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The Five Core Abilities in Correct Medicine and Safely National Taiwan University Hospital Hsin-Chu Branch Department of Pharmacy August 13, 2012 1 What’s the Five Core Abilities? Ability 1.to express physical condition clearly when visiting clinics; Ability 2. to read medicine bag correctly; Ability 3. to take medications correctly; Ability 4. to be the master of oneself in drug usage; Ability 5.to make friends with pharmacists and physicians. National Taiwan University Hospital Hsin-Chu Branch 2 Ability 1: To Express Physical Condition Clearly When Visiting Clinics National Taiwan University Hospital Hsin-Chu Branch 3 Ability 1: Express Physical Condition Clearly When Visiting Clinics Patients need to understand their own conditions and express the statements below clearly: Clearly describe the symptoms • The status of symptoms, uncomfortable area and time, etc. Clearly describe personal special status • Drug allergy, food allergy, special food need (vegetarian, low salt, low sugar, etc.) National Taiwan University Hospital Hsin-Chu Branch 4 Ability 1: Express Physical Condition Clearly When Visiting Clinics (cont.) Clearly describe past history • Surgical and admission history, special disease history (hypertension, diabetes, live diseases, heart diseases, renal diseases, etc.), family history, special examination results, etc. Clearly describe current medication use • Herbs, vitamins, oral contraceptives, supplementary diet, alcoholic drinks, some special food, etc. National Taiwan University Hospital Hsin-Chu Branch 5 Ability 1: Express Physical Condition Clearly When Visiting Clinics (cont.) Clearly describe the behavior of driving cars, examination or handling equipment • Some medications will make patient fall asleep or decrease the ability of concentration and defense. Females should clearly describe the status of pregnancy and breast-feeding. National Taiwan University Hospital Hsin-Chu Branch 6 Ability 2: To Read Medicine Bag Correctly National Taiwan University Hospital Hsin-Chu Branch 7 If there is any drug-related problem, call this number for consultation. Your name & age How to take the medicine? How long you should take? Verify the quantity Drug name and appearance Is the indication corresponding to your illness? Potential side effect(s) Read the special notes National Taiwan University Hospital Hsin-Chu Branch Wan-Hsuan Lin 8 You must have the ability to identify the following contents when receiving medications Patient’s name. Method of use. Drugs’ indications. Drugs’ names. External appearance. Treatment course. Side effects. Warnings of drugs. Expiration date. National Taiwan University Hospital Hsin-Chu Branch 9 Ability 3: To Take Medicine Correctly National Taiwan University Hospital Hsin-Chu Branch 10 Know the Route of Administration Oral? External? National Taiwan University Hospital Hsin-Chu Branch 11 Know How to Use the Medicine Formulation of Tablet How to Take It Controlled-release tablet Do not chew it Enteric-coated tablet Do not chew it or take it with antacids Effervescent tablet Drink it after solving it in water Antacid tablet Chew it well National Taiwan University Hospital Hsin-Chu Branch 12 Know How to Use the Medicine (Cont.) Take medicine with enough water Do NOT take it with any beverage Juice - especially grapefruit juice Milk Tea Coffee National Taiwan University Hospital Hsin-Chu Branch 13 What’s the Time to Take Medicine? National Taiwan University Hospital Hsin-Chu Branch 14 “Before Meals” or “After Meals” Before Meals 1 hour before meals or 2 hours after meals After Meals 30 to 60 minutes after meals Follow the directions provided by your doctor or pharmacist if you are in special condition. Diabetes National Taiwan University Hospital Hsin-Chu Branch 15 Daily Time Intervals Between Each Dosage Frequency Breakfast Lunch Dinner Before bedtime Four times a day Three times a day Twice a day Once a day Three times a day A fixed time daily = Every 8 hours National Taiwan University Hospital Hsin-Chu Branch 16 The “Once A Day” A fixed time daily Morning Diuretics Before bedtime Sedatives National Taiwan University Hospital Hsin-Chu Branch 17 Guess What Does It Mean? Morning Noon Before meals Two pills Night Before bedtime After meals One pill Half a pill National Taiwan University Hospital Hsin-Chu Branch Wan-Hsuan Lin For nasal use Apply to eye(s) Apply to ear(s) 18 Oops! I Forgot to Take the Medicine… National Taiwan University Hospital Hsin-Chu Branch 19 Midpoint of Dosing Interval Time for Medication 8:00 Time for Medication 10:00 12:00 X Take the missed dose Do not take the missed dose Do NOT double the dosage for the next dose! National Taiwan University Hospital Hsin-Chu Branch 20 How to Store Your Medicine? National Taiwan University Hospital Hsin-Chu Branch 21 How to Store Your Medicine? Avoid light, wet and heat Keep it in the original packing Some drugs should be stored between 2-8℃ National Taiwan University Hospital Hsin-Chu Branch 22 How to Store Your Medicine? (cont.) Drugs for oral administration and external use should be stored separately. The expiration date would be shorter once you opened it. Don’t keep the desiccant or cotton in the container. National Taiwan University Hospital Hsin-Chu Branch 23 Ability 4: Be the Master of Yourself in Drug Usage National Taiwan University Hospital Hsin-Chu Branch 24 The Principle of Medication Safety: Five NOes Do not LISTEN to opinions from non-health professionals Do not TAKE drugs provided by others $ Do not BELIEVE in drugs with exaggerated effects Do not BUY drugs at inappropriate place Do not RECOMMEND drugs to others National Taiwan University Hospital Hsin-Chu Branch 25 Four Steps to Identify Legal Drugs! Obtain it at appropriate place Permit number 衛署藥製字第○○○○○○號 衛署藥輸字第○○○○○○號 衛署成製字第○○○○○○號 衛署成輸字第○○○○○○號 Essential information in detail Brand name, name and address of manufacturing company, date of manufacture or batch number, content of the main ingredient(s), usage and dosage, indication, side effect(s), contraindication(s) or precaution(s) and expiration date Drug classification National Taiwan University Hospital Hsin-Chu Branch 26 Batch number & expirationContent date of the Name, address & contact main ingredient Indication number of manufacturing Route of administration Brand name company Permit Number Drug classification How to Identify Legal Drugs? National Taiwan University Hospital Hsin-Chu Branch 28 How to Identify Legal Drugs? (Cont.) National Taiwan University Hospital Hsin-Chu Branch Wan-Hsuan Lin 29 How to Identify Legal Drugs? (Cont.) National Taiwan University Hospital Hsin-Chu Branch Wan-Hsuan Lin 30 How to Identify Legal Drugs? (Cont.) National Taiwan University Hospital Hsin-Chu Branch http://www.fda.gov.tw/ 31 How to Identify Legal Drugs? (Cont.) National Taiwan University Hospital Hsin-Chu Branch 32 How to Identify Legal Drugs? (Cont.) National Taiwan University Hospital Hsin-Chu Branch 33 How to Identify Legal Advertisement? Permit number of drug advertisement 衛署藥廣字第○○○○○○○號 北市衛藥廣字第○○○○○○號 高市衛藥廣字第○○○○○○號 Permit number of drug National Taiwan University Hospital Hsin-Chu Branch Wan-Hsuan Lin Permit number of drug advertisement 34 Ability 5: Make Friends with Pharmacists & Physicians National Taiwan University Hospital Hsin-Chu Branch 35 Ability 5: Make Friends with Pharmacists & Physicians. Book the telephone numbers of your pharmacists or physicians that you are familiar with in your directory if they agree. You may ask your pharmacists or physicians when: Buying OTC (over the counter) drugs Taking medications Taking chronic illness refill prescription Someone is selling unknown drugs Discomfort after taking medicines. It will have special line for medication consultation on your medicine bags. National Taiwan University Hospital Hsin-Chu Branch 36 Let Your Pharmacist Check Your Medication! Do you take your medicine correctly? Does the medicine work? Any medicine with similar effect? Any adverse reaction? Any drug-drug interaction? Stay on medication or any adjustment is required? National Taiwan University Hospital Hsin-Chu Branch 37 Thank You for Your Attention National Taiwan University Hospital Hsin-Chu Branch 38