects of medications. •Reviewing medication regimens
- Act as a learned intermediary between a • Monitoring of treatment regimens
prescriber and a patient. Compounding medicines
•General health advice and monitoring
•Providing specific education to pts about dx
states and medications
•Oversight of dispensing medicines on
Asu (empirical healer)
prescription
– drew upon large collection of drugs and
•Provision of non-prescription medicines
manipulated them into several dosage
• Counseling and advice on optimal use of forms that are still basic today, such as
medicines suppositories, pills, washes, enemas
and ointments.
•Advice and treatment of common ailments
•Referral to other health professionals if Second Millennium B.C.
necessary
• Babylon: Jewel of ancient Mesopotamia
•Dosing drugs in renal and hepatic failure "cradle of civilization" - provides that earliest
•Pharmacokinetic evaluation known record of practice of the art of
"apothecary"(drugstore).
•Educating physicians and other health care • 2600 BC: Healing practitioners were priests,
providers on medications and their proper use pharmacists and physician are all in one.
•Limited prescribing of medications only in •Clay tablets - Medical texts, recorded first the
collaboration with other health care symptoms of illness, the prescription and
professionals directions for compounding and invocation of
•Providing pharmaceutical information goals.

•Promoting public health by administering • Another millennium, the Greeks created a


immunizations. distinctive intellectual life.
• In Greeks: Drug or Pharmakon means Magic
Spell, remedy or Poison.
➢ Physician, Dentist and Veterinarian
may prescribe drugs and be primarily • Follower of Hippocrates showed in their
interested in the effects of those drugs on writing and practices the fundamental of
the pt., their therapeutic value, and scientific method.
toxicology. - Observation and classification
➢ Nurses may administer the drug and be - Rejection of unsupported theory
concerned with dosage forms, route of - Generalization and induction that
administration, and toxic
remained open to critical discussions and
manifestations. revision.
➢ Pharmacists is the only legally granted
professionals to handle drugs and to
Hippocrates - "Father of Medicine"
know all about those drugs.
-he moved the concept of medicine from
magical to rational
Before the dawn of History

Pharmacy in Ancient Babylonia


➢ Ancient Greece , according to Edward
• In Babylonia, there are 2 types of medical care Kremers and Glenn Sonnedecker,
were provided: before, during and after the time of
Asipu (magical healer) Hippocrates, there was a group of
experts in medicinal plants called
– Relied on spells and magical stones far rhizotomoi.
more than plant materials.
Diocles of Carystus (4th century BC)
• He is considered to be the source for all Greek
pharmacotherapeutic treatises between the time
of Theophratus and Dioscorides.
Pedanios Dioscorides
Terra Sigillata (Sealed Earth)
•a greek physician
•An early' "Trademarked" drug
•Famous for writing a five volume book in his
native Greek in 1st century AD. •Man learned of the prestigious advantage of
trademarks as a means of identification of
•De Materia Medica (concerning medical source and of gaining of customer's
substances) confidence.
– basis for many medieval texts, and was •A clay tablet originating in the Mediterranean
built upon by many Middle Eastern island Of Lemnos before 500 B.C.
scientist during the Islamic Golden Age.
•Coined the term "materia medica"
Pharmacy in Ancient China
 Beginning in the 7th century, the wise •China Chinese Pharmacy stems from Sheng
and kind Asklepios, suspend Apollo, the Nung (about 2000B.C.)
greatest of the healing gods.
•"Father of Chinese medicine"
 At the touch of his hand or staff or the
•Wrote the first book in Chinese medicine Pen
tongue of his sacred serpent gradually
emerged as the official symbol of T-Sao (Chinese Materia Medica) consist nearly
medicine around the world. of 365 herbal drugs.
•Emperor who sought out and investigated the
medicinal value of several hundred herbs.
Medicinal herbs included podophyllum,
rhubarb, ginseng, cinnamon bark, etc.

Pharmacy in Ancient Egypt


•Egyptians know the medicinal properties of
plants.
•On the other right hand of Asklepios, helping
the minister to afflicted stood Hygeia, one of his •Still included incantations along with some
daughters, her arm entwined by a serpent and therapeutic remedies.
holding a bowl, now thought to have contained a •"Chiefs of Fabrication" gatherers and
healing potion. In modern times, her bowl preparers of drugs.
entwined by a serpent gradually emerged as
the official symbol of pharmacy popularly
called as the Bowl of Hygeia.
• Echelon – The one who gathers

Days of the Papyrus Ebers


•"Papyrus Ebers" (1500 BC) is the best known
and most important pharmaceutical record.
• Oldest well medical document preserved
•A collection of 800 prescriptions mentioning • These official edicts of 1231 authored by
700 drugs. Emperor Frederick II of Germany "Magna
Carta of Pharmacy"
• Separation of Pharmacy and Medicine
• For official supervision and for obligating the
pharmacist by oath to prepare quality drugs.
Pharmacy in Ancient India The First Official Pharmacopoeia
• Acharya Charaka • Pharmacopoeia – List of drugs
• ”Father of Indian Medicine” • "Novo Receptario" - originally written in
• Charaka Samhita Italian

– Published by Acharya Chaka • Originated in Florence


- Contains a list of medicinal plant • To be followed by all apothecaries
• Published and became the legal standard for
Monastic Pharmacy the city-state in 1498.
• Advent of Christianity, the healing temples of
Asklepios fell into disuse.
The Society of Apothecaries in London
• The monks often cultivated medicinal plants.
•In 1671, Francis Bacon (philosopher-
2 traditional Latin compilations: politician) "Master, Wardens of Society of the
Art and Mystery of the Apothecaries of the
•"Antidotaria" similar to dispensatories (List of
City of London"
drugs)
• First organization of pharmacists in the Anglo-
•"Receptaria" more modest formularies
Saxon world.
(Ingredients of drug and how it made)
- Guide to preparing compounds
- Prepared according to the art of Louis Hebert - Apothecary to New
apothecary for benefit of sick and injured France (Canada)
- Maybe found in monasteries in many
countries. • Young parisian apothecary
• He built New France's first settlement, the
Habitation, at Port Royal (Nova Scotia,
The First Apothecary Shops Canada)
• The Arabs - separated the arts of apothecary • He looked after the health of the pioneers,
and physician cultivated native drug plants, and supervised the
• Baghdad - 1st privately owned drug stores. gardens.

• Preserved the Greco-Roman wisdom -


where natural resources, syrups, confections, Marshall Apothecary
conserves, distilled waters and alcoholic liquids. Christopher Marshall
• "The Fighting Quaker"
Separation of Pharmacy and Medicine • He’s an Irish immigrant
• 13th century - lay practice of pharmacy had •Establish apothecary in Philadelphia in 1729
developed
• For 96 years, became a leading retail store, • First man to hold the rank of a
nucleus of large- scale chemical commissioned pharmaceutical officer in an
manufacturing, a "practical" training school for American army.
pharmacists
• His duties included procurement, storage,
• His apothecary an important supply depot manufacture and distribution of the Army's drug
during revolution requirements.
• He also developed an early wholesaling and
manufacturing business.
Elizabeth Marshall
America Pharmacy builds its
•Daughter of Christopher Marshall Foundations
•1st women American Pharmacist Faced with 2 major threats:
1. Deterioration of the practice of Pharmacy
2. Discriminatory classification of the University
of Pennsylvania medical faculty
• The pharmacists of Philadelphia formed an
association, which became the Philadelphia
college of Pharmacy, a school of Pharmacy,
and a self-policing board.
• 68 pharmacists signed the Constitution of
First Hospital in Colonial America the first pharmaceutical association on the US.
(Pennsylvania)
• Established in Philadelphia in 1751 First
Hospital Pharmacy began in 1752 The Shakers and Medicinal Herbs

• Jonathan Roberts - 1st hospital pharmacist


• John Morgan (1755-56) - whose practice as • 1820 - First U.S.
a hosp. pharmacist influenced changes to industry in medicinal
become of importance to the development of herbs was carried by
professional pharmacy in North America. United Society of
Believers, known as
"Shakers"
Greatest of the Pharmacists - Chemists
Carl Wilhelm Scheele American Pharmaceutical Association
• Daniel B. Smith - 1st President
• Discovered oxygen, chlorine, prussic acid,
tartaric acid, tungsten, molybdenum, glycerin, • William Procter Jr. - 1st Secretary
nitroglycerin and countless other organic • The 20 delegates launched the APA and
compounds opened membership to "all pharmaceutists
• Father of Modern Plant Chemistry and druggists" of good character who
subscribed to its Constitution and to its Code of
Ethics.
America's First Apothecary General
Andrew Craigie
• Bostonian apothecary
• "Doctrine of Signature" a belief that God had
placed the sign of healing subs. Indicating their
usage against disease
European and American Pharmacy meet • Example: Liverwort resembles a liver, good for
• These 2 group met for the first time at the liver ailments
Second International Congress of Pharmacy
in Paris, France in 1867.

Father of American Pharmacy Galen


William Procter Jr. • Experimenter in Drug Compounding
• Graduated from Philadelphia College the of • Practice and taught both Pharmacy and
Pharmacy in 1837 Medicine in Rome
• His principles of preparing and
compounding medicines ruled in the Western
world for 1500 years
People with Significant Contribution • Galenicals
in the Development of Pharmacy • Originator of the formula for a "cold cream"

Theophrastus Avicenna - the "Persian Galen"


• “Father of Botany” • Arabian era
• About 300 BC • Ibn Sina (980-1037)
• Greatest early greek philosopher and natural • Pharmacist, poet, philosopher and diplomat.
scientist
• Pharmaceutical teachings.
• His observations and peculiarities of herbs are
usually accurate
Damian and Cosmas
Pedanios Dioscorides • Patron Saints for Pharmacy and Medicine
• 1st century AD • Twinship of the health Profession
• He contributed highly to such a transition in • Damian - apothecary
Pharmacy
• Cosmas - physician
• He observed, recorded, and spread the
excellent rules for collection of drugs, their
storage and use.
Mithridates VI
• King of Pontus (100BC)
Paracelsus
• He battled Rome for a lifetime Make the "Art
• Philippus Aureolus Theophrastus
of Poisoning" art of preventing and
Bombastus von Hohenheim in 1493
counteracting poisoning
• Most impt. Advocate of chemically
• He used himself as well as his prisoners as
prepared drugs from crude plant and mineral
"guinea pigs" on which poisons and antidotes
substances.
are tested.
• He believed that collection of those subs.
should be determined by Astrology
•His famed formula of alleged pain antidotal • Park, Davis & Company - pioneer in
powers "Mithridates" was popular for over a producing the vaccine
thousand years
• 1895: Vaccine became available
Friedrich Wilhem Adam Sertuner • Inoculation of horses with diphtheria toxin was
the first step
• German Apothecary
• 1903: U.S. Biological License No.1
• Discovered "morphine" - opium's chief
narcotic principle • 1955: Poliomyelitis vaccine
• "alkaloids"
Pierre Joseph Pelletier and Joseph-
Bienairne Caventou Ernest Francois Auguste Fourneau (1872-
1949)
• French pharmacist
• Headed for 30 years chemical lab in the
world - Renowned Institute Pasteur, in Paris
• Bismuth and Arsenic compounds - tx of
• French pharmacists Syphilis
•Isolated "emetine" from Ipecacuanha in 1817 • Broke the German secret for sleeping sickness
• "Strychnine and Brucine" from Nux vomica • Sulfonamide compounds
in 1818
• Antihistaminic properties
• Peruvian barks against Malaria
• Chemotherapeutic research
• 1820: announced the methods of separation of
quinine and cinchonine from cinchona barks • Antibiotics was first observed by Pasteur in
1877 Fleming's discovery of Penicillin in 1929
Stanislas Limousin (1831-1887) went underdeveloped and Florey & Chain
studied in 1940.
• Inventive genius
• French retail Pharmacist • Streptomycin (1944)

• He invented: • Chloramphenicol (1947)

- Medicine dropper
- System of coloring poisons (such
corrosive sublimate)
- Wafer cachets (mass production of
gelatin capsule)
- Development and perfection of apparatus
for the inhalation and therapeutic
administration of oxygen
- Glass ampoules that could be sealed
and sterilized for preservation of solutions
for hypodermic use. Don Leon Ma. Guerrero
• 1871: UST offered the course BS Pharmacy
and Licentiate in Pharmacy
• First Filipino to study Pharmacy
• One of first graduates among the class of
Emil Von Behring and Emil Roux six, five of whom were dispensing Pharmacist,
botanist, educator and a leader.
• 1894; announced the effectives of diphtheria
antitoxin • "Father of Philippine Pharmacy"
• Appeared in the first registrants on the acceptance. In 1877, the "U.S.P was in danger of
Second earliest complied Book I. (May 22, dissolution due to the lack of interest of the
1903) medical profession. Dr. Edward R. Squibb,
manufacturing pharmacist as well as physician,
• First among many Filipinos to put the
took the problem to The American
Philippines on the scientific map of the world.
Pharmaceutical Association convention.
Pharmacists formed a "Committee on Revision"
chairmanned by hospital pharmacist Charles
Rice, assisted by pharmacist-educator Joseph P.
Remington, and by Dr. Squibb, their
indefatigable collaborator. The "U.S.
Phamacopoeia" surged to new important.
Botica Boie
SCOPE OF PRACTICE AND ESSENTIAL
• First drugstore in the Philippines FUNCTION OD PHARMACIST
• Served as a soda fountain and drug company
at Old Escolta SCOPE:

• Founded by a young physician - pharmacist 1. The provision of pharmaceutical care by


Dr. Lorenzo Negrao taking responsibility for the patient's medicine
related needs and being accountable for
• The country's largest and modern meeting these needs, which shall include but
pharmacy at the time. not limited to the following functions:
(A) Evaluation of a patient's medicine by
THE GOVERNOR WHO HEALED THE SICK determining the indication, safety and
Many Europeans "of quality and wealth, effectiveness of the therapy
particularly those who were non-conformists (B) Dispensing of any medicine prescribed by
in religion" were attracted to the possibilities of physician
the American Colonies. From Britain came John (C) Furnishing of information and advice to the
Winthrop, first Governor of Massachusetts Bay patient the proper use of medicines
Colony and founder of Boston. Governor (D) Determining patient compliance with the
Winthrop, unable to induce professionals to the therapy and follow up to ensure that the
Colony, sought advice from English patient's needs are being met.
apothecaries and physicians, and added to his
2. Compounding, preparation and dispensing of
small store of imported drugs those derived from medicine
plants native to New England. In his home
(about 1640), he made available as best he 3. Purchasing, Acquiring, Importing, Releasing
could the "art and mystery" of the apothecary for and storage of medicines
his citizens. 4. Initiation
and conducting pharmaceutical
research and development.
5. Promotion of Public Health

Functions of Practicing Pharmacists:


1. Professional function
2. Technical function
THE PHARMACOPEIA COMES OF AGE
3. Administrative, supervisory & managerial
The first "United States Pharmacopoeia" functions
(1820) was the work of the medical profession.
4. Entrepreneurial functions
It was the first book of drug standards from a
protessional source to have achieved a nation's
Professional Function:
1. Participating in the practice of drug use
Entrepreneurial functions :
decisions
2. Selecting the drug product dosage form • Many pharmacists embark on putting their own
drugstore. They are directly dependent on their
3. Selecting the drug product source of supply own skills as professionals and as managers.
4. Determine the dose and dosage schedule • The possibility of conflicts between
professional and entrepreneurial goals, values,
5. Preparing the drug product for patient's use and activities is very high.
6. Dispensing the drug with proper instruction
7. Providing drug information to the patient
8. Monitoring the patient to maximize Functions of other pharmacists:
compliance
• Some pharmacists are not engaged in in
9. Monitoring the patient to detect adverse drug providing pharmaceutical services directly to
reactions and interactions patients. They are, however, engaged in
10. Monitoring the patient to enhance the important functions related indirect ly to the
outcomes of drug therapy practice.
11. Counseling patient on the appropriate 1. Research and Development
utilization of medication. 2. Production
3. Quality Control
Technical Function: 4. Sales and Marketing
1. Functions indirectly related to dispensing. 5. Teaching and Research in academic
These include such tasks as stocking shelves, institutions
cleaning up after pharmacists has prepared the
drug. Clearly these are no professional tasks. 6. Legal and regulatory functions with regards to
drugs and pharmaceutical practice
2. Functions carried out as a prerequisite to
dispensing. These include the repacking of 7. Public health functions
multiple and unit dose packages of drugs and
8. Association world
their labeling
3. Functions directly involved with dispensing. 9. Pharmaceutical journalism
These include counting or dispensing
prefabricated medications, reconstituting drug
powders and preparing labels, all under the I AM A PHARMACIST
direct supervision of a pharmacist.
I am a specialist in medications
I supply medicines and pharmaceuticals to
Administrative, Supervisory and Managerial those who need them.
functions:
I prepare and compound special dosage forms.
• Proper prescription management I control the storage and preservation of all
• Record keeping medications in my care.

• Pricing procedures
I am a custodian of medical information
• Maintaining patient's drug histories
My library is a ready source of drug knowledge.
• Inventory control My files contain thousands of specific drug
names and tens of thousands facts about them.
• Purchase request
My records include the medication and health
• Personnel scheduling history of entire families. My journals and
• Payroll
meetings report advances in pharmacy from 6. Community health care pharmacy - provide
around the world. health care services and information to
underserved communities in outpatient settings.
I am a companion of the Physician
7. Compounding pharmacist - create
I am partner in the case of every patient who personalized medications for patients with
takes any kind of medication. I am a consultant medication related challenges.
on the merits of different therapeutic agents. I
am the connecting link between physician and 8. Consultant pharmacist - specialized in drug
patient and the final check on the safety of therapies for the prevention of drug therapy
medicines. related problems. They don't usually dispense
medication themselves but rather they monitor
dosages, side effects and length of therapies.

I am a counselor to the patient


9. Critical Care Pharmacy - often works in
I help the patient understand the proper use of
dynamic environments like ICU and Emergency
prescription medication. I assist the patient's
departments by providing appropriate
choice of nonprescription drugs or in the
medication therapy in a timely manner.
decision to consult a physician. I advise the
patient on matters of prescription storage and 10. Emergency Pharmacy - works the
potency.
emergency staff to promote safe and effective
medication use in the emergency department.
I am guardian of the public health
They collaborate in the selection and monitoring
My pharmacy is a center for health-care of medications and provide direct patient care.
information. I encourage and promote sound
personal health. My services are available to all 11. Geriatric Pharmacists - have special
at all time. knowledge in the care of older adults and they
frequently have experience in ambulatory
THIS IS MY CALLING* THIS IS MY PRIDE. care, acute care and long- term care. They
specialize in Pharmacokinetic and
Pharmacodynamics.
Current and Emerging Fields in
Pharmacy 12. Hospital Pharmacist - prepares and
dispense medication order.
1. Academe
13. Industrial Pharmacist - they manufacture
2. Ambulatory Care/ Outpatient pharmacist - medicines, regulatory affairs and business
provide care to patients transitioning from development.
hospital to home or another health care facility
especially for patients taking multiple 14. Infectious disease pharmacist - acts as
medications. steward of antibiotics, often operating
surveillance programs for antibiotics.
3. Cardiology Pharmacists - deliver direct
patient care to patients with cardiovascular 15. Informatics - seeks to use data, information
disease. and knowledge to improve to improve human
health and the delivery healthcare. It combines
4. Community Pharmacy - dispense elements of computer science and
prescriptions and OTC medications technology with a knowledge of medicine to
advance public health and patient care.
5. Clinical Pharmacist - works with physician,
patient and other health professionals to ensure 16. Journalism - writes about the medical field
that medication produce the best possible health for journals and online publications.
outcome.
17. Long-term care pharmacists - usually care
for a resident population in a setting such as a
mental institution, rehabilitation center, urgent 27. Research and Development - spend the
care facility or even correctional facility. They majority of their time researching the
monitor patient conditions and regulate drug development of new drugs as well as alternative
protocols. indications for existing ones.

18. Medical Sales - sell medical products to 28. Transplant Pharmacy - Solid organ
doctors, pharmacists and organizations like transplantation pharmacists manage complex,
hospitals and clinics. medication regimens involved in all stages of
transplant
19. Military pharmacy - contributes to the
health of service members during peace and 29. Veterinary Pharmacist - evolved from
war. They may serve in community hospitals compounding medicines to include pain
or military bases, where they serve service management treatments and other consults.
members and their families, or they may be
deployed with hospital field.

20. Nuclear Pharmacist - prepare and


dispense patient - specific compounds that aid Employment Opportunities
in diagnostic imaging and therapeutic
1. Drugstore
procedures. They practice mostly in hospitals
• Drugstore owner
and they have minimal patient interaction.
• Supervising Pharmacist
21. Nutrition Support pharmacy - addresses
the care of patients who receive specialized 2. Chain Drugstore
nutrition support in the form of IV or feeding • Chain Drugstore owner
tubes. • Staff Pharmacist
• Branch Pharmacist
22. Oncology pharmacy - aid cancer care • Supervisor
teams in treating patients by educating patients • Manager
about side effects, conducting safety checks,
preparing chemotherapy doses, and conducting 3. Government Agency
drug development research. They work to • Hospital: staff pharmacist, chief
maximize the benefits of drug therapy and pharmacist
minimize toxicities. • FDA: Food and Drug regulation officer
• PDEA: Pharmacist
23. Operating room pharmacy - help surgical • DOH: Pharmacist
teams reduce the incidence of adverse drug • NBI: Drug Analyst
events by reviewing orders prior to • AFP: Military Pharmacist
administration. They also manage narcotic
dispensing and pharmaceutical waste disposal. 4. Drug Distributor Company
• Company Pharmacist
24. Pediatric pharmacy - ensure safe and
• Owner
effective drug use for patients up to age 18. they
provide patient care, provide alternate dosage 5. Hospital
forms and specialized drug therapy monitoring • Hospital Pharmacist
for pediatric patients. • Clinical Pharmacist
• Supervisor
25. Psychiatric pharmacy - psychiatric
• Director of Pharmacy
medications can be complex, drug regimens can
• Chief Pharmacist
be confusing, psych pharmacist can clarify best
choices.
6. School of Pharmacy
26. Regulatory pharmacy - oversee • Laboratory Instructor
regulations and guidelines that regulate clinical • Lecturer
trials and other aspects of human research • Department Head
• Dean
• Owner Exclusive and Non-Exclusive Function Per
7. Chemical/ Cosmetic Company Philippine Pharmacy Act of 2016 Republic
• Company Pharmacist Act NO. 10918
• Owner
A.Activities Exclusive to Pharmacists
8. Drug Manufacturing
• Company pharmacist 1. Prepare, compound or manufacture,
• Medical Representative preserve, store, distribute, procure, sell or
• Regulatory affairs manager dispense, or both, any pharmaceutical product
• Manufacturing pharmacist or its raw materials; or
• Quality control pharmacist
• Production Manager 2. Render services such as clinical pharmacy
• Clinical researcher services, drug information services, regulatory
• Consultant
services, pharmaceutical marketing, medication
• Product Development pharmacist
management, or whenever the expertise and
• Owner
technical knowledge of the pharmacist required;
or
UNIT II: ATTRIBUTES AND ROLES
OF PHARMACISTS 3. Engage in teaching scientific, technical or
professional pharmacy courses in a school or
college of pharmacy; or
Pharmacists are medication experts.
4. Supervise the practice of sub-professionals in
Preparation, Control, use, and assuring the dispensing of pharmaceutical products; or
desired outcomes of medicines in patients,
beginning with drug discovery and continues 5. Provide other services where pharmaceutical
through their benefit to society. knowledge is required.

Future Pharmacists must possess specific


knowledge, attributes, skills and behaviors that
B. Activities which are Non - Exclusive to
support this expertise.
pharmacist

1. Conduct chemical, biological or


Ten Star Pharmacist: microbiological analysis and assay of
pharmaceutical products, food/dietary
1. Pharmaceutical Care Giver supplements, health supplements, cosmetics; or
2. Decision Maker
2. Perform physicochemical analyses of medical
3. Communicator devices used in aid of administration of
pharmaceutical products; or
4. Leader
5. Manager 3. Administer adult vaccines that are approved
by the Food and Drug Administration (FDA)
6. Teacher subject to training, certification and other
7. Life Long learner requirement as provided in this IRR or RA No.
10918
8. Entrepreneur
4. Conduct or undertake scientific research in all
9. Agents for positive change
aspects, involving pharmaceutical products and
10. Researcher health care.
All pharmacists are expected to abide by 1. Four year BS Pharmacy
current standards such as but not limited to
2. Five year BS Pharmacy in Clinical Pharmacy
the Philippine Practice Standards for
Pharmacists, Good Pharmacy Practice, Good 3. Five-year Industrial Pharmacy
Regulatory Practice, Good Laboratory Practice,
4. Six-year Doctor of Pharmacy (Pharm.D)
Good Distribution Practice, Good Storage
Practice, Good Warehousing Practice, Good 5. Two-year post-baccalaureate degree leading
Manufacturing Practice and Good Clinical to Doctor of Pharmacy (Pharm.D)
Practice which are deemed vital in the
performance of their roles and functions in 6. Two year Master of Science in Pharmacy
different practice areas. (MSPharm)
7. Three year Doctor of Philosophy in Pharmacy
(Ph.D. in Pharm)

Pharmacy Education is a four-year


Bachelors’ Degree which provides a broad
spectrum of scientific training and can lead to
UNIT III: EDUCATION AND employment in a wider range of scientific fields
TRAINING OF PHARMACISTS principally in higher education institutions,
community drug stores, hospitals, in
government agencies, research establishments,
University of Santo Tomas Faculty of public health and pharmaceutical industry. It
Pharmacy should also encompass pharmaceuticals,
cosmetics, household hazardous substances,
• Which offers the Frist Pharmacy Couse
drug delivery devices and veterinary medicines.
• founded in May 1871
Provide the country with pharmacists who
• By virtue of the Modification of the Moret are scientifically competent to deliver full
decree. It was during the Spanish regime, the spectrum of pharmaceutical services required
degree in pharmacy was six years. in health care delivery.
After finishing the program, the graduate
shall have acquired and developed the
Timeline:
knowledge, skills, aptitude and
• 1901: when the American administration took competencies in:
over, the curriculum was revised to four years. 1. Conducting scientific research methods and
• 1916: the degree of Bachelor of Science in processes;
Pharmacy was further revised to three years. 2. Developing drugs for prevention,
• 1930: when a four-year curriculum was diagnosis, mitigation and treatment of
adapted. diseases of man and animals;

• 1954: the curriculum was revised to five years. 3. Identifying, compounding, manufacturing,
storing and dispensing of drugs;
• 1984: the degree of Bachelor of Science in
Pharmacy curriculum was again reduced to four 4. Managing drug establishments based on
years with the integration of some subjects. sound entrepreneurial practice;
5. Providing pharmaceutical care as well as
counselling clients in the proper use of both
At present the different pharmacy programs prescribed and patient chosen medications;
offered in the Philippines are as follows:
6. Providing drug and health related information;
7. Advocating professional and ethical pharmacy • Clinical Pharmacy and Pharmacotherapeutics
practice; and,
• Pharmaceutical Research Methods with
8. Contributing to the overall social, mental, Statistics
emotional and physical health of individuals,
• Hospital Pharmacy
communities and the country.
• Pharmaceutical Toxicology
• Clinical Pharmacy and Pharmacotherapeutics
Overview of Pharmacy Curriculum:
• Public Health Pharmacy (with
• Pharmaceutical Botany with Taxonomy
Pharmacoepidemiology)
• Pharmaceutical Inorganic Chemistry (with
• Cosmetic Product Development (Cosmetic
Qualitative Analysis)
Product)
• Perspectives in Pharmacy
Development, Regulation and Safety
• Pharmaceutical Calculations and Techniques Assessment)
• Pharmaceutical Organic Chemistry • Pharmacy Research and Thesis Writing
• Introduction to Pharmacy Administration, • Pharmaceutical Marketing and
Management and Leadership Entrepreneurship
• Analysis 1 (Quantitative Pharmaceutical • Legal Pharmacy and Ethics
Chemistry)
• Internship (Manufacturing, Hospital,
• Pharmaceutical Dosage Forms, Drug Delivery Community)
Systems and Medical Devices
• Dispensing I (Dispensing Process, Reading
Continuing Professional Development
and Interpreting the Prescription and Other
(CPD units)
Medicine Orders)
A requirement to renew your license (13.5
• Pharmaceutical Biochemistry
units).
• Physical Pharmacy
• Pharmaceutical Microbiology and Parasitology
ESSENTIAL PHARMACEUTICAL
• Pharmaceutical and Medicinal Organic LITERATURE
Chemistry
□ Pharmacists are in constant need of
• Pharmacognosy and Plant Chemistry recent information concerning drugs,
pharmaceutical products and even disease
• Pharmaceutical Analysis 2 (Instrumental states.
Methods of Analysis)
□ They are being asked daily to provide
• Pharmacology 1 & 2 responses to numerous drug requests for a
• Pharmacy Informatics variety of people.

• Biopharmaceutics and Pharmacokinetics


• Pharmaceutical Manufacturing (with Quality TYPES OF LITERATURE
Assurance and CGMP)
I. Primary Literatures
• Dispensing II (Medication Related Problems,
Medication Safety, and Medication Counseling) • Most current source of information

• Drug Discovery and Development


• Provides details of research methodology 3.6 An individual
and scientific results that lead to therapeutic
4. Based on geographic distribution
conclusions
4.1 Local, state, regional
• Commonly used when researching for
new medication or a new indication for a 4.2 National
medication
4.3 International
• Can be used when tertiary literature
5. Based on scope
cannot provide answer
5.1 Scientific periodicals are scholarly
• Disadvantages include misleading
publications with original research report. It is
conclusions based only on trial without context
also known as “Research Journal”.
of other researches, and the need to have good
in medical literature evaluation - The standard for article inclusion is very
high and manuscripts are accepted for
Examples:
publication after being viewed by experts in the
• Theses/Dissertations field, through referee system. Such periodicals
• Periodicals or journals, serials, magazine have an editorial board of eminent scientists
or bulletin. Advantage is the reduction in who determine editorial policy.
time of lag between the discovery of an
idea and its publication.
• Official Publications Examples:
• Conference Proceedings
• Standards • American Journal Pharmaceutical
Sciences
• Trade Literatures
• Canadian Journal Pharmaceutical
• News Sources
Sciences
5.2 Professional periodicals publish results of
CLASSIFICATION OF original research but they are less technically
PERIODICALS/JOURNALS and scientifically oriented than those reported in
the scientific journal and have a more practical
1. Based on frequency of Publication basis, resulting in the concentration of research
1.1 As issues on weekly, monthly, quarterly, on the practical aspect of the profession than on
etc. specific.
1.2 As volume on annual basis, etc. - Periodicals in this category are published
by professional association and are the official
2. Based on sources
voice of the society.
2.1 Primary periodicals – print only original
Examples:
research
2.2 Secondary periodicals – print portion of • American Journal of Hospital Pharmacy
original research • American Journal of Pharmaceutical
Education
3. Based on publisher
3.1 Academic institutions II. Secondary Literature
3.2 Professional or scientific institutions • Helps locate primary literature
3.3 Government bodies • Consists of indexing and abstracting
3.4 Research institutes services of the primary literature

3.5 Commercial firms


• An indexing system provides only 2. International Pharmaceutical
bibliographic citation information (title, author Abstract (IPA)
and citation of the article)
- Provides access to both journal articles
• Abstracting services provides brief and meeting abstract available in index form
description of information contained in a specific and internet services
citation.
- Published semi-annually
• Index and abstract services are used to
- Pharmacy information
locate a given article or the writing on a
particular author or material on a given topic. - Published by American Society of Health-
System Pharmacists
3. EMBASE
Index services
- Comprehensive abstracting of the
- must be accurate, index topic to subject meeting or conference literature
headings which are in current use, be devised to
reduce between a minimum time lag between 4. The Cochrane Database of Systemic
the publication of an article and the appearance Reviews
of the reference in an index and be - Published quarterly
comprehensive.
- Includes medical treatments, conditions
• Information available from an index is and alternative therapies
limited to bibliographic references like the title of
the article and the author, the title of the
periodical in which the article is printed with the
III. Tertiary Literature
volume, the page and date of publication.
• Most commonly used sources of information
Example: because they are easy to use, convenient,
• Science Citation Index that notes concise and compact
citation of author and journal articles and • Referred as general literature
being updated on weekly basis.
• Used to refresh knowledge or learn about
a subject, and background information regarding
Abstract services a disease or treatment

- supply summaries of the articles cited. It must


be accurate and sufficient details so that those Encyclopedias
reading them will know whether it will be worth
their time to consult the original articles. The □ Contains general aspect of the profession
abstract themselves must be indexed properly
□ Information found is usually out of date
to provide quick and easy information retrieval
Examples
particularly in the pharmaceutical and other
related sciences. Examples:
Examples: • Encyclopedias of Biological Sciences
• The Encyclopedia of Chemistry
1. Harvey Whitney Books
• McGraw Hill Encyclopedia of Science
- Newsletter that abstracts international and technology
literature to pharmacotherapy, drug interaction, • Encyclopedia of Biochemistry
factors influencing drug action.
- Published on monthly basis Dictionaries
• Webster’s New Collegiate Dictionary
• Blakiston’s Gould Medical Dictionary Yearbook
• Dorland’s Illustrated Medical Disctionary
□ Annual surveys relevant to the
• Stedman’s Medical DictionaryFor
pharmaceutical or allied sciences
Pharmacists:
□ Basically, review publications which
• Dictionary of Pharmaceutical Science provide a retrospective look at advances or
and Techniques accomplishments of the previous year in a
• Medical Abbreviations particular field or on a specific subject
• Dictionary of Organic Compounds
Example:
• Butterworth’s Dictionary
• The Condensed Medical Disctionary • Advances in Pharmaceutical Science
• Drug Metabolism Review
Handbooks • Progress in Medicinal Chemistry

□ Compilations of facts and figures in a


Monograph
form which can be consulted with ease and are
usually a one- volume work □ A written account of single topic
□ Information and scientific date are in a □ Usually include recent information
tabular form
□ Systemically comprehensive without
□ Manual, data book, reference book, including background and historical data
bench book, sourcebook
□ Convenient and practical source of Textbook
quantitative quick reference, reliable information □ Serves the prime function of presenting
□ Revised and updated often to ensure that principles of a topic or discipline in such a way
the data are authoritative and current that the information is used as the basis for
instruction in the subject
Examples:
PDA Applications
• Handbook of Physics
• Handbook of Pharmacology □ Offers quick access to key information
• Langue’s handbook of Chemistry while you are delivering patient care
• Manual of Diagnosis of Therapy
• Merck Index of Chemical and Drugs □ Small to fit in the hand, making them
versatile tools for looking up info on drugs and
• Pharmaceutical Handbook disease, finding diagnostic aids and checking
literature references on pharmacy and medical
Directories topics.
□ List of names and address which serve to Example:
supply information about persons, organizations
or places • ePocates
• Lexi-Complete
□ These lists are updated and if revise • MobileMIcromedex
annually, the title frequently uses the term
yearbook Internet Source

Examples are: • MIMS


• Drugs.com
• Encyclopedia of Association • WebMD
• Haye’s Druggist Directory • Medscape
• World’s Directory of Schools of Pharmacy • Fact and Comparison
• Mayo Clinic C. A graduate of BS Pharmacy or its
equivalent degree by an HEI in the Philippines
or an institution of learning in a foreign country
UNIT IV: REGULATION OF duly recognized by CHED
PHARMACY PRACTICE D. Has completed an internship program
approved by the Board, pursuant to such
guidelines as may hereinafter be promulgated,
Professional Licensure Examination: in consultation with the duly recognized
association of pharmacy schools and colleges
A. Qualifications for the Licensure and the CHED
Examination
a. A citizen of the Philippines
Documentary requirement include:
b. Must be of good moral character
A. Original and Photocopy of PSA issued birth
c. Must have completed an internship certificate.
program of at least 1200 hours.
B. Original and Photocopy of PSA issued
• Community (300 HOURS) marriage certificate (for married female)
• Hospital (300 HOURS)
• Institutional (120 HOURS) C. Certification of Good Moral Character issued
• Public health and regulatory (180 by any of the following: barangay, church,
HOURS) school or employer
• Manufacturing (300 HOURS) D. NBI clearance
d. Must have graduate with the degree of E. Certified true copy of TOR in the BS
Bachelor of Science from an accredited school Pharmacy or its equivalent degree coffered by
an HEI in the Philippines or an institutions of
learning in a foreign country duly recognized by
The law stipulates that no person shall CHED.
engage in the practice of pharmacy in the
Philippines unless he: F. Certificate of Completion of the internship
program duly signed by the dean/ program
1. Is at least 21 years of age head.
2. Has satisfactorily passed the • The PLE shall be given twice a year
corresponding examination given by the Board
of Pharmacy • Ratings: A candidate must obtain a general
weighted average of seventy-five percent (75%),
3. Is a holder of a valid certificate of with no rating lower than fifty percent (50%) in
registration duly issued to him by said Board. any of the subjects.
• Report of rating: The board shall submit to the
IRR OF RA NO. 10918 PRC the ratings obtained by each candidate
within three (3) working days.
Qualifications for the Licensure • Oath of Profession: all successful candidates
Examination: in the licensure examination shall take their oath
A. A citizen of the Philippines or a foreign of profession before any member of the Board,
country which has a law or policy on reciprocity officer of the PRC or nay person authorized by
for the practice of the pharmacy profession law to administer oaths, prior to entering the
practice of the pharmacy profession.
B. Of good moral character and reputation
Grounds for reprimand, suspension or E. Declared of unsound mind by a court of
revocation of license based on RA 5921 competent jurisdiction
A. Immoral or dishonorable conduct
B. Fraud or deceit in the acquisition of the Pharmacy Practice Setting Requirements
certificate of registration;
1. Affixing RPh after a registered
C. Gross negligence, ignorance or pharmacist’s name
incompetence in the practice of this
- Only a pharmacist shall have the right to
profession resulting in the injury,
damage or death of another; affix to his/her name, the title, “registered
pharmacist” or “RPh”.
D. Malpractice, including aiding or abetting
the commission of criminal abortion of 2. Indication of information
sex crimes through illegal compounding, - A pharmacist shall be required to
dispensing or sale of abortive or sex indicate the COR number and validity of
drugs his/her PIC
E. Acting as a dummy of an alien or a 3. Display of Certification of Registration
person who is not qualified to establish
and operate a retail drugstore; 4. Sales of medicine, pharmaceuticals,
drugs, devices
F. Addiction to alcoholic beverage or to
any habit- forming drug rendering him 5. Markings and inhibition to the sale of
incompetent to practice his profession; drug samples

G. Insanity; 6. Pharmacist required & compensation

H. Violations of any provision of the Code 7. Display of certificate required


of Ethics which may be adopted as part 8. Responsibility for Quality of
of the Rules and Regulations of the Pharmaceutical Products
Board
9. Filling and refilling of prescription
10. Label of dispensed medicine
Grounds for Non-registration
11. Record books of prescription
The Board shall not register any successful
examinee who has been: 12. Recording of Patient Medication Profile

A. Convicted of an offense involving moral A. Name of prescriber


turpitude by a court of competent jurisdiction; B. Name and address of patiend
C. Product name (generic and brand name,
B. Summarily adjudged by the Board as guilty if any)
for misrepresentation or falsification of D. Dosage strength and form
documents in connection with the application for E. Quantity of drug dispensed
examination or for violation of the General F. Initials of pharmacists
Instructions to Examinees; G. Others as may be prescribed
C. Found guilty of immoral or dishonorable 13. Requirements for the Opening and
conduct by the Board; Operation of a Retail Pharmaceutical Outlet or
D. Medically proven to be addicted to any drug Establishment
or alcohol by a medical or drug testing facility 14. Handling of Pharmaceutical Products by
accredited by the government such that it could Persons Other Than a Pharmacist
render him/her incompetent to practice the
profession; and 15. Administration of Adult Vaccines
A. Pharmaceutical Outlet R.A. No. 8203 – Special Law on Counterfeit
Drugs
1. It should have a valid License to Operate
(LTO) issued by the FDA. R.A. No. 9165 – The Comprehensive
Dangerous Drugs Act of 2002
2. Vaccine products should have duly valid
Certificates of Product Registration (CPR) R.A. No. 9502 – Universally Accessible
issued by the FDA. Cheaper and Quality Medicines Act of 2008
3. It should maintain patient medication R.A. No. 9711 – Food and Drug Administration
profile/record. Act of 2009
4. It should have Standard Operating
Procedures (SOPs) for vaccine storage,
Republic Act. No. 5921- The Pharmacy Law
handling, preparation, dispensing,
administration, and disposal. • An act regulating the practice of Pharmacy and
setting standards of pharmaceutical education in
5. It should have a procedure for
the Philippines and for other purposes.
monitoring, handling and reporting of AEFI.
• It was signed into Law on June 23, 1969 with
B. Immunizing Pharmacist subsequent amendments through presidential
Only PRC-BOP certified immunizing decrees such as PD 1363 (1978), 1926 (1984),
pharmacist shall provide vaccination EO 174 (1987)
services in pharmacies. Below are the
This act provides for and shall govern:
requirements of an immunizing pharmacist:
1. The standardization and regulations of
1. Certificate of Current Employment in the pharmaceutical education
Pharmaceutical Outlet;
2. The examination for registration of graduates
2. Valid Certificate in Basic Life Support of school of pharmacy in the Philippines
Training; and,
3. The supervision, control and regulation of the
3. Valid Certificate of Training in Vaccination practice of Pharmacy in the Philippines.
Issued by PRC-BOP
➢ The Council of Pharmaceutical Education
Legal Control of Pharmacy Profession in the and the Board of Pharmacy were created
Philippines to take care of the full implementation of
the law.
• Must be a registered pharmacist (RPh)
• Administration of Pharmacy Examination
and granting of registration to practice pharmacy R.A. No. 3720 – The Foods, Drugs, Devices,
are authorities vested in the Board of Pharmacy and Cosmetics Act
which is under the PRC
• An act to ensure the safety and purity of
foods and cosmetics, and the purity, safety,
efficacy and quality of drugs and devices being
The following laws govern the practice of
made available to the public vesting the Bureau
pharmacy profession and relative to drugs in
of Food and Drugs with authority to administer
the Philippines:
and enforce the laws pertaining thereto.
R.A. No. 5921 – The Pharmacy Law
• June 22, 1963
R.A. No. 10918 – Revised Pharmacy Law
• Amended by EO No. 175 and for other
R.A. No. 3720 – The Foods, Drugs, Devices, purposes on May 22, 1987
and Cosmetics Act
R.A. No. 6675 – The Generics Law of 1988
• The law also stipulates that the Department of 5. To promote drug safety by minimizing
Health shall, in accordance with the provision of duplication in medications and/or drugs with
this act. potentially adverse drug interactions
A. Establish standards and quality
measures for foods, drugs and devices
R.A. No. 8203 – Special Law on Counterfeit
and cosmetics.
Drugs
B. Adopt measures to ensure pure and safe
supply of foods and cosmetics, and pure, • An act prohibiting counterfeit drugs,
safe, efficacious and good quality of providing penalties for violation and
drugs and devices in the country. appropriating funds. The Bureau of Food and
C. Adopt measures to ensure the rational Drugs of the Department of Health is authorized
use of drugs and devices such as, but not to administer and supervise the implementation
limited to banning, recalling or of this act which was approved on September
withdrawing from the market drugs and 4, 1996.
devices which are not registered, unsafe,
inefficacious or of doubtful therapeutic
value, the adoption of an official National R.A. No. 9165 – Comprehensive Dangerous
Drug Formulary and the use of generic Drugs Act of 2002
names in the labeling of drugs
• It is an act instituting the Comprehensive
D. Strengthen the Bureau of Food and
Dangerous Drugs Act of 2002 repealing RA
Drugs
6425, otherwise known as Dangerous Drugs Act
of 1972, as amended, providing funds therefore,
and for other purposes.
R.A. No. 6675 – Generic Law of 1988
• September 13, 1988 It clearly identifies:
1. The drugs classified as dangerous drugs,
• An act to promote, require, and ensure controlled precursors and essential chemicals
the production of an adequate supply, 2. The unlawful acts and penalties
distribution, use and acceptance of drugs and
medicines identified by their generic names. 3. The participation of the family, students,
teachers and school authorities in the
enforcement of this act
It hereby declares the policy of the state:
4. The participation of different government
1. To promote, encourage, and require the agencies and private sectors in the enforcement
use of generic terminology in the importation, of this act.
manufacture, distribution, marketing, advertising 5. The programs for treatment and
and promotion, prescription and dispensing of rehabilitation of drug dependent.
drugs
6. The role and responsibilities of the
2. To ensure the adequate supply of drugs Dangerous drug Board and Philippine Drug
with generic names at the lowest possible cost
Enforcement Agency.
to endeavor to make them available for free to
indigent patients.
3. To encourage the extensive use of drugs R.A. No. 9502 – Universally Accessible
with generic name through a rational system of Cheaper and Quality Medicine of 2008
procurement and distribution
• An act providing for cheaper and quality
4. To emphasize the scientific basis for the medicines, amending for the purpose RA No.
use of drugs in order that health professionals 8293 or the Intellectual Property Code, RA 6675
may become more aware and cognizant of their and RA 5921, and for other purposes.
therapeutic effectiveness
2. Possession of a set of specific attitudes
that influence professional behavior;
R.A. No. 9711 – Food and Drug
Administration Act of 2009 3. Existence of social sanction;
• It is an act strengthening and rationalizing 4. Desire to be professional; and
the regulatory capacity of the Bureau of Food
and Drug Administration (BFAD) by establishing 5. Presence of an oath of allegiance and a
adequate testing laboratories and field offices, code of ethics.
upgrading its equipment, augmenting its human
resource complement, giving authority to retain
its income, renaming it the Food and Drug Universal Principles of Biomedical Ethics
Administration (FDA), amending certain sections
of RA 372, as amended, and appropriating Autonomy
funds thereof. – a form of personal liberty, where the individual
is free to choose and implements one’s own
This act has the following objectives: decisions, free from deceit, duress, constraint or
1. To enhance and strengthen the coercion
administrative and technical capacity of the FDA Three basic elements involved in the
in the regulation of establishments and products process:
under its jurisdiction.
1. The ability to decide
2. To ensure the FDA’s monitoring and
regulatory coverage over establishment and 2. The power to act upon your decisions
products under its jurisdiction, and 3. Respect for the individual
3. To provide coherence in the FDA’s Veracity
regulatory system for establishments and
products under its jurisdiction. - it binds both the practitioner and the patient in
an association of truth.
- The patient must tell the truth in order
that appropriate care can be provided.
- The practitioner needs to disclose factual
information so that the patient can exercise
personal autonomy.
B. Ethical Control of Pharmacy
Profession Beneficence
– acts of mercy and charity or any action that
Importance: benefits another or apply measures for the
1. Code of Ethics makes the decision- benefit of the sick.
making process more efficient.
- One ought to prevent evil or harm
2. Individual professionals may occasionally
need guidelines for directing their professional - One ought to remove evil or harm
behavior. - One ought to do or promote good
3. Professional ethics establish a pattern of Non-maleficence
behavior that clients come to expect from
members of the profession. – means never to use treatment to injure or
wrong the sick. The practitioner works to
Professional Characteristics: maximize the good for the patient and to
1. Possession of specialized body of minimize harm.
knowledge which enables the practitioner to Confidentiality
perform a highly useful social function;
– is an important aspect of trust that patients - Patients expect that health care providers
place in health care professionals. will provide respond to their wishes about their
treatment.
Justice
- Patients generally choose their own
– is the concepts of fairness, just and
physician, pharmacy and hospital.
entitlements.
- Patients are allowed to choose from
- In a just society, we require procedural
multiple options for treatment.
justice or due process in cases of disputes
between individuals.
- In health care, we deal with distributive Code of Ethics
justice
- It is carefully formulated system of
▪ To each, an equal share (elem. Educ) principles or rules of practice for the guidance of
▪ To each, according to need (aid to needy) a particular group of individuals such as the
▪ To each, according to effort members of a profession.
(unemployment benefits)
▪ To each, according to contribution
(retirements system) Philippine Pharmacists Association Code of
▪ To each, according to merit (jobs and Ethics for the Pharmaceutical Profession
promotions)
▪ To each, according to ability to pay (free Preamble
market exchange) Pharmacists are health professionals who help
Role Fidelity individuals protect themselves against disease,
maintain good health and make the best use of
• means the practitioner practice faithfully within their medication.
the constraints of the role.
The pharmacist promotes rational use of drugs
- It requires that the health care and ensures the provision of safe, effective and
professionals act in such a way as to quality drugs for improved patient care and
demonstrate loyalty to their patients. A type of quality of life.
bond or promise is established between the
practitioner and the patient. - This Code, prepared and supported by
pharmacist, is intended to state publicly the
principles that form the fundamental basis of
their roles and responsibilities which are based
on moral obligations and virtues and to guide
Informed Consent pharmacist in their relationship with patients,
• The rule of informed consent directs that health professionals and society.
patients must be fully informed about the 1. A pharmacist places the well-being of
benefits and risks of participating in a clinical patient at the center of professional practice,
trial, taking a medication, or electing to have
surgery. It is always obtained through a written 2. A pharmacist promotes the welfare of
form in situation such as clinical research and each individual in a caring and compassionate
surgery. manner.

Patient’s Right 3. A pharmacist serves the needs of the


individual, community and society and provides
- Patients can expect that clinicians will health for all.
employ their knowledge and experience in
caring for them. 4. A pharmacist respects the rights of
patient and upholds confidentiality of patient
records.
5. A pharmacist act with honesty, integrity, A profession is identified by the willingness of
and professional in relationship with the patient individual practitioners to comply with ethics and
and other health professionals. professional standards which exceed minimum
legal requirements.
6. A pharmacist respects the abilities,
values and contributions of colleagues and other
health professionals and work with them closely
1. The Pharmacist’s prime responsibility is
to ensure better patient care.
the good of the individual.
7. A pharmacist is committed to a
Obligations:
continuously enhance professional competence.
• To be objective
8. A pharmacist, in coordination with the
government and other health professionals, • To put the good of the individual before
helps in the formulation and implementation of personal or commercial interest (including
health care policies, standards and programs financial interest),
designed for the benefit of society.
• To promote individual’s right of access to safe
and effective treatment
PHARMACIST’S OATH 2. The Pharmacist show the same dedication
to all
I, of , Hereby solemnly swear that I will
support and defend the Constitution of the Obligations:
Philippines; that I will bear true faith and
• To show respect to life dignity
allegiance to the same; that I will obey the laws,
legal orders and degrees promulgated by the • Not to discriminate between people,
duly constituted authorities of the Republic of
• To strive to treat and inform each individual
the Philippines; and that I impose the obligation
according to personal circumstances.
upon myself voluntarily without mental
reservation or purpose of evasion. So HELP ME 3. The pharmacist respects the individual’s
GOD. right to freedom of choice of treatment.
I further solemnly swear that all times and Obligation:
places, I will adhere closely to the ethical and
professional rules generally accepted by the • To ensure that were the pharmacist is involved
pharmaceutical profession of the Philippines in developing care and treatment plans, this is
and that I will faithfully discharge to the best of done in consultation with the individual.
my ability the duties and the obligations 4. The pharmacist respect and safeguards
incumbent upon legally authorized the individual without consent ore due
pharmaceutical practitioner. cause.
Obligation:
• Not to disseminate information which identifies
the individual without consent or due cause.
FIP Code of Ethics
5. The pharmacist cooperates with
• This statement was adopted by the Council of
colleagues and other professionals and
the International Pharmaceutical Federation
respects their values and abilities.
(FIP) at its Council meetings in Vancouver on
5th September 1997. Obligation:
• To cooperate with colleagues and other
professionals and agencies in efforts to promote
Introduction
good health and treat and prevent ill health.
Profession of pharmacy that improves Patient I take these vows voluntarily with the full
care realization of the responsibility with which
I am entrusted by the public
6. The pharmacist act with honesty and I will consider the welfare of humanity
integrity in professional relationship.
And relief of human suffering my Primary
concerns
Obligations:
 To act with conviction of conscience, I will apply my knowledge, experience and skills
 To avoid practices, behavior of work to the best of my ability to ensure
conditions that could impair professional Optimal drug therapy outcomes for the Patient I
judgement. serve.
7. The pharmacist serves the needs of the
individual, the community, and society. I will keep abreast of development and
Maintain professional competency in
Obligations: My profession of Pharmacy
 To recognize the responsibilities
associated with serving the needs of the I will maintain the highest principles of moral,
individual on the hand of society at large ethical and legal conduct.
on the other.
I will embrace advocate change in the
8. The pharmacist maintains and develops
Profession of pharmacy that improves Patient
professional knowledge and skills.
care
Obligations:
I take these vows voluntarily with the full
 To ensure competency in each
realization of the responsibility with which
pharmaceutical service provided, by
I am entrusted by the public
continually updating knowledge and skills.

9. The pharmacy ensures the community of


care in the event of labor disputes, pharmacy PHARMACEUTICAL
closure or conflict with personal moral ORGANIZATION
beliefs.

Obligations:
 To refer the patient to another pharmacist
 To ensure that when a pharmacy closes,
the patients are informed of the pharmacy Purpose:
to which their record, if held, have been • Attaining the same goal and objectives for the
transferred. uplifting of pharmacy as a profession and to
improve the pharmacy services in the delivery
ofbetter patient care.
• It acts as the collective voice of the
members to set standards of practice and
conduct for the profession.

The different organizations were established


either on:

Oath of a Pharmacist 1. International level


2. National level
At this time,
3. Local level
I vow to devote my professional life to be
4. Field of specialization- ex. PSHP
Service of all humankind through the Profession
of Pharmacy
Philippine Pharmacists Association (PPhA) CORE VALUES:
1. Solidarity
• A national organization of Pharmacists 2. Professionalism
accredited by the Professional Regulation 3. Integrity
Commission (PRC). 4. Competence
5. Social Responsibility
• Registered with the Securities and Exchange
Commission (SEC)
• 2008: Former Philippine Pharmaceutical
Association
• Located at 815 R. Papa St., Sampaloc, Manila 9 affiliate organizations under PPhA, namely:
• Organized on Aug. 20,1920 1. Philippine Association of Pharmacist in
Pharmaceutical Industry (PAPPI)
• First national pharmaceutical organization
2. Philippine Society of Hospital Pharmacists
• First recipient of "The Outstanding (PSHP)
Accredited Professional Association of the
Year Award" by PRC in 1994. 3. Philippine Association of Colleges of
Pharmacy (PACOP)
4. Department of Health - League of
PPhA Vision Pharmacists (DOHLP)
"The pursuit of total well-being of every Filipino 5. Community Pharmacists Association of the
Through Pharmaceutical Care in partnership Philippines (CPAP)
with other health care professionals"
6. Institutional Pharmacists Association of the
Philippines (IPAP)
PPhA Mission
7. Federation of Junior Chapter- Philippines
A national organization of pharmacists, Pharmacists Association (FJCPPha)
committed to:
8. Young Pharmacists Group Philippines (YPG)
1. Uphold and enhance the nobility of pharmacy 9. Philippine Association of Pharmacists in
as profession Veterinary Industry (PAPVI)
2. Advocate the recognition of pharmacy as an
equal yet distinct partner among the health care
professions PPhA works to:

3. Actively participate in the formulation and a. Promote medication safety through its
implementation of health care policies, programs
standards and programs in the national and b. Enhance professional competency among its
international level members
4. Unite the different local pharmaceutical c. It actively provided Continuing Professional
chapters, affiliate organizations and networks Education (CPE) since 1960
with local and international health care
organizations
5. Protect the rights and promote the wellbeing • CPE seminars are available to practicing
of its members pharmacists to keep them abreast and
updated on the latest trends in
6. Provide opportunities
pharmaceutical sciences and pharmacy
for continuing practice, new drugs in the market, disease
professional growth and management, new laws and administrative
development for its orders.
members
• It provides scholarship every year to through professional and regulatory
deserving senior pharmacy students in diff. organizations."
schools of pharmacy in rotation basis
• It gives cash incentives to board topnotcher • It is the leader in establishing and supporting
in Pharmacy Licensure Exam by PRC. the healthcare regulatory affairs profession.
• It holds a 3-day annual national convention • It is actively undertaking CPE programs,
which is co-hosted by a city/provincial chapter. mostly seminar and lecture workshops.
• Celebrates the National Pharmacy Week on • It is committed to its members in bringing
the first week of December unlimited opportunities for networking and for
the profession by uniting and uplifting the roles
• The association establishes a linkage and of the pharmacists in Philippine Pharmaceutical
participates in different undertakings of Industry.
government and non-government agencies
namely:
1. Professional Regulation Commission (PRC) Philippine Society of
Hospital Pharmacists
2. Department of Health (DOH) (PSHP)
3. Food and Drug Administration (FDA)
• It is a association
4. Philippine Drug Enforcement Agency (PDEA) pharmacists private and
5. Commission on Higher Education (CHED) hospitals as professional of licensed working in
government hospital pharmacists.
6. World Health Organization (WHO) • Founded in 1962
• The PSHP Bulletin- official organ
7. Health-related Professional Organization
8. Cause-Oriented Organization
PSHP Mission
"Empower hospital pharmacists to be vital
• An active participant and founding member of partners in healthcare"
Federation of Asian Pharmaceutical Association
(FAPA) and a member of International
Federation of Pharmaceutical (FIP) and Western PSHP Vision
Pacific Pharmaceutical Forum(WPPF)
"Globally recognized hospital pharmacy experts"

Philippine Association of Pharmacists in PSHP Values:


Pharmaceutical Industry (PAPPI)
1. Integrity
2. Service
• Industry or Manufacturing firms Established in
1986 3. Excellence
4. Commitment

PAPPI Mission
Philippine Association of
"We are dynamic values-driven professional Colleges of Pharmacy
group of registered pharmacists in the (PACOP)
pharmaceutical industry, committed to the
upliftment of its role in the various aspects of • It is an association of
ethical drugs, consumer health, medical devices duly – government
and veterinary drug products delivery chain, recognized colleges of
pharmacy in the Philippines represented by their • Bangko Sentral ng Pilipinas (BSP)
Deans who are the regular member. • Center of Health Services Inc. (CHSI)
• Manila Health Department (MHD)
• Established in 1965 EQES
• Philippine Air Line (PAL)
• Associate members are composed of • Philippine Charity Sweeptakes (PCSO)
licensed pharmacists who are faculty • Quezon City Health Department (QCHD)
members of duly recognized colleges of • Social Security Systems (SSS)
Pharmacy, while the Pharmacy members are • Supreme Court of the Philippines (SCP)
the auxiliary members.

IPAP Mission
PACOP Mission
"'To promote continuous learning and
The Philippine Association of Colleges of professional career growth by being adept with
Pharmacy is a national organization whose various enhancement in the pharmacy
mission is to promote highest standards of profession and being involved and active in
pharmaceutical education and training of its socio-civic duties. The social responsibility is to
members schools of pharmacy. be updated with new knowledge in our field and
in pharmaceutical industry with progress of
modern technology"
Department of Health-League of Pharmacists
(DOHLP) IPAP Vision

• An organization of pharmacists from the "To be an effective partner in


different fields of the DOH. industry healthcare and
development"
• Organized on July 14,1962 by Pharmacy
Advise to Secretary of Health
Philippine Association of
Pharmacists in Veterinary
DOHLP Mission Industry (PAPVI)
To develop and maintain a competent uniquely • A professional group of RPh
qualified and recognized group of pharmacists in the veterinary industry,
who can assume and deliver their diverse committed to its role in gaelsis
responsibilities in healthcare team. in the Perg dealing with veterinary drugs and
products in eciatin anine Ace relation to supply,
chain, quality control, sales, marketing and
DOHLP Vision regulatory aspects.
Globally competitive Department of Health
pharmacists to interface with a multidisciplinary
healthcare team. Federation of Junior
Chapters of the PPhA
(FJCPPhA)
• Composed of Pharmacy
Institutional Pharmacists student officers
Association of the • Officers are elected every school year and
Philippines (IPAP) PPhA will select its adviser
• Established in April 1. To promote greater participation in the
4,2004 activities of the PPhA
• Composed of the 2. To foster closer relationship among pharmacy
industrial/corporate pharmacists from the students, the pharmacist, and the public and
medical services department of the various obtain harmony and understanding
private and government institutions
3. To promote interest among the pharmacy 1. Promote free market in pharmaceutical retail
students in scientific investigations by visits to
2. Provide quality options for consumers
pharm lab, industrial concerns, educational
films, lectures and programs 3. Promote sustainability and viability of small to
4. To uphold ethical and professional standards, medium drugstores.
defend, and protect any member whose right is
infringed.
Pharmaceutical
Healthcare Association
Young Pharmacists Group (YPG) Philippines of the Philippines
(PHAP)
• A new organization that:
• Association composed of
a. Bring together young professionals; and local and multinational
pharmaceutical
b. Encourages them to act as critical and manufacturers, traders,
innovative force distributors and retailers.

YPG Vision Federation of Asian


"We envision a community of pharmacists who Pharmaceutical
are professionally competent, socially Associations (FAPA)
responsible, ethical and committed to creating a • Professional organization
healthy and productive society." of Asian Pharmacists
Founded in 1964 with
headquarters based in
YPG Mission Manila, Philippines
“We help serve this special sector of the • FAPA Online is its official organ
membership by providing a forum for young
pharmacists in all areas of practice and by •There are 17 members from diff. Asian
encouraging them to get actively involved in countries
issues affecting Pharmacy profession”

Asian Association of
Drugstore Association of the Philippines Schools of Pharmacy
(DSAP) (AASP)
• It is an organization of drugstore owners • An international
established in April 14, 1984. organization of Asian
Schools of Pharmacy,
• Its official organ is The Tablet established on April 27,
2001 in Bangkok, Thailand

DSAP Vision • It conducts biennial congress in diff. Asian


countries Asian Conference on Clinical
1. Most credible authority in shaping healthcare Pharmacy (ACCP)
retailing.
• Original name is East Asia Conterence on
2. United in purpose to ensure sustained growth Developing Clinical Pharmacy Practice and
and prosperity Education
3. Partnering with other stakeholders in the • Asian pharmacists who were looking for a
industry. practical conference in which they could
exchange and share ideas on the concept of
clinical pharmacy
DSAP Mission
• Is conference was at Seoul, Korea in 1996
• 2nd is at Shanghai in 1999 3rd is in Japan

Federacion Internationale Pharmaceutique


(FIP)
• International Pharmaceutical Federation
• It aims to promote and defend the interest of
the profession world- wide
• Development of Pharmacy at the International
level both in the professional and in scientific
fields and the extension of the role of the
pharmacists in the field of health care.

International Pharmacy Journal - is the official


organ of the pharmacists in the field of
healthcare.
• It is based on Hague, Netherlands

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