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CURRICULUM VITAE Nama: Prof. DR.dr.Herri S. Sastramihardja, SpFK (K). TTL: Cianjur,8 April 1944 Agama: Islam Pangkat: Guru Besar / IV-e Jabatan:  Staff.

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Presentasi berjudul: "CURRICULUM VITAE Nama: Prof. DR.dr.Herri S. Sastramihardja, SpFK (K). TTL: Cianjur,8 April 1944 Agama: Islam Pangkat: Guru Besar / IV-e Jabatan:  Staff."— Transcript presentasi:

1 CURRICULUM VITAE Nama: Prof. DR.dr.Herri S. Sastramihardja, SpFK (K). TTL: Cianjur,8 April 1944 Agama: Islam Pangkat: Guru Besar / IV-e Jabatan:  Staff Bag. Farmakologi FK UNPAD / Farmakologi Klinik RSHS  K KK Ketua BKU Farmakologi pada program pascasarjana UNPAD dan PPCD FK UNPAD

2 Pengalaman bekerja, antara lain : Ketua Komite Farmasi dan Terapi RSHS ( ). Anggota Komite Medik RSHS ( ). Staf Pengajar / Dosen di beberapa Perguruan Tinggi : - FK UNPAD (sejak 1972) - Pascasarjana UNPAD (sejak 1996) - Program Pascasarjana Combined Degree (PPCD) FK UNPAD (sejak 2002) - Luar biasa FK UNJANI (sejak 1995). - Luar biasa FK UNILA (sejak 2002) - Pascasarjana ITB (Program S2 Farmasi RS) (sejak 1997) - Dosen tetap FK UNISBA (Sejak 2004) Ka. Bag. Farmakologi FK UNPAD/Farmakologi Klinik RSHS ( ). Anggota Senat UNPAD (sejak 1999).

3 Drugs Utilities in Medical Practice & Patient Protection Against Counterfeit Drugs Herri S.Sastramihardja Department Of Pharmacology & Therapeutics Medical School – Padjadjaran University

4 Introduction  Drug: Any subtance or product which is to prevent, relieve or cure a pathological state or to explore or influence physiological or pathological mechanism for the benefit of the patient medical treatment  Prevention & treatment of many diseases or disorder are close-related with medical treatment

5  Source of medical treatment  Health care facilities PHC Hospital Private Doctors  Self medication (=SM)  The principal of medication therapy were : to inhibit or cure the disease or disorder Introduction (continued…)

6 Introduction (continued…)  Praktik kedokteran: Rangkaian kegiatan yang dilakukan oleh dr & drg terhadap pasien dalam melaksanakan upaya kesehatan  Dokter dalam melaksanakan praktik kedokteran harus dilakukan sesuai dengan standar pelayanan, standar profesi dan standar operasional prosedur (=SOP)

7 SOP di YANKES formal ANAMNESA PENGOBATAN PEMERIKSAAN Denganobat Tanpa obat obat Standar diagnosa Standar terapi EBM ? DIAGNOSA

8 WHAT IS EBM ? Evidence-based medicine is the integration of best research evidence with individual clinical expertice and patient values and expectations

9 EBM - WHAT IT IS Clinical Expertise Research Evidence Patient Preferences

10  The aim of any drugs management system : the correct drugs to deliver the correct drugs to the patient who needs that medicine  In order to achieve this goal : principles of rational prescribing Drug therapy should be undertaken in accordance with principles of rational prescribing

11 Rational Use of Drugs (RUD) (WHO, 1985) Occurs when patients receive medication :  Appropriate to their clinical needs in doses that meet their own individual requirements  For an adequate period of time  At the lowest cost to them & their community (conference of experts on RUD)

12 Criteria of RUD (WHO, 1987) Correct diagnosis  Correct diagnosis  Appropriate indication  Appropriate drug (s)  Approriate dosage, administration &  duration of treatment  Appropriate patient  Appropriate information  Appropriate evaluation & follow-up (Managing Drug Supply, 1997)

13  Appropriate indication  The reason to prescribe is based on medical reasons  Pharmacotherapy is proven to be the best alternatif for treatment  Appropriate drug (s) Considering efficacy, safety, suitability for patient, and cost

14  Appropriate information Proper information to the patient is an integral part of the prescribing process Needed to ensure their correct & safe use and to improve patient compliance

15 Figure 1. The drug use Process

16 Prescription  An instruction from a prescriber to a dispenser  Information must be complete & clear

17 Give information, intructions & warning  Effect of the drug  Side effects  Instructions  Warning  Next appointment  Everything clear ?

18 Irrational use of drugs (=IRUD)  Occurs in all countries  Examples of IRUD : No drug needed Wrong drugs Ineffective drugs & drugs with doubtful efficacy Unsafe drugs Underuse of available effective drugs Incorrect use of drugs

19 Classification of IRUD (Quick, 19881)  Extravagant prescribing  Over prescribing  Incorrect prescribing  Multiple prescribing  Under prescribing

20 Self medication  SM is the treatment of health problems without medical supervision.  by using:  Non-prescriptions drugs (commonly)  Traditional drugs (TD +)  Prescriptions drugs: Pharmacies freely supply drugs to informal shops & small groceries Re-use of copies of prescription

21  RUD only partly improve the use of drugs  SM is the most common form of choice & people often rely on informal drug distribution channel (including the possibility of buying medicines through internet)  RUD only partly improve the use of drugs  SM is the most common form of choice & people often rely on informal drug distribution channel (including the possibility of buying medicines through internet) IRUD,  the usage of illegal or counterfeit drugs

22 Counterfeit Drugs  Physically  Physically, difficult to differentiate between counterfeit and true drugs laboratory  The best alternative  laboratory examination  Some patient protection against counterfeit drugs:  Patient Education  Responsible information  Regulation  etc.

23 Conclusion  In order to achieve the goal of pharmacotheraphy, the drugs must be used rationally  Information must be clearly, acurate and not misleading  Patient must be criticised all information about drug

24 Thank you


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