Survey and evaluation of prescription drugs dispensed without a valid prescription in three community pharmacies of South India

Y. Reshma Bhat, L.D. Acharya, P.G.M. Rao, K.G. Sam

Research output: Contribution to journalArticle

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Abstract

A six-month surveillance study was carried out in three community pharmacies of south India to determine the dispensing pattern of schedule H drugs and the factors that influence the purchase of such drugs without a prescription and to evaluate whether the dispensing practice adheres to the legal requirements. The study was carried out by monitoring the customers for two months in each of the three community pharmacies and those who visited without a valid prescription were interviewed and data were documented in the forms prepared for the purpose. It was observed that in all the community pharmacies drugs were being dispensed extensively without valid prescription. The quantity of Schedule H drugs dispensed without a prescription was higher in proportion as compared with over the counter drugs dispensed at a ratio of 1.55:1 (1149: 741). The overall sale of prescription legend drugs of Schedule H without a valid prescription in all the three pharmacies was higher 61% as compared to 39% of over the counter drugs. Previous prescription issued by the physician had a major influence on the purchase of schedule H drugs without a written medication order. This study infers that the drugs belonging to schedule H were extensively dispensed without prescription in all the community pharmacies. Factors that encourage such sales are under the purview of the pharmacists and hence the prevention of such unethical practice can be initiated by the pharmacists themselves. The government may also play a central role by enforcing strict rules in India. These efforts will certainly help to promote rational dispensing practice and minimize the harm associated with indiscriminate use of drugs. © APTI.
Original languageEnglish
Pages (from-to)256-261
Number of pages6
JournalIndian Journal of Pharmaceutical Education and Research
Volume42
Issue number3
Publication statusPublished - 2008

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Prescription Drugs
Pharmacies
Prescriptions
India
Appointments and Schedules
Pharmaceutical Preparations
Nonprescription Drugs
Pharmacists
Surveys and Questionnaires
Physicians

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title = "Survey and evaluation of prescription drugs dispensed without a valid prescription in three community pharmacies of South India",
abstract = "A six-month surveillance study was carried out in three community pharmacies of south India to determine the dispensing pattern of schedule H drugs and the factors that influence the purchase of such drugs without a prescription and to evaluate whether the dispensing practice adheres to the legal requirements. The study was carried out by monitoring the customers for two months in each of the three community pharmacies and those who visited without a valid prescription were interviewed and data were documented in the forms prepared for the purpose. It was observed that in all the community pharmacies drugs were being dispensed extensively without valid prescription. The quantity of Schedule H drugs dispensed without a prescription was higher in proportion as compared with over the counter drugs dispensed at a ratio of 1.55:1 (1149: 741). The overall sale of prescription legend drugs of Schedule H without a valid prescription in all the three pharmacies was higher 61{\%} as compared to 39{\%} of over the counter drugs. Previous prescription issued by the physician had a major influence on the purchase of schedule H drugs without a written medication order. This study infers that the drugs belonging to schedule H were extensively dispensed without prescription in all the community pharmacies. Factors that encourage such sales are under the purview of the pharmacists and hence the prevention of such unethical practice can be initiated by the pharmacists themselves. The government may also play a central role by enforcing strict rules in India. These efforts will certainly help to promote rational dispensing practice and minimize the harm associated with indiscriminate use of drugs. {\circledC} APTI.",
author = "{Reshma Bhat}, Y. and L.D. Acharya and P.G.M. Rao and K.G. Sam",
note = "Cited By :1 Export Date: 10 November 2017 Correspondence Address: Acharya, L. D.; Department of Pharmacy Practice, Manipal College of Pharmaceutical Sciences, Manipal 576 104, Karnataka, India; email: leela.da@manipal.edu References: Ponnusankar, S., George, B.M., Babu, P.P., Gopalan, S., Unnikrishnan, G., Kumar, V., Suresh, B., Interpersonal perception: Pharmacists Vs Consumers (2003) The Indian Journal of Hospital Pharmacy, 10 L (4), pp. 129-132; Basak, S.C., Community Pharmacy, Past Present Future (1999) The Eastern Pharmacist, pp. 31-34. , October; (1988), pp. 13-16. , The Role of the pharmacist in the Health Care System, Report of the WHO Consultative Group, New Delhi; Adepu, R., Nagavi, B.G., Community Pharmacy Practice-A review (2003) Indian Journal of Pharmaceutical Education, 37 (1), pp. 14-27; Adepu, R., Nagavi, B.G., Kumar, B.J.M., Karnataka State Practicing Pharmacists perception about their professional Responsibilities-A study (2003) The Indian Journal of Hospital Pharmacy, 10 L (2), pp. 65-69; Impact of improved pharmacy services in Community pharmacies on patient perception (2000) The Indian Journal of Hospital Pharmacy, 37 (1), pp. 11-13. , Rajendran SD,Satish T.Ulaganathan K,et al; Bharathi, H.K., (1984) In: A Manuel of Drugs and Pharmacy Laws In India, p. 529. , Second edition, Indore: Sadhana Mandir; Adepu, R., Nagavi, B.G., Public perception of Community pharmacists in the state of Karnataka (2003) The Indian Journal of Hospital Pharmacy, 10 L (1), pp. 15-18; Basak, S.C., Raja, R., Ramesh, S., Kumar, S.S., From policy to practice of Community pharmacy in India: A growing need (2003) The Indian Journal of Hospital Pharmacy, 10 L (5), pp. 169-172; Adepu, R., Nagavi, B.G., Ramnath, K.V., A critical review of Community pharmacies in Mysore city (2000) The Indian Journal of Hospital Pharmacy, 36 (4), pp. 91-93; Varma, D., Girish, M., Shafanas, K.K., Renjith, P.B., A Study On The Community Pharmacy In Kerala (2000) The Indian Journal of Hospital Pharmacy, 37 (2), pp. 49-52; Ponnusankar, S., Kumar, A.B.S., Srinivasan, J., Kumar, S.S., Rajendran, S.D., Suresh, B., A Community Based Survey On Self Medication (1999) The Indian Journal of Hospital Pharmacy, 36 (4), pp. 129-133",
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Survey and evaluation of prescription drugs dispensed without a valid prescription in three community pharmacies of South India. / Reshma Bhat, Y.; Acharya, L.D.; Rao, P.G.M.; Sam, K.G.

In: Indian Journal of Pharmaceutical Education and Research, Vol. 42, No. 3, 2008, p. 256-261.

Research output: Contribution to journalArticle

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Y1 - 2008

N2 - A six-month surveillance study was carried out in three community pharmacies of south India to determine the dispensing pattern of schedule H drugs and the factors that influence the purchase of such drugs without a prescription and to evaluate whether the dispensing practice adheres to the legal requirements. The study was carried out by monitoring the customers for two months in each of the three community pharmacies and those who visited without a valid prescription were interviewed and data were documented in the forms prepared for the purpose. It was observed that in all the community pharmacies drugs were being dispensed extensively without valid prescription. The quantity of Schedule H drugs dispensed without a prescription was higher in proportion as compared with over the counter drugs dispensed at a ratio of 1.55:1 (1149: 741). The overall sale of prescription legend drugs of Schedule H without a valid prescription in all the three pharmacies was higher 61% as compared to 39% of over the counter drugs. Previous prescription issued by the physician had a major influence on the purchase of schedule H drugs without a written medication order. This study infers that the drugs belonging to schedule H were extensively dispensed without prescription in all the community pharmacies. Factors that encourage such sales are under the purview of the pharmacists and hence the prevention of such unethical practice can be initiated by the pharmacists themselves. The government may also play a central role by enforcing strict rules in India. These efforts will certainly help to promote rational dispensing practice and minimize the harm associated with indiscriminate use of drugs. © APTI.

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