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Chapter 1

Pharmacy Profession

Presented By:
Sharifa Sultana
Lecturer
Department of Pharmacy
Daffodil International University
The science and art concerned with the
preparation and standardization of drugs.
 Its scope includes
1. the cultivation of plants that are used as
drugs,
2. the synthesis of chemical compounds of
medicinal value, and
3. the analysis of medicinal agents.





The profession of pharmacy exists to
safeguard the health of the public
The pharmacist is one who is licensed to
prepare and dispense medications,
counsel patients, and monitor outcomes
pursuant to a prescription from a licensed
health professional
The role of the modern pharmacist
evolved
 from

compounder and dispenser
 to providing medication information and
preventing medication-related problems




They are responsible for the preparation of
the dosage forms of drugs, such as tablets,
capsules, and sterile solutions for injection.
They compound physicians’, dentists’, and
veterinarians’ prescriptions for drugs.
During the twentieth century, the pharmacy
profession has evolved through four stages.
Traditional Era
 Scientific Era
 Clinical Era
 Pharmaceutical-care Era




Early twentieth century
Formulation and dispensing of drugs from natural
sources
 Pharmacognosy


The study of the medicinal properties of natural products
of animal, plant, and mineral origins

 Galenical


pharmacy

Techniques for preparing medications



Began after World War II
Emergence of the pharmaceutical industry
 Drugs



made in factories, not apothecary shop

Pharmacy education emphasized sciences
 Pharmacology


The scientific study of drugs and their mechanism of action
including side effects

 Pharmaceutics


Release characteristics of drug dose forms



1975: Millis Report, Pharmacists for the Future
New educational emphasis on clinical (patientoriented) pharmacy
 Pharmacokinetics


the activity of a drug within the body over a period of time;
includes absorption, distribution, metabolism, and elimination

 Pathophysiology


the study of disease and illnesses affecting the normal function of
the body



1990: Hepler and Strand defined
Pharmaceutical care
a

philosophy that expanded the pharmacist’s
role to include appropriate medication use to
achieve positive outcomes with prescribed drug
therapy
 includes



Monitoring response to therapy
Educating patients and dispensing prescriptions
Today’s pharmacist:









Compounds and dispenses drugs
Gathers information about patients
Counsels on possible side effects and adverse
reactions
Monitors for drug interactions
Screens, monitors, and advises for self-treatment
with over-the-counter (OTC) products sold
without a prescription
Provides drug information to other healthcare
professionals
Advises on home healthcare supplies and medical
equipment








Community Pharmacy
Hospital Pharmacy
Home Healthcare

Health maintenance organization (HMO)
Long-term care facilities
Specialized practice
 psychiatry
 drug

abuse



Nursing homes



Nuclear Pharmacy



Dispenses drugs for exiting disease
Involved in patient care initiatives to prevent
or identify disease
 Administration

of immunizations
 screening for and educating about hypertension,
diabetes, and other conditions
 providing education about lifestyle choices and
dietary supplements


Runs a business
 hires

and supervises employees
 deals with insurance companies
 maintains inventory







Dispenses oral medications
Prepares and dispenses parenteral
medications
Sometimes specializes, with advanced
training in an area of patient care
Educates and counsels patients
Provides drug information
Administers a department
 develops policies and procedures
 purchases drugs and supplies
 monitors drug use in the hospital


Prepares medications and IVs for home
delivery and use
 including

IV nutrition and antibiotics
 cancer chemotherapy
 pain medications



Educates patient or caregiver on appropriate
and safe medication use
Monitors patient’s response to prescribed
therapies




Health maintenance organization (HMO)
Long-term care facilities
Specialized practice
 psychiatry
 drug



abuse

Nursing homes
 geriatrics


Nuclear pharmacist
 Procures,

stores, compounds, dispenses, and
provides information about radioactive
pharmaceuticals used for diagnostic and therapeutic
purposes


Three fifths of all pharmacists in the United
States work in a community pharmacy (retail
pharmacy).
 an

independent or chain pharmacy that dispenses
prescription medications to outpatients


Most community pharmacies are divided into
a

back prescription area offering prescription
merchandise and related items
 a front area offering over-the-counter (OTC) drugs,
toiletries, cosmetics, and greeting cards


Community pharmacies may be
 independently

owned small businesses
 part of large retail chains
 franchise operations


The recent trend is toward fewer
independent pharmacies
A chain pharmacy is a community pharmacy
that consists of several similar pharmacies in
the region (or nation) that are corporately
owned.
 May be national or regional
 in department stores
 grocery stores
 typical corner drugstores

Located to allow for large-volume dispensing
with heavy use of both pharmacy techs and
automation
 Administrative decisions are made at the
corporate level

Institutional pharmacies are organized under
a corporate structure, following specific rules
and regulations for accreditation.
 A pharmacy associated with any organized
healthcare delivery system
 hospital

pharmacy is the most common example
 more recent examples of places where institutional
pharmacies can be found include :




home healthcare
long-term care facilities
managed-care organizations
A hospital pharmacy is an institutional
pharmacy that dispenses and prepares drugs
and provides clinical services in a hospital
setting.
 One fourth of all pharmacists work in a
hospital
setting in USA
 an

institution that offers 24-hour healthcare
service; that has six or more beds, a governing
authority, and an organized medical staff; and that
offers nursing and pharmacy services
 carries out the functions of maintaining drug
treatment records and ordering, stocking,
compounding, repackaging, and dispensing
medications and other supplies
A home healthcare pharmacy is a pharmacy that
dispenses, prepares, and delivers drugs and medical
supplies directly to the home of the patient.
 Spiraling hospitalization costs, regulatory
changes, and
advances in parenteral therapies
have created an explosion in this field
 The home healthcare market continues to grow
because
of our aging society and as an
alternative to the higher
cost of hospitalizations
 Many

hospitalized patients are discharged as soon as
possible to continue their recovery at home with IV
solutions.






Pharmacy is a multi-disciplinary subject
composed of all aspects of drugs including
its manufacturing,
synthesis,
quality control
and quality assurance,
marketing,
handling,
 safety matters,
 patients care,
 invention,
 and public awareness for the
use of drugs, etc.

Others

Jobs in abroad

Higher education
abroad

Research organization

Teaching in
universities

Pharma mark eting

Pharma industries

0

50

100

150

200

250

300

350

400

450

500

550






Pharmaceutical Industry – API, Finished products
and Excipients based industries (Production, QC,
QA, PD, cGMP Training, Warehouse, Drug
Research and Invention)
 Pharmaceutical Marketing (PMD, MSD, Sales
Promotion, Clinical Services, Training for field
forces, IM)
 Drug Regulatory Affairs








Hospital Pharmacy (Govt. and Private Hospitals)
 Academic positions in the Govt. and private
universities
 Directorate General of Drug Administration
  Pharmacy Council of Bangladesh 
Drug Testing Laboratories 
Opportunities in abroad for jobs, research, and
teaching 







Clinical Pharmacy 
Community Pharmacy 
Retail & Chain Pharmacy
Dispensing Pharmacy 
Diagnostic Laboratories 
Research & Development in Research Institutes
(New drug molecule, Novel Drug Delivery
System, Improved Healthcare)

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Pharmacy profession

  • 1. Chapter 1 Pharmacy Profession Presented By: Sharifa Sultana Lecturer Department of Pharmacy Daffodil International University
  • 2. The science and art concerned with the preparation and standardization of drugs.  Its scope includes 1. the cultivation of plants that are used as drugs, 2. the synthesis of chemical compounds of medicinal value, and 3. the analysis of medicinal agents.
  • 3.    The profession of pharmacy exists to safeguard the health of the public The pharmacist is one who is licensed to prepare and dispense medications, counsel patients, and monitor outcomes pursuant to a prescription from a licensed health professional The role of the modern pharmacist evolved  from compounder and dispenser  to providing medication information and preventing medication-related problems
  • 4.   They are responsible for the preparation of the dosage forms of drugs, such as tablets, capsules, and sterile solutions for injection. They compound physicians’, dentists’, and veterinarians’ prescriptions for drugs.
  • 5. During the twentieth century, the pharmacy profession has evolved through four stages. Traditional Era  Scientific Era  Clinical Era  Pharmaceutical-care Era 
  • 6.   Early twentieth century Formulation and dispensing of drugs from natural sources  Pharmacognosy  The study of the medicinal properties of natural products of animal, plant, and mineral origins  Galenical  pharmacy Techniques for preparing medications
  • 7.   Began after World War II Emergence of the pharmaceutical industry  Drugs  made in factories, not apothecary shop Pharmacy education emphasized sciences  Pharmacology  The scientific study of drugs and their mechanism of action including side effects  Pharmaceutics  Release characteristics of drug dose forms
  • 8.   1975: Millis Report, Pharmacists for the Future New educational emphasis on clinical (patientoriented) pharmacy  Pharmacokinetics  the activity of a drug within the body over a period of time; includes absorption, distribution, metabolism, and elimination  Pathophysiology  the study of disease and illnesses affecting the normal function of the body
  • 9.   1990: Hepler and Strand defined Pharmaceutical care a philosophy that expanded the pharmacist’s role to include appropriate medication use to achieve positive outcomes with prescribed drug therapy  includes   Monitoring response to therapy Educating patients and dispensing prescriptions
  • 10. Today’s pharmacist:        Compounds and dispenses drugs Gathers information about patients Counsels on possible side effects and adverse reactions Monitors for drug interactions Screens, monitors, and advises for self-treatment with over-the-counter (OTC) products sold without a prescription Provides drug information to other healthcare professionals Advises on home healthcare supplies and medical equipment
  • 11.       Community Pharmacy Hospital Pharmacy Home Healthcare Health maintenance organization (HMO) Long-term care facilities Specialized practice  psychiatry  drug abuse  Nursing homes  Nuclear Pharmacy
  • 12.   Dispenses drugs for exiting disease Involved in patient care initiatives to prevent or identify disease  Administration of immunizations  screening for and educating about hypertension, diabetes, and other conditions  providing education about lifestyle choices and dietary supplements  Runs a business  hires and supervises employees  deals with insurance companies  maintains inventory
  • 13.       Dispenses oral medications Prepares and dispenses parenteral medications Sometimes specializes, with advanced training in an area of patient care Educates and counsels patients Provides drug information Administers a department  develops policies and procedures  purchases drugs and supplies  monitors drug use in the hospital
  • 14.  Prepares medications and IVs for home delivery and use  including IV nutrition and antibiotics  cancer chemotherapy  pain medications   Educates patient or caregiver on appropriate and safe medication use Monitors patient’s response to prescribed therapies
  • 15.    Health maintenance organization (HMO) Long-term care facilities Specialized practice  psychiatry  drug  abuse Nursing homes  geriatrics
  • 16.  Nuclear pharmacist  Procures, stores, compounds, dispenses, and provides information about radioactive pharmaceuticals used for diagnostic and therapeutic purposes
  • 17.  Three fifths of all pharmacists in the United States work in a community pharmacy (retail pharmacy).  an independent or chain pharmacy that dispenses prescription medications to outpatients
  • 18.  Most community pharmacies are divided into a back prescription area offering prescription merchandise and related items  a front area offering over-the-counter (OTC) drugs, toiletries, cosmetics, and greeting cards  Community pharmacies may be  independently owned small businesses  part of large retail chains  franchise operations  The recent trend is toward fewer independent pharmacies
  • 19. A chain pharmacy is a community pharmacy that consists of several similar pharmacies in the region (or nation) that are corporately owned.  May be national or regional  in department stores  grocery stores  typical corner drugstores Located to allow for large-volume dispensing with heavy use of both pharmacy techs and automation  Administrative decisions are made at the corporate level 
  • 20. Institutional pharmacies are organized under a corporate structure, following specific rules and regulations for accreditation.  A pharmacy associated with any organized healthcare delivery system  hospital pharmacy is the most common example  more recent examples of places where institutional pharmacies can be found include :    home healthcare long-term care facilities managed-care organizations
  • 21. A hospital pharmacy is an institutional pharmacy that dispenses and prepares drugs and provides clinical services in a hospital setting.  One fourth of all pharmacists work in a hospital setting in USA  an institution that offers 24-hour healthcare service; that has six or more beds, a governing authority, and an organized medical staff; and that offers nursing and pharmacy services  carries out the functions of maintaining drug treatment records and ordering, stocking, compounding, repackaging, and dispensing medications and other supplies
  • 22. A home healthcare pharmacy is a pharmacy that dispenses, prepares, and delivers drugs and medical supplies directly to the home of the patient.  Spiraling hospitalization costs, regulatory changes, and advances in parenteral therapies have created an explosion in this field  The home healthcare market continues to grow because of our aging society and as an alternative to the higher cost of hospitalizations  Many hospitalized patients are discharged as soon as possible to continue their recovery at home with IV solutions.
  • 23.      Pharmacy is a multi-disciplinary subject composed of all aspects of drugs including its manufacturing, synthesis, quality control and quality assurance, marketing,
  • 24. handling,  safety matters,  patients care,  invention,  and public awareness for the use of drugs, etc. 
  • 25. Others Jobs in abroad Higher education abroad Research organization Teaching in universities Pharma mark eting Pharma industries 0 50 100 150 200 250 300 350 400 450 500 550
  • 26.    Pharmaceutical Industry – API, Finished products and Excipients based industries (Production, QC, QA, PD, cGMP Training, Warehouse, Drug Research and Invention)  Pharmaceutical Marketing (PMD, MSD, Sales Promotion, Clinical Services, Training for field forces, IM)  Drug Regulatory Affairs
  • 27.       Hospital Pharmacy (Govt. and Private Hospitals)  Academic positions in the Govt. and private universities  Directorate General of Drug Administration   Pharmacy Council of Bangladesh  Drug Testing Laboratories  Opportunities in abroad for jobs, research, and teaching 
  • 28.       Clinical Pharmacy  Community Pharmacy  Retail & Chain Pharmacy Dispensing Pharmacy  Diagnostic Laboratories  Research & Development in Research Institutes (New drug molecule, Novel Drug Delivery System, Improved Healthcare)