Alpesh Kumar Nagar

Pharmaceutical care began in developed countries like United States and Canada, and has rapidly extended in many other countries. Although there are different trends in different part of the countries but they all have same objective to achieve definite outcome that improve a patient’s quality of life. With these objectives, a pharmaceutical care process has to be adopted and followed step-by-step, to identify potential medication-related problems. Along with, pharmacists have to work together with patients or caretaker and prescribers to accomplish a pharmaceutical care plan to obtain desire therapeutic goal and outcome of the diseases. The pharmaceutical care service with its dedication to support clinical service and research activities in the hospital will further improve the quality of drug therapy, provide better patient health care and utilization of drugs this will help reducing morbidity and mortality in the hospital. To success the pharmaceutical care process, various steps should be documented properly and required communication skill. The community pharmacists, hospital pharmacists and consultant pharmacists play an important role in implementation of pharmaceutical care programs. The government bodies should consider Pharmaceutical care service as a primary element of University, teaching hospital, 150-bedded hospital, graduates and postgraduate studies.

Drugs play a dual role in patients. They are intended to cure, prevent or diagnosesigns or symptoms of a disease and on the same side its improper use can cause drugrelated problems which lead to increased morbidity and mortality. A pharmacistin a hospital had a vital role to monitor the physician prescribed prescriptions fordrug related problems (DRP’s). Objectives: To identify the drug related problems like ADR’s, Drug Interactions(DI), Low dose (LD), High dose (HD), Treatment without indication (TWI)andUntreated indication (UI). To identify the patient demographic details. Materials and methods: ThePresent study is an observational prospective study done in a tertiary care hospital for a period of six months. Individual patient data withprescription content is collected every day in Medicinedepartment in a suitable data collection form. Ethical clearance is obtained fromthe ethical committee before the study commence. Results: In the total datacollection of 393 cases, 202 (51.3%) were males and 191 (48.6%) were females in which 388 DRP’s were found. In that 30 ADR’s, 239 DI, 27TWI, 47 UI, 20 HD, 25 LD are identified. Polypharmacy is also one of thereasons for drug related problems in the patients. Conclusion: Drug relatedproblems are one of the major problems seen in the hospital. The study suggests that the pharmacists and physicians need to work together to identify and resolve drug relatedproblems. Additional controlled studies are required to measure the effect of thisservice on health outcomes.