Rational Presribing

Question 1

What is rational prescribing

Answer 1

“Making sure that the diagnosis, prescribed treatment and advice given for every patient / individual / community is correct.”
The right:
Drug
Dose
Route of administration
Duration of treatment
Advice
Monitoring
…..for that diagnosis in that particular patient.

Question 2

What is P(referred drug)

Answer 2

A P drug is a prescribers first line therapy.
Personal to prescriber
Proven to be effective and safe and affordable

Question 3

Types of mood stabilisers

Answer 3

Lithium
Anticonvulsants

Question 4

Antianxiolytics

Answer 4

Benzodiazepine

Question 5

Difference between Adverse drug reaction and Adverse drug event?

Answer 5

Adverse drug event: Medical occurrence temporarily associated with the use of a medical product, but not necessarily causally related

Adverse drug reaction is a response to a drug which is noxious, and unintended and occurs in doses normally used in prophylaxis, diagnosis or therapy of disease

Question 6

Serious adverse event results in what:

Answer 6

Death
Disability
Life threatening injury
Hospitalisation
Congenital malformations

Question 7

Types of adverse drugs reaction

Answer 7

Type A -Augumented
Risk increases with increasing dose(Dose dependent)
Common/predictable

Type B- Bizarre
Dose independent (e.g allergic reactions)
Rare, unpredictable

Type C - delayed
Type D- chronic
Type E- End of use
Type F- Failure of treatment

Question 8

How to prevent adverse drug reactions

Answer 8

Take a full history
Heed contraindications
Avoid unnecessary drugs
Avoid drug interactions
Use correct dose
Monitor appropriate
Report suspected ADRs

Question 9

What is pharmacovigilance

Answer 9

The science and activities relating to detection, assessment, understanding and prevention of adverse effects or any other drug related problems