engleski

Analysis of prescribed pharmacotherapy through clinical case

Oncology pharmacy has been related exclusively to hospital pharmacy for many years. In the first place it involved safe handling of antineoplastic drugs, then the central preparation of these drugs, but today it also has its place in community (external) pharmacy. This is the result of of nowadays well-known fact that a community pharmacist is in everyday contact with oncology patients and their families. Moreover, the number of oral formulations of antineoplastic drugs is on the grow. However, the affirmation of oncology pharmacy in community pharmacies is still not satisfactory, which indicates that there is a need for additional education of community pharmacists in this particular field of pharmacy. For the purpose of this poster, we will display a patient who comes to a community pharmacy to pick up her usual medications. She suffers from breast cancer, and in addition to medications used for the treatment of comorbidities, in pharmacy she takes capecitabine, drugs for the pain treatment and antinauseants. Except the drugs listed above, that are given via prescription, the patient also buys painkillers and supplements which are claimed to be improving immunity. Through case of oncology patient and the analysis of her pharmacotherapy , pharmacy interventions in everyday work are shown, as well as management of side effects which resulted from the application of anticancer drugs or radiation. It was found out that our patient duplicates the therapy of ibuprofen (Rx) and ibuprofen (OTC), paracetmol (Rx) and paracetamol (OTC). On top of that, she lacked knowledge of proper administration of capecitabine. Having an insight into an e-card (which is not yet available to community pharmacists in Croatia) and whole medication history and dietary supplements that patient often uses, it is easier to identify and avoid potential medication errors and drug interactions. That way a pharmacist in a community pharmacy would be more able to check the patient's adherence and influence the course of treatment. As part of a multidisciplinary team, pharmacist is obliged to cooperate actively with other health professionals and share their observations and activities related to the common oncology patient.

pharmacotherapy analysis, oncology pharmacy

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