hospital formulary.pdf - Indian Journal of Pharmacy...

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Indian Journal of Pharmacy Practice Association of Pharmaceutical Teachers of India Hospital Formulary: An Overview 1 2 3 4 5 Mahendrakumar BJ* , Sowmya M , Uma Maheswari D , Hymavathi R , Ramesh S 1 Director for PG Studies, Prof. & Head, Department of Pharmacy Practice, JDT Islam College of Pharmacy, Jamiath Hill, Kozhikode – 673012, Kerala, India. 2,3,4,5 Department of Clinical Pharmacy, SAC College of Pharmacy, BG Nagara, Karnataka, India. INTRODUCTION With the increased prevalence and incidence of diseases and with increased number and diversity of medicines world wide, every hospital should maintain a formulary on its own so as to reduce the variations in the level of treatment provided to the patients. Formulary is a continually revised compilation of pharmaceuticals and some important ancillary information 1 that reflects the current clinical judgement of medical staff. One way of rationalizing the selection of drugs and one hopes of improving prescribing, is the development of a general 2 practice formulary. Hospital formularies originally started life in hospitals as a collection of commonly prescribed pharmaceutical preparations, produced mainly for reference purposes. As time went on, the hospital formulary was adopted to incorporate the detailed information on the 3 increasing number and diversity of medicines. It is difficult to achieve efficiency in the hospital pharmaceutical system if 4 there are too many medicines. However, these new and expensive preparations required ever increasing funds and the 3 formulary rapidly turned into a list of restricted medicines. Members involved in the preparation of Hospital Formulary The most important function of Drugs and Therapeutics Committee (DTC) is to prepare and implement a formulary for the hospital. The committee should have sufficient members to represent all stakeholders, including the major clinical departments, the administration and the pharmacy. Members should be selected with reference to their positions and responsibilities. In most hospitals, the membership includes: A representative clinician from each major specialty, including surgery, obstetrics and gynaecology, internal medicine, paediatrics, infectious diseases, and general practice (to represent the community). A clinical pharmacologist, if available. A nurse, usually the senior infection control nurse, or sometimes the matron. A pharmacist (usually the chief or deputy chief pharmacist), or a pharmacy technician where there is no pharmacist. An administrator, representing the hospital administration and finance department. A clinical microbiologist or a laboratory technician where there is no microbiologist. 4 A member of the hospital records department. Importance of a Formulary When a formulary is used effectively, it becomes the cornerstone of a formulary system, which can be one of the most effective methods of ensuring rational drug therapy and controlling drug cost. Medicines which play a crucial role in the prevention and treatment of diseases, when used correctly

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