Tiêu đề 36. ESSENTIAL DRUGS CONCEPT AND RATIONAL DRUG THERAPY.pdf ✅

PHARMD GURU Page 3 RATIONAL USE OF DRUGS: "The appropriate timely use of drugs for an ailment which is properly diagnosed by physician and prescribed by a physician in right dosage of a right regimen and right duration of treatment" FACTORS:  Self medications  Medicines will take for small ailment.  Easily access to medications  Information's from peers and friends and compelling desire to avoid going to doctor. COMMON TYPES OF IRRATIONAL USE:  Polypharmacy: The use of too many medicines in a single patient.  Inappropriate use of antibiotics, often in inadequate dosage (either strength or duration of treatment) or the use of antibiotics for nonbacterial infections like viral infections.  Over-use of injections when the oral route would be more appropriate.  Inappropriate self-medication, mostly with prescription-only drugs.  Failure to prescribe in accordance with STGs (Standard treatment guidelines). STRATEGIES TO IMPROVE RATIONAL USE OF DRUGS: Even though a large amount of money is spent on procuring medicines, very little is spent on improving their use. More interventions to promote rational use, assessment of these interventions and frequent monitoring are all needed to sustain the rational use of medicines. The following strategies can be used to improve the use of medicines:  MANAGERIAL: This is done by supervising and guiding clinical practice. Doctors are persuaded to use STGs and prescribe medicines listed in the EML. Prescription audits can be used to obtain feedback on prescribing behavior.  ECONOMIC: Offering incentives to institutions, patients and providers. Many insurance agencies and some governments reimburse only if medicines are chosen from a restricted list. Once health insurance/ managed care becomes a