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F ESept/Oct 2011
Keep Calm and Get That MPharm
Kingston University Pharmacy Students Association
Current News | Interviews | Reviews | Kingston School of Pharmacy Info
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Wlcmeto
The
P&M
ContentsStaff Proles
2
Uzma MehmoodManaging Editor
Shilan GhafoorCo-Editor
Dawar QhoraishJournalist
Maliha BhattiArt Director
Kalpesh PatelJournalist
Abi OgunrindeEditor in Chief
Editors LerHl! I eae t lc y t Kngst Uri PhmaSunt Asoiai rs icai , Th Pestl & Moar! W
h y j n c la t cnn nue i rs is .Ti icai m t ncra y t ea uti y sue nnga n hn y huht iea bu wl h-
ma tod. Th Pestl & Moarls m t w y pasif hma ru ve ie n eae r xe-i in i c ea nesn ba, t nw
i e wn hma wl.
I eiti bor h ha wy e y ed, a hma sun n eas y ha i m t hmae h us n y ea bok! S c n e
ha MPh!
Th y.
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Currentnews
rPs ConferenCe
2011 review
interviewwitha
Community
PharmaCist
survival Guide
Brands vs GeneriCs:
lettheBattle
CommenCe
mCPharmaCy
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Currentnews
Wicks, N. (2011). Hit Or Miss? Reckitt Benckiser Recalls Nurofen Plus Over Sabotage Fears. Available: http://cached.
imagescaler.hbpl.co.uk/resize/scaleWidth/393/?sURL=http://ofinehbpl.hbpl.co.uk/News/WRP/2045765C-C379-CCAA-
3E7ECA78DC895ECA.jpg. Last accessed 6th September 2011.
1. MHRA. (2011). Drugs Alerts. Available: http://www.mhra.gov.uk/Safe-
tyinformation/Safetywarningsalertsandrecalls/DrugAlerts/index.htm. Lastaccessed 5th September 2011
2. Vimeo. (2011). BBC News 24 - Nurofen Plus. Available: http://vimeo.
com/28397879. Last accessed 1st September 2011
by Shilan GhafoorIn late August, the discovery of the anti-psychotic
drug, Seroquel XL in packs of Nurofen Plus tab-
lets sent shockwaves throughout the pharmaceu-
tical world. At rst this discovery could not be ex-
plained however, it soon came to light that this
could be a case of deliberate sabotage and a po-
lice investigation was subsequently launched.
What prompted this was the fact that these drugs
are manufactured by two different companies at
two separate sites. Nurofen Plus is made by Reck-itt Benckiser while Serequel XL is by AstraZeneca.
Simple logistics prevented accidental contamination.
Reckitt Benckiser have also suggested that consolida-
tion can account for this mishap. Consolidation is a
process whereby medicines which are returned to phar-
macies or wholesalers are repackaged again for sale.
The widespread media attention quickly led to more
cases of rogue packets being identied. This time a
pharmacy in Northern Ireland checking their Nuro-fen Plus boxes found the epilepsy drug Neurotonin.
The MHRA issued a Class 1 drug alert to health-
care professionals, the most critical drug alert1.
while Reckitt Benckiser issued an immediate na-
tionwide recall of all Nurofen Plus packs with an
estimated 250,000 packs being asked to be returned.
Nurofen Plus is an over the counter pain killer con-
sisting of Ibuprofen and Codeine. It is available in
pack sizes of 12, 16, 24 and 32 although only the
32 pack size seems to have been affected. Four
specic batches of these packs were found to con-
tain Seroquel XL, which is available on prescrip-
tion only and is given in the treatment of CNS
conditions including schizophrenia. Though only
one pack was found to contain Neurotonin, com-
monly prescribed for epilepsy and neuropathic pain.
So far only two people are known to have taken Se-
roquel in place of Nurofen Plus but neither have had
any adverse effects. The Royal Pharmaceutical So-
cietys Neal Patel stated: For a healthy adult a single
dose of Seroquel is unlikely to cause major problem.
However, for patients taking other medicines
or those with other medical conditions or if you
suspect you may have accidentally taken Se-
roquel and feel unwell, seek advice from your
pharmacist or doctor as soon as possible.
Nevertheless the case is being investigated by
the police while the company has halted produc-
tion of Nurofen Plus until the investigation is over.
September 2011
2.
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Review
byAbi OgunrindeThe opening keynote of the conference was given
by Marc DuBois, Executive Director of the interna-
tional humanitarian medical aid organisation, M-
decins Sans Frontires (MSF). MSF provides essen-
tial healthcare to the most vulnerable populations in
danger in more than 60 countries or to those that do
not have access to healthcare. Mr DuBois delivered
a fantastic and inspiring presentation on teamwork in
challenging and extreme environments. MSF gainedits reputation by acknowledging that there is a prob-
lem and not walking from it which was especially rec-
ognised by the Nobel committee. In order to sustain
their reputation, teamwork was essential with health-
care professionals. Mr DuBois described a frame-
work of no hierarchy but overlaps of teams, which
placed pharmacists are at the heart of this aid or-
ganisation. We work in a challenging environment,
and to overcome any challenge requires teamwork,
he said. As a profession and professional, pharma-
cists can help contribute to the clinical outcomes of
a patient, work against the problems of counterfeit
medicines and improve the good manufacture prac-
tice and quality control of drugs formulated and de-livered while working in extreme environments for
MSF. The key message and in relation to the theme
of the conference is teamwork which is vital in any
sector. Mr DuBois concluded, Teamwork can be
used to overcome all the challenging obstacles be-
fore you. This is why teamwork is so important.
Thereafter the opening keynote, delegates had to
attend one of the four scheduled parallel sessions
so I chose to attend the session on Supporting the
future of pharmacy through education and profes-
sionalism. This session was very engaging and ap-
plied very much to me as a pharmacy student. New
research on professionalism and pharmacy educa-tion was focused on during the session. Dening
professionalism (and its elements) in early career
pharmacists was a study conducted by Rebecca
Elvey and a group of students from the University
of Manchester where they used focus groups and
individual interviews to investigate the concept of
professionalism. Three sub elements of professional-
ism were identied to be ethical values and conduct,
the tangible element of professionalism and the soft
elements of professionalism; and were described
by Ms Elvey presenting the study in the session.
Though pharmacology lecturer commented on the
ethical values and conduct explored and the fact that
pharmacy undergraduates need to be taught when to
break the rules professionally, think on their own
and be original in their thinking because new phar-
macists are just put in a eld where theres so many
rules and regulations. It was found also that aspects
of the soft elements of professionalism need to be
more focused on, especially on pharmacy students.
This involved approachability, listening to the
patient and treating them with courtesy, speak-
ing in a condent manner and using the right lan-
guage when speaking to patients. What can our
school of pharmacy do to help in this problem?
Another study looked at during the session on the
impact of the General Pharmaceutical Council
(GPhC) Code of conduct for pharmacy students andtness-to-practise procedures on MPharm students.
It was conducted by Gareth Kitson and a group of
students from the University of Bath, where eighteen
schools of pharmacies participated. It was found that
female students were more likely to read the Gen-
eral Pharmaceutical Council Code of conduct than
male students. 69% of participants in the study had
read the conduct before agreeing but it was revealed
in a focus group that participants felt that it was a
means to an end; to be an MPharm student and con-
tinue with their studies they had to sign it. But study
also revealed that there was no clarity on the Code of
conduct as a student and as a professional. In addi-
tion, participants felt that they were not aware of thetness to practice procedures and would only know
once they had done something wrong. Do you agree?
The General Pharmaceutical Council were aware of
the study conducted however, Mr Kitson concluded
that more guidance is needed on the code of conduct.
Research done by Zoe Lim and Claire Anderson
from University of Nottingham on expanding the
teaching capacity in schools of pharmacies found
it can be done best by importing practising pharma-
cists. However, some practising pharmacists may
feel theyll perish if they enter academia while
others see it as a means of continuing professional
development. Though one pharmacist in academia
during the session commented saying that there
is a tradition of teaching seen in Medicine but not
seen in Pharmacy. Why is that? Perhaps this tradi-
tion should be implemented in the pharmacy culture
and in that way, the teaching capacity in schools of
pharmacies and quality of teaching may increase.
After lunch, I attend another parallel session out of
another four parallel sessions scheduled on How to
get people to want you on their team (Building sus-
tainable inuence). It was an excellent interactive
session presented by Neil Poynter, Director of Mc3
Ltd on how to help participants achieve inuence on
others. In order to have inuence, we must have good
selling skills, be capable and have intellect. Thereare four types of selling commoditive, technical,
consultative and partnership. We must be interested,
listen to the problem being faced and solve it and
therefore be sellers who are consultative and can
form partnership thus, being a problem solver; which
Following the partnership created between the BPSA and theRoyal Pharmaceutical Society (RPS), free joint membership forstudents has been established. They have been working together toprovide benets for students to gain much more during their timeat university such as access to local practice forums and discounton the RPSs products and services. Therefore, as a new RPSmember, I wanted to begin to reap these benets. So I gatheredup fty-ve pounds to attend one day out of this years twoday RPS Annual Conference. This years conference was based onEnsuring effective teamworking and collaboration with patientsand professionals, held at Goldsmiths, University of London. I was
expecting to have an insight into the pharmacy profession todayand meet and learn from pharmacists, pre-registration traineesand other pharmacy students. But in the end, I felt I had gainedmore than what I expected.
is a win:win situation. Therefore, inuence is es-
tablished but is not manipulation. It was interesting
to see how this session struck a chord with everyone
personally and professionally. A female pharmacist
commented that the pharmacy profession needs to
sell itself more. She mentioned that recently she
was told that shes invaluable as a pharmacist, but
why? This may be because of our inuence as a pro-
fession and professionals, it needs to be improved.
Towards the end of the conference that day, there
was a fascinating panel session regarding The
Medicines (Pharmacies) (Responsible Pharmacist)
Regulation 2008 and the changes on supervision in
pharmacy. It is a complex subject as a uniform rule
for supervision cannot apply to all sectors in phar-
macy. Though the RPS have devised a principle
based approach agreed by the chair boards consist-
ing of ve principles (for further details, visit http://
www.rpharms.com/current-campaigns--england/
supervision.asp). The debate was brought to the
conference with a panel of experts on the topic an-
swering questions and expressing their own or com-
munal views. The panellists were Martin Astbury,
President of the Royal Pharmaceutical Society;Mark Koziol, Director of Pharmacists Defence As-
sociation; Fin McCaul, Chair of Independent Phar-
macy Federation; Rob Darracott, Chief Exective
of Pharmacy Voice and Peter H. Ellis, Executive
Managing Director of PharmaTrust UK. Although a
nal conclusion was not met, the main points that
were stressed during the debate was that we should
make the care of your patient your rst concern
which underlined most points raised; supervision
is a way of ensuring and increasing patient/public
care and safety. Mr Koziol believes clinical checks
and supply of medicines should not be focused on
so much but more on patient care and how patients
are taking their medicines. Mr McCaul commentedthat prescriptions checked and bagged should be
given, P medicines should be dispensed by trained
and competent staff but where questions are asked,
the pharmacist is needed and to be contacted for an
intervention. While Mr Astbury agreed with Mr Mc-
Caul and added that supervision is needed to facili-
tate getting the pharmacist in the front of shop and
increase the professional and patient relationship.
Mary Tully, Conference Chair 2011, ended her wel-
come speech saying she hopes the delegates are to
leave the conference feeling energized and ready
to face the challenges and I did. I felt an increased
excitement for the pharmacy profession. However,the challenges I may face might be in our school
of pharmacy or in on a placement. Though the RPS
seemed to have vibrant goals and a clearer vision on
what to achieve as professional leadership body for
the pharmacy profession since the split between the
RPS and the GPhC a year ago, which is promising.
For more information visit:
Royal Pharmaceutical Society - http://www.rpharms.com/home/home.asp
British Pharmaceutical Students Association - http://www.bpsa.co.uk
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an interview with...
aCommunityPharmaCistIt is estimated that over 1.8 million people visit a
pharmacy in England on an average day. They area common fxture in our high streets, supermarketsand polyclinics and provide many different health-care services to the general public. In this issue ofThe Pestle & Mortar,we explore the benefts andchallenges of a community pharmacists day to daywork. Husain Master is the manager of an inde-pendent pharmacy; in this interview we take a lookat community pharmacy through his perspective.
What do you enjoy most about being a community pharma-
cist?
There are many things I enjoy about my job. First and foremost
is the daily interaction I have with other healthcare professionals.
More importantly, I enjoy building relationships with patients. I
like being at the forefront of the pharmacy and interacting with
customers who visit the pharmacy for all sorts of reasons.
What made you want to become a pharmacist working in
a community setting as oppose to working in a hospital or
industrial setting?This was a personal choice. I had training in both community
and hospital pharmacy but enjoyed being in a community setting
more. This was because I felt I had more patient interaction than I
would have done in a hospital setting.
I thought community pharmacists only dispensed medicines.
What else can they do?
Conventionally, the role of a pharmacist may have been seen as
the person who counts the pills behind the counter. The role of a
pharmacist is moving away from this as we are now getting more
involved in delivering healthcare services to the local population.
Services range from Diabetes and Cholesterol testing to carryingout Medicines Use Reviews (MURs). We can also carry out
Vascular Risk Assessments and treat minor ailments.
Where do you see community pharmacy in ve years time?
With the introduction of many new services, pharmacies are
becoming more like clinics on the high street rather then a tradi-
tional medicine store. The NHS is a changing environment at the
moment and this will provide great opportunities and challenges
for pharmacists to expand and develop their role to get more
involved in the primary care of patients. The role of a pharmacist
will be in par with other healthcare professionals in terms of
diagnostics and treatment. In essence we will become cliniciansrather then dispensers.
Describe the day to day role of a community pharmacist
My day to day job varies as no one day is the same. It ranges
from dispensing medication to patients to providing advice on mi-
nor ailments and carrying out services such as MURs. MURs help
improve a patients understanding of their condition and
medicines, resulting in better compliance and better outcomes
for the patient. I also liaise with other healthcare professionals
such as GPs to improve patient care.
What is the most rewarding part of being a community
pharmacist?
The most rewarding part of being a community pharmacist is
being able to provide a high quality service to customers. It
is even more rewarding when this is appreciated and highlyvalued by the patients.
Do you ever feel frustrated that a large proportion of
the general public do not use their local pharmacy as a
resource for questions on their medication?
I dont feel frustrated, however a lot more can be done to
promote pharmacy and enhance the knowledge of patients on
what pharmacies can offer. It is a duty of all pharmacists to
ensure this gap in knowledge is addressed. However, patients
are gaining more and more understanding on what pharma-
cies can offer and hence come to the pharmacy rst with their
healthcare needs.
How do you keep up to date with developments within your
industry?
CPD (Continuing Professional Development) is a vital method
of keeping up to date. Other ways include being involved
with different committees such as your Royal Pharmaceutical
Society Local Practice Forums.
What advice would you offer pharmacy students?
Work hard but enjoy yourself. Before you graduate try and get
some work experience in different sectors of pharmacy and see
what suits you best.
Finally, how can students get more involved in the chang-
ing landscape of pharmacy?
Become members of the Royal Pharmaceutical Society and
also attend meetings held by your Local Practice Forums.
husain masterInterview by Uzma Mehmood
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Brands Vs GenericsLetthe BattLe CommenCe
The inevitable question most pharmacists working in
the community face, whats better branded or generic?
Ever noticed a customer walking into a Pharmacy and
insisting to buy a branded product such as Nurofen
whilst claiming Ibuprofen tablets just do not work.
Have you ever felt like screaming, Its the same thing!?
The truth is generic medicines are the same as their brand
named counterparts. The MHRA and GMP clearly state
that when a drug is approved and licensed, it has un-
dergone rigorous testing procedures. Testing is done toensure that the drugs have the same active ingredients,
strength, dosage form and bioequivalence throughout.
Most brand and generics even have the same side effects.
Although generic drugs have the same active ingredi-
ents as their branded equivalents, there can be variability
in the inactive materials used. However, it is the job of
healthcare professionals i.e. you the future pharmacist,
to remain informed on current issues so that you are
able to identify when it is necessary to suggest only cer-
tain types of drugs, whether it be generic or branded.
Have you ever noticed the difference in price between
branded and generic medicines? Take for example Pir-
iteze allergy tablets, Im sure you may have taken them
over the summer if you have hay fever. The average cost
of a pack of 30 Piriteze allergy tablets is about 8.00,
buying the generic equivalent Ceterizine Hydrochlo-
ride will only set you back about 3.00, thats a frac-
tion of the price even though both medicines contain
the same active ingredient and work in the same way.Howvever, it does seem like an excellent marketing
strategy - put a fancy name and shiny box to something
and patients will always seem to fall for it, without
even noticing that the same medicine is available with-
out all the shiny bravado and for a fraction of the price.
Patients also normally worry about the safety of the
drugs if they are cheaper. They dont realise that the
reason branded drugs are more expensive is because the
manufacturers have had the expense of developing and
marketing the new drug. The drug company can applyfor a patent which means that the company that has de-
veloped the drug has the exclusive right to sell the drug.
However, when the patent expires, other companies take
the same concept and apply for permission to make and
sell the generic version of the drug. Other companies can
afford to sell the same drug as a generic product for cheaper
because there are no start-up costs for developing the drug.
Some patients also believe that generic medicines take
longer to work as oppose to branded medicines. This
is also another myth; most generic medicines take
the same amount of time to work than their branded
counterparts. Luckily for us as pharmacy students,we get to learn all different aspects of medicines and
their uses and can therefore advice patients on the best
products based on their specic needs. Our principles
and goal always stand at making the care of our pa-
tients the rst concern even if that means were mak-
ing a smaller prot by advising a cheaper product.
by Kalpesh Patel & Uzma Mehmood
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SuvalGuid:FrsSmest2011st Year
University is different very from college. The MPharm degree
requires focus and is not one you can treat lightly. There is not
much of a honeymoon period as youll nd in the rst year
of other courses. However, enjoy the university atmosphere
though be motivated to learn as well. Topics are covered briey
in lectures and although workshops cover some topics in moredetail, most learning will be done in self-directed study. If you
do have a query about a topic, best to email the appropriate lec -
turer and ask a specic question. Its also best to have two lab
coats a clean white one exclusively for Professional Practice
practicals and another for other modules such as Pharmaceuti-
cal & Biological Chemistry.
PY1010: Cell Biology & Introductory Physiology
The tutorial groups are very useful for the nal exam so do
attempt to attend each one. In addition, each tutorial will have
an assessment.
Spend time and effort on essay assignment set because essay
writing will be assessed in future modules, so it is best to makea good start.
PY1020: Pharmaceutical & Biological Chemistry I
Ensure your maths skills are up to standard as some may nd
it difcult dealing with maths. Workshops are excellent to learn
more about the calculations involved and to practice.
PY1030: Pharmaceutics & Microbiology I
For some of you, there will be many new concepts not learnt
before in the Microbiology material therefore, background
reading will be required.
Maths skills are required here so make sure you ask for help
in the workshops if required.
PY1040: Professional Practice I
This is the module about the pharmacy profession. In thismodule and in all future pharmacy practice modules, you must
not get use to using your calculator in this module but this will
be explained in your calculation workshops. The calculations
covered will reappear in future modules, so it is important you
can successfully complete them at a reasonable pace. Do not
become frustrated if you do nd calculations without a calcula-
tor difcult practice makes perfect.
Ensure you use your time wisely in practicals as this will be
initial preparation for your dispensing exam at the end of the
year
2nd Year
So youve passed the rst year including the dreaded dispens-ing exam! Congratulations! But there is a quite jump from rst
year to second year. There are fewer workshops so even more
background reading is required. Mid module tests are more
frequent so all the revising cannot all be left few weeks before
nal exam so you must get use to continuous revision.
PY2010: Introductory Pharmacology
There is essay assignment and it sound obvious but make sure
you address the title correctly as well as spending time and
effort on your piece.
PY2020: Formulations and Medicines I
You will learn many new topics on pharmaceutical technol-
ogy so you will need to keep up. Aultons Pharmaceutics: TheDesign and Manufacture of Medicines is a useful book to read
further understanding and reading.
Workshops are useful for more information and good chance
to ask any queries.
PY2030: Pharmaceutical & Biological Chemistry III
There is less help in practicals so ensure you spend more time
reading the instructions before your practical sessions.
Time should be spent at home on reactions and mechanisms
as you go along as it will make you very prepared for the mid
module and nal exams.
PY2040: Professional Practice III
New parts of the MEP such as Controlled Drugs and Veteri-
nary prescriptions will be covered. At the end of workshops,
there will be some sort of assessment so assure you read the
relevant topics before you attend. Again, you must get into themood of continuous revision.
More care is needed when screening prescriptions in practi-
cals because more legal and clinical requirements and factors
need to be taken into consideration.
3rd Year
Youve survived the Law & Ethics paper! Well done on
successfully passing into third year! However, there is quite
another big jump from second year to third year. This year
is where your time management and organisation skills are
really tested. Be prepared to get a little more cosy with your
classmates as this year will be lled with many group workassignments!
PY3020: Professional Practice V
More calculations are to be covered mainly during self-
directed study whilst at this stage, your pace at completing
calculations should have increased.
In practicals, the screening prescription sheets to complete
have increased in length. Prescriptions given must be dis-
pensed, labelled, checked and your paperwork is handed in
to be assessed where marks awarded contribute towards your
coursework grade.
Workshops will mainly be based on Responding to Symptoms
and there will be some sort of assessment given, such as as-sessed role play therefore, its best to be continuously revising
and prepare for the next topic to be covered in the following
workshops.
PY3030: Pharmaceutical Technology & Pharmacokinetics
Not as much practicals in this module compared to other
similar modules.
Be prepared to stay awake in lectures as they are later in the
day!
PY3040: Systems Pharmacology II
Attend all lectures and practicals as vital information on as-
sessments and practical assignments will be given. Plus a lot of
information from the lecturer(s) can be gained which will not
be found in books.
PY3060: Clinical Pharmacy
Read! Read! Read! Discuss concepts with friends and
lecturers for further understanding or to consolidate your
understanding. There is a lot of information to assimilate from
this module but there are only a few books available to aid you
whilst studying this module.
4th Year
Phew! Three years out of four completed already now youre
on your way to getting that MPharm! Fail to prepare and
prepare to fail! Plan, be organised, focus and believe! Surely,
all your experiences and skills youve gained throughout the
past three years of your MPharm degree will provide you witha steady platform to excel this year let alone this semester.
Fourth year should not about all work and no play you must
be able to work hard and play hardyoure almost there, its
just the beginning!
GodLuck
!
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FeaturedinthetomorrowsPharmaCist
Welookforward
toreceivingyour
feedbackquestionnaires
soon!
T P
& M
Having worked in a community pharmacy or sixmonths now, I have noticed rst-hand the impatienceo some patients when requesting their medicines asthough the pharmacy is a ast ood restaurant.
One group o people are those who have come into apharmacy or the rst time. Te prescription is hand-
ed to the pharmacist who, along with the dispenser, isdoing several things at once in the dispensary and thepatient is advised o a rough waiting time and to shoparound or come back in a ew minutes or so. Never-theless, most o these patients would wait right behindthe prescription-handling counter and would not evensit down even when there is no one in the pharmacyat the time.
Five to ten minutes later, depending on how long they
have their car parking ticket valid, they will ask abouttheir prescription. I it is not ready they will eithercontinue waiting at same spot or say that they willtake their prescription elsewhere because they willget a parking ne i it is not done this instant. I oenthink that they could have looked around the shop orput some more money in the meter when the waitingtime was quoted. Since when has it become the phar-macys responsibility to ensure we get prescriptionsdone so that a patient doesnt have to put more moneyinto a parking meter or get a ne?
However, they think that i they stand at the counter,their medicines will be dispensed quicker. I only theyunderstood the clinical checks and correct endorse-ments that need to be undertaken or each prescrip-tion. It is extremely rustrating when some patients donot understand or appreciate the process o dispens-ing a prescription saely.
Another type o patient that makes our job challeng-ing are those on the repeat prescription service, wherethe pharmacy collects their prescriptions rom GP
surgeries. Most o the time, patients comes in at thecorrect time and their medicines are ready or collec-tion. But on the ew occasions that it is not ready orthe prescription is not back rom the surgery yet, it isa diferent story. Te pharmacy has to investigate iand when the prescription was requested.
Sometimes, aer looking through the patient medica-tion record system, we discover that they had come intoo early and were not due or their repeat prescrip-tion or another week. Tis could be because they havelost a ew tablets, they have taken more medicinesthan they should or, even worse, they might have beensharing medicines with someone else in the amily.Perhaps some just show up at the pharmacy earlybecause they think they can and it is convenient orthem to pick up their medicines at that time.
Sometimes patients would say that they have notablets le and expect an emergency supply as thoughthey were asking or extra ries. One patient even senthis daughter or an emergency supply to our pharma-cy because he had run out o his diabetic medicine 10days ago and was supposed to telephone the pharmacyand request more through the prescription collectionservice but was too busy.
A pharmacist is responsible or dispensing the correctmedicine so time is required to achieve this. Just howmuch public education is required to make people un-derstand that we do not deliberately give long waitingtimes or un and that we are here to dispense theirmedicines accurately and saely?
cPhmayby Dawar Qhoraish