Applications of Therapeutic Drug Monitoring

1. Monitoring of certain drugs theophylline, valproic acid, and methotrexate is associated with increased efficacy and decreased incidences and side effects.   2. Monitoring determines the safety of the dosage regimen. If the s…

Need For Therapeutic Drug Monitoring

The number of studies in recent years has pointed to a need for more intensive  monitoring of drug therapy. These reports have identified the following reasons: Polypharmacy  The overuse of medications by patients and over-prescr…

Definition of Therapeutic Drug Monitoring

“Drug Monitoring is that process which ensures that a patient is treated with least expensive, most effective therapeutic agent, in a manner that will maximize efficacy and minimize side effects”. It requires the pharmacist to as…

Addition and Deletion of Drug From Hospital Formulary

This is one very important at the same time complicated task for the Pharmacy and Therapeutic Committee for the selection of the considerations on which to base admission or deletion of drugs in the formulary. It is because no si…

Differentiation of Hospital Formulary and Drug List

There is a common tendency to use the terms ‘formulary and drug list’ synonymously or  interchangeably. This is not correct, because there exists a vast difference in the scope and preparation of a formulary over a drug list.   …

Dispensing of Controlled Drugs

Controlled drugs are classified in the order of their abuse risk and placed in Schedules by the Federal Drug Enforcement Administration (DEA). The drugs with the highest abuse potential are placed in Schedule I (heroin, marijuana…

How Do You Dispense Drugs To In-Patients?

One of the vital functions of a hospital pharmacy department is to provide services to in-patients. All hospital invariably offers in-patient services, though they may or may not offer services to out-patients. An in-patient is “…

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