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Textbook of
Pharmacy Practice
As per the latest syllabus prescribed by Pharmacy Council of India
Course Code BP703T
for Seventh Semester Bachelor in Pharmacy
Textbook of
Pharmacy Practice
As per the latest syllabus prescribed by Pharmacy Council of India
Anees Ahmad Siddiqui
Professor
BM College of Pharmacy
Farukh Nagar, Gurugram, Haryana
Former Head, School of Pharmaceutical Education and Research
Jamia Hamdard University, Hamdard Nagar, New Delhi
Seemi Siddiqui
Professor
BM College of Pharmacy
Farukh Nagar, Gurugram, Haryana
CBS Publishers & Distributors Pvt Ltd
New Delhi • Bengaluru • Chennai • Kochi • Kolkata • Lucknow • Mumbai
Hyderabad • Jharkhand • Nagpur • Patna • Pune • Uttarakhand
Course Code BP703T
for Seventh Semester Bachelor in Pharmacy
Disaimer
978-93-546-6810-4
4
Branches
th
nd
st
Representatives
T
he second edition of Textbook of Hospital and Clinical Pharmacy was compiled with the
introduction of the subject in the curriculum of pharmacy degree courses in almost
all the universities as well in the diploma courses conducted by board of education in
the respective states. It was introduced with the development of clinical pharmacy in
India. In the present scenario, new PCI syllabus has been implemented in which title
of subject is changed into ‘pharmacy practice’ with slight modification in the contents
of hospital and clinical pharmacy.
Textbook of Pharmacy Practice has been compiled to cover the syllabus of pharmacy
practice (BP703T) included in the PCI syllabus. This book provides 5 units, divided
into 21 chapters. Each chapter is illustrated in easy and understandable language to
explain the concept of the subject. We have made considerable effort to update each
chapter and ensure the content is relevant to current clinical practice. Covering a wide
range of topics, each chapter has some unique features that teachers/instructors and
students will find helpful. Appropriate tables and figures are provided to enhance
the understanding of the subject. At the end of each chapter, MCQs, short questions
and long questions are given for practice in the same pattern as suggested in the PCI
syllabus. Useful appendixes are also included at the end of the book.
We are thankful to my colleagues who have contributed to bring out this book. The
main contributors are Dr Ashok Kushnoor, Gopichand College of Pharmacy, UP and
Dr. Mamta, BM College of Pharmacy, Gurugram.
Finally, we wish to thank our families for their support and for giving me time to
compile this book. They helped a lot in bringing out this book.
We are thankful to Mr SK Jain (CMD) and Mr Varun Jain (Managing Director), CBS
Publishers & Distributors, for publishing this book.
We have tried every effort to avoid typographic errors. However, despite best efforts,
some might have appeared inadvertently. We shall be grateful if these are brought to
our notice.
Anees Ahmad Siddiqui
Seemi Siddiqui
Preface
ABC Always Better Control
ADC Automated Dispensing Cabinet
AICTE All India Council for Technical Education
AIDS Acquired Immunodeficiency Syndrome
ACCP American College of Clinical Pharmacy
ASHP American Society of Health System Pharmacists
ADRs Adverse Drug Reactions
ALT Alanine Transaminase
ALP Alkaline Phosphatase
AST Aspartate Transaminase
BPH Benign Prostatic Hypertrophy
BNF British National Formulary
CAC Central Accreditation Council
CBC Complete Blood Count
CDSCO Central Drugs Standard Control Organisation
CK Creatinine Kinase
CKD Chronic Kidney Disease
CSD Central Supply Department
DLC Differential Leucocyte Count
DUR Drug Utilization Review
DCGI Drugs Controller General of India
EML Essential Medicines List
ESR Erythrocyte Sedimentation Rate
FBS Fasting Blood Sugar
GFR Glomerular Filtration Rate
GGT Gamma-glutamyl Transferase
MCV Mean Corpuscular Volume
MeSH Medical Subject Headings
MEDLARS Medical Literature Analysis and Retrieval System
NDAC New Drug Advisory Committee
NDPS Narcotic Drugs and Psychotropic Substances
NSAIDs Nonsteroidal Anti-inflammatory Drugs
Hb Haemoglobin
Hct Haematocrit Test
HIV Human Immunodeficiency Viruses
MI Myocardial Infarction
MOA Memorandum of Association
MHRA Medicines and Healthcare Products Regulatory Agency
OGTT Oral Glucose Tolerance Test
Abbreviations Used
viii
Textbook of Pharmacy Practice
OPD Outpatient Department
PCI Pharmacy Council of India
RBCs Red Blood Cells
MCHC Mean Corpuscular Haemoglobin Concentration
RDW Red Cell Distribution Width
STD Sexually Transmitted Diseases
STGs Standard Treatment Guidelines
SGOT Serum Glutamic-oxaloacetic Transaminase
SGPT Serum Glutamic-pyruvic Transaminase
SOPs Standard Operating Procedures
TDM Therapeutic Drug Monitoring
TOC Table of Contents
TLC Total Leukocyte Count
UA Urinalysis
UNICEF United Nations International Children's Emergency Fund
VLDL Very Low-Density Lipoprotein Cholesterol
WBCs White Blood Cells
WHO World Health Organization
Preface v
Abbreviations Used vii
UNIT I
1. Hospital and its Organization 3
2. Hospital Pharmacy and its Organization 11
3. Adverse Drug Reactions 17
4. Community Pharmacy 34
UNIT II
5. Drug Distribution System in Hospitals 43
6. Hospital Formulary System 50
7. Therapeutic Drug Monitoring 59
8. Medication Adherence 64
9. Patient Medication History Interview 69
10. Community Pharmacy Management 74
UNIT III
11. Pharmacy and Therapeutics Committee 83
12. Drug Information Services 90
13. Patient Counseling 100
14. Educational and Training Programs in Hospital 110
15. Prescribed Medication Order and Communication Skills 116
UNIT IV
16. Budget Preparation and its Implementation 127
17. Clinical Pharmacy 131
18. Over-the-Counter (OTC) Medications 142
UNIT V
19. Drugstore Management and Inventory Control 153
20. Investigational Drugs 168
21. Interpretation of Clinical Laboratory Tests 176
Appendices 195
Index 199
Contents
UNIT
I
1. Hospital and its Organization
2. Hospital Pharmacy and its Organization
3. Adverse Drug Reactions
4. Community Pharmacy
