How to Utilize Your Pharmacist In the Community Pharmacy Setting - PowerPoint PPT Presentation

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How to Utilize Your Pharmacist In the Community Pharmacy Setting

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How to Utilize Your Pharmacist In the Community Pharmacy Setting Susie H. Park, Pharm.D., BCPP Assistant Professor USC School of Pharmacy susiepar_at_usc.edu – PowerPoint PPT presentation

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Title: How to Utilize Your Pharmacist In the Community Pharmacy Setting


1
How to Utilize Your PharmacistIn the Community
Pharmacy Setting
  • Susie H. Park, Pharm.D., BCPP
  • Assistant Professor
  • USC School of Pharmacy
  • susiepar_at_usc.edu

NAMI 2007 Annual Convention June 22, 2007
2
Introduction
  • The role of the community pharmacist
  • The role of the patient or patients caretaker in
    the community setting
  • Record-keeping of medication documentation and
    history

3
The Role of the Community Pharmacist
  • Medication evaluation
  • Drug interactions
  • Polypharmacy
  • Counseling of proper medication use
  • Communicating with prescribers and other health
    care professionals
  • Dispensing the correct medication, dose,
    quantity, and refills

4
Polypharmacy
  • Is more than one medication prescribed to the
    same patient for the same thing?
  • Therapeutic Zoloft Risperdal for OCD
  • Harmful Ambien Klonopin for insomnia
  • Does the patient receive medications from more
    than one dispensing pharmacy?
  • Pharmacy A Lithium 300mg one capsule twice daily
    60 capsules dispensed
  • Pharmacy B Lithium 300mg one capsule three/day
    90 capsules dispensed 3 weeks later

5
Medication Counseling
  • Provide medication benefits and directions for
    use
  • What time of day to take certain medications
  • Assess how the medication is working
  • Have the symptoms been improving
  • Inform about any side effects
  • Discuss expectations and management
  • Inquire about other concomitant medications
  • Screen for drug interactions

6
Communicating With Other Healthcare Providers
  • Clarify prescriptions with prescribers
  • Is Seroquel 300mg added to the existing Seroquel
    400mg or replacing it?
  • Discuss potential for drug interactions with
    different prescribers
  • Psychiatrist Dr. Mays prescribed lithium 900mg
    twice daily for the past 9 years
  • Primary care physician Dr. Howe recently
    prescribed losartan 50mg daily

7
Patient/Patients Caretaker Responsibilities
  • Know what the medication is being prescribed for
  • Be familiar with the name(s) of medications
  • Dont leave the MD office until you can legibly
    read the written prescription
  • Have prescription called in directly
  • Tell the pharmacist if more than one pharmacy
    fills prescriptions for the patient
  • Tell the pharmacist about any new medications
    begin taken, including over-the-counter
    medications

8
Over-The-Counter Medications
  • OTC Non-prescription medications
  • Pain medications can increase lithium levels
  • Ibuprofen (Advil, Motrin, other combinations)
  • Naproxen sodium (Aleve)
  • Bulk laxatives can interfere with medication
    absorption
  • Heartburn medications can increase drug levels
  • Cimetidine (Tagamet)
  • Cold medicines can cause drug interactions
  • Dextromethorphan (found in cough syrups)
  • Phenylephrine (found in cold tablets and syrups)
  • Herbal products can cause drug interactions

9
Medication Documentation
  • Keep track of current medications
  • Prescription and OTC
  • Keep the list updated
  • Ask your pharmacist to keep the list updated and
    complete
  • See attached form
  • For an e-mailed copy of the form, send request to
    Susie Park susiepar_at_usc.edu

10
Conclusions
  • Find a pharmacy you feel comfortable with
  • Stay with one filling pharmacy
  • Communicate with your pharmacist
  • Ask questions
  • Keep updated medication information
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