药剂师在分发mizoprostol和准备分发mifepristone方面的经验
Journal of the American Pharmacists Association : JAPhA
|November 1, 2023
概括
药剂师们已经准备好在药物堕胎和流产护理中分发米费普里斯顿和米索普罗斯托尔. 经过基础培训,大多数药剂师都感到准备好了,尽管可能会出现机构障碍.
科学领域:
- 生殖健康 生殖健康
- 药理学 药理学是指药理学的学科.
- 医疗保健政策 医疗保健政策
背景情况:
- 米菲普里斯顿和弥苏普罗斯托尔是堕胎和流产管理的关键药物.
- 美国食品和药物管理局 (FDA) 的规定历来限制了米费普里斯顿的发放,最近的变化允许药房发放.
- 了解药剂师准备在监管转变后至关重要.
研究的目的:
- 评估药剂师对米费普里斯和米索普罗斯托尔的知识.
- 评估药剂师在分发mizoprostol方面的经验.
- 为了确定药剂师的舒适性和准备分配米费普里斯顿的准备.
主要方法:
- 与21名美国药剂师和实习生进行了深入采访.
- 采访发生在2021年6月至12月期间,在药房开放广泛之前.
- 定性数据探讨了关于药物堕胎药物的知识,经验和准备.
主要成果:
- 药剂师表现出各种知识,但对学习新药有信心.
- 大多数药剂师都觉得准备好分发米费普里斯顿,并且对米索普罗斯托尔有经验.
- 确定的障碍包括雇主犹和同事拒绝;建议培训和明确的政策.
结论:
- 药剂师在很大程度上准备好分发米费普里斯,支持最近的FDA监管变化.
- 基础培训和明确的协议可以促进成功的mifepristone发行.
- 解决机构和个人拒绝问题是克服药品发行挑战的关键.
相关概念视频
Drugs for Peptic Ulcer Disease: Prostaglandin Analogs as Mucosal Protective Agents
458
The gastric mucosa produces prostaglandins E2 (PGE2) and prostacyclin (PGI2), crucial in maintaining gastric health. They exert cytoprotective effects, including increasing bicarbonate secretion, releasing protective mucin, reducing gastric acid output, and preventing harmful vasoconstriction. These effects are mediated through various receptors, such as EP1, EP2, EP3, and EP4.
Non-steroidal anti-inflammatory drugs (NSAIDs) can induce peptic ulcers by inhibiting cyclooxygenase, decreasing...
Non-steroidal anti-inflammatory drugs (NSAIDs) can induce peptic ulcers by inhibiting cyclooxygenase, decreasing...
458
Prescription, Nonprescription and Orphan Drugs
742
Prescription drugs require a prescription from a medical practitioner and can only be obtained from a pharmacy. They have many applications, including treating pain, anxiety, and hypertension.
The misuse and addiction to prescription drugs is a growing problem that can affect people of all age groups, specifically teenagers. This can happen when prescription medications are used in ways not intended by the prescriber, such as taking someone else's prescription or using medication for...
The misuse and addiction to prescription drugs is a growing problem that can affect people of all age groups, specifically teenagers. This can happen when prescription medications are used in ways not intended by the prescriber, such as taking someone else's prescription or using medication for...
742
Opioid Analgesics: Synthetic and Semisynthetic Opioids
310
Synthetic and semisynthetic opioids are pivotal in pain management and tackling opioid addiction. Semisynthetic opioids, including morphinans (morphine derivatives), oxycodone, oxymorphone, hydrocodone, and hydromorphone, have improved pharmacokinetic profiles compared to morphine. Additionally, heroin and 6-MAM (6-Monoacetylmorphine) show better CNS penetration than morphine due to heightened lipid solubility. Hydromorphone, a potent opioid, undergoes hepatic metabolism to form the active...
310
Drugs for Treatment of Constipation-Predominant IBS
181
Pharmacological therapies for IBS-C are designed to alleviate abdominal discomfort and enhance bowel function. In patients with IBS-C, fiber supplements may help soften stools and decrease straining, but may also lead to increased gas production and bloating. Osmotic laxatives like milk of magnesia are frequently used to soften stools and increase stool frequency in IBS-C patients. In addition, two drugs approved for use in severe IBS-C adult cases are linaclotide (Linzess) and lubiprostone...
181
Drug Delivery: Parenteral Route
570
The parenteral route is a critical method of drug administration. It delivers compounds directly into the systemic circulation and bypasses the gastrointestinal tract. This approach is particularly advantageous for drugs that exhibit poor absorption or instability when administered orally.
There are three primary parenteral routes: intravenous (IV), intramuscular (IM), and subcutaneous (SC). The IV route introduces the drug directly into the bloodstream, ensuring immediate action. The IM route...
There are three primary parenteral routes: intravenous (IV), intramuscular (IM), and subcutaneous (SC). The IV route introduces the drug directly into the bloodstream, ensuring immediate action. The IM route...
570
Pharmacovigilance
860
Post-marketing surveillance is a critical component of pharmaceutical regulation, often uncovering unanticipated adverse drug reactions (ADRs) once a drug is widely used over an extended period.
This process, termed pharmacovigilance, aims to detect, evaluate, and minimize harmful effects related to medication use. The data collection for pharmacovigilance depends on spontaneous reporting systems, where healthcare professionals or patients voluntarily report suspected ADRs.
In some cases, there...
This process, termed pharmacovigilance, aims to detect, evaluate, and minimize harmful effects related to medication use. The data collection for pharmacovigilance depends on spontaneous reporting systems, where healthcare professionals or patients voluntarily report suspected ADRs.
In some cases, there...
860


