PUBLIC HEALTH PHARMACY

In this post we cover following topic which are available in easy language :-

  • History of the profession of Pharmacy in India about Pharmacy education, industry, pharmacy practice, and various professional associations.  
  • Pharmacy as a career  
  • Pharmacopoeia: Introduction to IP, BP, USP, NF & Extra Pharmacopoeia. 
  • Salient features of Indian Pharmacopoeia

History of the profession of Pharmacy in India about Pharmacy Education

In India, the profession of pharmacy has evolved significantly over time, closely intertwined with advancements in pharmacy education and its application in various sectors, particularly the pharmaceutical industry.

  • Early Development: The roots of pharmacy education in India can be traced back to the early 20th century, with the establishment of pharmacy schools and colleges.
  • Formation of Regulatory Bodies: The Indian government recognized the importance of regulating the pharmacy profession and established the Pharmacy Council of India (PCI) in 1949. PCI plays a crucial role in setting standards for pharmacy education and practice.
  • Evolution of Curriculum: Pharmacy education in India has evolved to meet the changing needs of the healthcare industry. The curriculum includes subjects such as pharmaceutical chemistry, pharmacology, pharmaceutics, and pharmacognosy.
  • Pharmacy Education and Industry: Pharmacy education in India is closely linked to the pharmaceutical industry. Pharmacists play essential roles in various aspects of drug development, manufacturing, quality control, regulatory affairs, and sales and marketing.
  • Contribution to Drug Development: Pharmacists contribute to drug formulation and development by ensuring the quality, safety, and efficacy of pharmaceutical products. They conduct physicochemical analyses, formulation testing, and quality assurance activities.
  • Regulatory Compliance: Regulatory affairs in the pharmaceutical industry are crucial for ensuring compliance with government regulations regarding drug safety and efficacy. Pharmacists play significant roles in regulatory affairs departments, providing strategic and technical advice.
  • Sales and Marketing: Pharmacy education equips professionals with knowledge of sales and marketing strategies, enabling them to effectively communicate with healthcare providers and promote pharmaceutical products.
  • Management Roles: Pharmacists often take on managerial roles in pharmaceutical companies, overseeing various aspects of operations, including production, quality control, regulatory compliance, and sales

Pharmacy Practice and Various Professional Associations

Pharmacy practice encompasses a wide range of professional associations dedicated to advancing the field and supporting pharmacists in various practice settings. These associations offer resources, education, networking opportunities, and advocacy efforts. Here are some notable professional associations in pharmacy:

  • American Pharmacists Association (APhA): APhA represents pharmacists in all practice settings and promotes medication use and patient care services.
  • American Society of Health-System Pharmacists (ASHP): ASHP focuses on pharmacy practice in hospitals and health systems, offering resources for pharmacists working in these settings.
  • American Association of Colleges of Pharmacy (AACP): AACP represents pharmacy education institutions, supporting pharmacy educators and advancing pharmacy education.
  • American College of Clinical Pharmacy (ACCP): ACCP promotes clinical pharmacy practice, research, and education, with a focus on optimizing patient care.
  • Academy of Managed Care Pharmacy (AMCP): AMCP focuses on managed care pharmacy practice, advocating for optimal medication management and patient outcomes in managed care settings

Pharmacy as a Career

Pharmacy plays a vital role in healthcare, focusing on education, research, and ensuring quality standards for medications. Pharmacists hold diverse roles across various sectors, contributing directly to the nation’s health. Here’s a breakdown of pharmacy practice and the roles of pharmacists:

  • General/Clinical Practice: Clinical pharmacists assess medication plans, evaluate dose appropriateness, and monitor patient progress. They educate patients on medication usage and collaborate with healthcare professionals for optimal therapy outcomes.
  • Academic Practice: Academic pharmacists focus on teaching, research, and training future pharmacists. They organize seminars, projects, and training programs to advance knowledge and skills in pharmaceutical sciences.
  • In Health Programs: Pharmacists contribute to health missions, provide consultancy services, and assist healthcare professionals in various capacities, promoting overall well-being and quality of life.
  • Hospital Pharmacy: Hospital pharmacists manage medication supply, including purchasing, manufacturing, and dispensing. They ensure medication safety, compatibility, and effectiveness, often specializing in areas like cardiology or pediatrics.
  • Roles in Patient Care: Pharmacists participate in prescribing, dispensing, administration, documentation, and monitoring of medications, ensuring patients receive optimal therapy

Pharmacovigilance

Pharmacovigilance encompasses activities aimed at detecting, assessing, understanding, and preventing adverse effects or any other medication/vaccine-related issues. The term derives from “PHARMAKON” (drug) and “VIGILAR” (to keep watch), emphasizing its focus on monitoring pharmaceutical products to ensure patient safety.

  • Formulation Development: Pharmacists contribute expertise to develop drug formulations, ensuring the biological availability of active ingredients. They tailor dosage forms to meet specific demands, maintain drug registries, and select suitable excipients.
  • Experimentation: Pharmacists conduct experiments to enhance drug formulations, optimizing their efficacy and safety profiles.
  • Drug Registration: They are involved in registering drugs, and ensuring compliance with regulatory standards and guidelines.
  • Combination Drugs: Pharmacists contribute to the development of combination drugs, optimizing therapeutic outcomes while minimizing adverse effects.
  • Vaccine Preparation: They play a crucial role in vaccine preparation, ensuring their efficacy, safety, and appropriate administration

Pharmaceutical Marketing and Management:

Pharmacists play essential roles in pharmaceutical marketing and management:

  • Marketing Participation: Pharmacists contribute by providing drug knowledge to physicians, and aiding in the marketing and distribution process.
  • Components of Pharmaceutical Marketing: This includes advertisement, news, and multimedia strategies to promote pharmaceutical products.
  • Management Responsibilities: Pharmacists oversee various aspects such as drug check-ups, temperature regulation, moisture control, and ensuring light availability in pharmaceutical settings. Their inclusion at all management levels promotes ethical practices.
  • Chemist Shop and Medical Store: Pharmacists operate chemist shops, providing prescription drugs, advising on drug usage, and interacting directly with the public as community pharmacists. They fulfill clinical roles traditionally handled by doctors, including managing chronic conditions and providing lifestyle advice.
  • Industry Involvement: Pharmacists contribute significantly to drug discovery, safety studies, formulation development, clinical trials, and both marketing and management activities within the pharmaceutical industry

Role of pharmacist in the industry

  • Formulation Development: Pharmacists contribute to developing drug formulations, ensuring the effectiveness and safety of medications.
  • Manufacturing Department: They are involved in planning plant facilities, equipment, and personnel, anticipating company needs in the manufacturing process.
  • Quality Control and Quality Assurance: Pharmacists ensure adherence to quality standards and regulatory requirements, safeguarding the quality of pharmaceutical products.
  • Sales and Marketing: They contribute their expertise by providing drug knowledge to physicians and participating in pharmaceutical marketing activities.
  • Management: Pharmacists are involved in various managerial roles within the pharmaceutical industry, overseeing aspects such as inventory, personnel, and regulatory compliance

Introduction to Pharmacopoeia:

Pharmacopoeia serves as the authoritative body ensuring medicine consistency and quality. It dictates the formulation and standards for drug preparation, published under a country’s governmental authority.

Origin of Pharmacopoeia:

The term “Pharmacopoeia” originates from Greek:

  • “PHARMAKON” means drugs.
  • “COPOEIA” signifies to make.

Types/List of Pharmacopoeias:

  • Each country has its own Pharmacopoeia, tailored to its specific regulatory requirements.

Indian Pharmacopoeia (IP):

  • The first publicly available edition dates back to 1945, with subsequent editions reflecting updates and advancements.
  • The latest edition, the ninth, was released by the Indian Pharmacopoeia Commission (IPC) in 2022.

British Pharmacopoeia (BP):

  • Established in 1864, it is a statutory standard for medicinal products in the UK, focusing on safety, quality, and efficacy.

United States Pharmacopeia (USP):

  • Founded in 1820, USP sets standards for the identity, strength, quality, and purity of medicines, supplements, and food ingredients in the United States 2.

Pharmacopoeias play a crucial role in ensuring pharmaceutical safety, efficacy, and quality standards globally.

Indian Pharmacopoeia:

  • the Indian Pharmacopoeia, overseen by the Indian Pharmacopoeia Commission (IPC) under the Ministry of Health and Family Welfare, Government of India, serves as the official compendium of standards for drugs in India.
  • First established in 1945, the IPC headquarters is located in Ghaziabad, Uttar Pradesh, with a mandate to regulate pharmaceutical standards.
  • Written in English with Latin titles for monographs, the Indian Pharmacopoeia adheres to the requirements outlined in the Drug and Cosmetics Act of 1940 and its subsequent rules.
  • The journey began with the Bengal Pharmacopoeia in 1844, followed by the official publication by the IPC in 1945.
  • Dr. B.N. Ghosh chaired the committee that published the first edition in 1955, succeeded by Dr. B. Mukherjee and later Dr. Nityanand for subsequent editions.
  • The 2014 edition, the seventh, was issued in four volumes, incorporating 2550 monographs with 577 new entries, including APIs, excipients, and herbal products.
  • The IPC continued its mandate with the eighth edition in 2018, maintaining its commitment to pharmaceutical standards and drug quality

Silent features of Indian pharmacopeia

  • Authority and Scope: The Indian Pharmacopoeia (IP) is a collection of authoritative procedures for drug analysis, ensuring their identity, purity, and strength.
  • Expansion and Updates: IP 2018 incorporates four volumes, with significant additions such as 220 new monographs, covering various pharmaceutical substances, formulations, and products.
  • Mission-driven Publication: IP is aligned with the mission of the Indian Pharmacopoeia Commission (IPC) to enhance public health by ensuring the quality, safety, and efficacy of medicines.
  • Analytical Procedures: It provides detailed procedures for drug analysis and specifications, covering pharmaceutical substances, excipients, and dosage forms.
  • Modernization of Tests: Emphasis is placed on modern analytical techniques such as infrared, ultraviolet spectrophotometer, and HPLC methods, enhancing accuracy and specificity in drug analysis.
  • Microbial Quality Control: Revised procedures ensure the microbial quality of medicinal products through maintenance, preservation, identification, and disposal of microorganisms, with updated tests like the Bacterial Endotoxin Test (BET)

British Pharmacopoeia (BP)

Published by the Health Ministry of the United Kingdom, the British Pharmacopoeia (BP) is also referred to as the National Pharmacopoeia of the United Kingdom. It serves as a standard reference for pharmaceuticals and medicinal products in the UK and other countries, with its headquarters located in London, United Kingdom

United States Pharmacopoeia (USP)

The United States Pharmacopeia (USP) is an authoritative organization dedicated to ensuring the consistency and quality of medicines and vitamins. USP standards are recognized by the FDA as the benchmark for testing vitamins and medicines, guaranteeing the production of high-quality products that contribute to public health and well-being.

United States Pharmacopeia-National Formulary

The USP-NF serves as a compendium of public pharmacopeial standards. It encompasses standards for medicines, dosage forms, drug substances, excipients, medical devices, and dietary supplements, ensuring their quality, purity, strength, and consistency.

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