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Pharmacy
Practice
Course Code BP 703T
for Seventh Semester Bachelor in Pharmacy
As per the latest syllabus prescribed by Pharmacy Council of
India for Bachelor of Pharmacy Course
Second Edition
Gaurav Agarwal
M Pharm (BITS-Pilani) PhD
Principal
Department of Pharmacy
Panipat Institute of Engineering and Technology (PIET)
Panipat, Haryana, India
CBS Publishers & DistributorsCBS Publishers & Distributors
CBS Publishers & DistributorsCBS Publishers & Distributors
CBS Publishers & Distributors
Pvt Ltd
New Delhi • Bengaluru • Chennai • Kochi • Kolkata • Lucknow • Mumbai
Hyderabad • Jharkhand • Nagpur • Patna • Pune • Uttarakhand
Pharmacy
Practice
Course Code BP 703T
for Seventh Semester Bachelor in Pharmacy
As per the latest syllabus prescribed by Pharmacy Council of
India for Bachelor of Pharmacy Course
Second Edition
Disaimer
978-93-483-8519-2
Second 5
Branches
th
nd
st
Representatives
my grandfather
Sh Rajendra Kumar Gupta
and
grandmother Smt Premwati
to
Syllabus Prescribed by Pharmacy Council of India vii
ContributorsContributors
ContributorsContributors
Contributors
Giram Padmaja S
Professor and Head
Department of Pharmacology
Channabasweshwar Pharmacy College (Degree)
Latur, Maharashtra, India
Bhusnure OG M Pharm PhD
Professor and Research Head
Channabasweshwar Pharmacy College
Kava Road, Latur
Maharashtra, India
Saiphali
Assistant Professor
Department of Pharmacy
Panipat Institute of Engineering and Technology
Panipat, Haryana, India
Mahesh Bandappa Manke M Pharm (PhD)
Assistant Professor
Channabasweshwar Pharmacy College (Degree)
Latur, Maharashtra, India
Rishika
Student of 7th Semester (B Pharmacy)
Department of Pharmacy
Panipat Institute of Engineering and Technology
Panipat, Haryana, India
T
he book Pharmacy Practice is designed specifically as per
PCI (Pharmacy Council of India) BPharmacy Seventh
Semester students. The book covers the entire syllabus
prescribed by PCI for Bachelor of Pharmacy Course in a very
simple and precised manner to meet the demanding needs of
the pharmacy aspirants. This book covers wide areas and
contains a comprehensive description of current existing
knowledge of hospital and community pharmacy. The book is
primarily intended as a textbook for students of pharmacy for
degree and masters’ courses in Clinical Pharmacy and Hospital
Pharmacy, being an interdisciplinary subject, it is today
covering a wide-range of interest among the students, teachers
and industry professionals. Taking this increasing interest into
account, this book gives a comprehensive introduction to the
subject.
The book contains numerous specimens, vivid illustrations,
tables, diagrams and flow diagrams to present the ideas. The
distinguishing feature is a summary of all the chapters and
questions–answers given at the end of every chapter. The
structure and the content of the book have changed to reflect
modern thinking and current university curricula throughout
the world. In spite of great care there might be some mistakes
and deficiencies. We will be grateful for giving suggestions to
improve. So go through the content and mail to me at
gbitsian@rediffmail.com.
Gaurav Agarwal
PP
PP
P
refacereface
refacereface
reface
AcknowledgmentsAcknowledgments
AcknowledgmentsAcknowledgments
Acknowledgments
It is a moment of great pleasure and immense satisfaction for
me to express deep gratitude and gratefulness to my father
Er VK Agarwal and my mother Smt Asha Agarwal for inspiring
me to bring out this book.
I would like to extend our heartfelt gratitude to the worthy
management of Panipat Institute of Engineering and Techno-
logy, Panipat, Sh Hari Om Tayal, Chairman, Sh Rakesh Tayal,
Vice Chairman, Sh Suresh Tayal, Member Secretary,
Sh Shubham Tayal, Member BOG and Dr JS Saini, Director,
for their constant and unwavering support of my academic
pursuits and for fostering an environment conducive to
learning and research.
I express my gratefulness to Shri YN Arjuna Senior Vice-
President—Publishing, Editorial and Publicity, CBS Publishers
& Distributors, and especial thanks to Shri Satish K Jain,
Chairman and Managing Director, CBS Publishers &
Distributors, for his sincere efforts.
My completion of this project could not have been accom-
plished without the support of my loving daughter Shreya and
son Vaidish who have allowed me time away from the writing
and research work.
Last but not least, I express my love to my wife Dr Shilpi
for her caring, motivating and supportive nature. Her
encouragement was always there when the times got rough. It
was a great comfort and relief that she kept me away from our
household activities during the entire tenure of writing and
research work!
To my numerous students, whom I cannot possibly name
individually, I thanks for their class interactions which have
been the guiding spirit in selection of the subject matter and its
logical arrangement.
Gaurav Agarwal
Pharmacy Practicexii
PHARMACY PRACTICE (Theory)
Course Code BP 703T
45 Hours
Scope: In the changing scenario of pharmacy practice in India, for
successful practice of hospital pharmacy, the students are required to
learn various skills like drug distribution, drug information, and
therapeutic drug monitoring for improved patient care. In community
pharmacy, students will be learning various skills such as dispensing of
drugs, responding to minor ailments by providing suitable safe medication,
patient counseling for improved patient care in the community set up.
Objectives: Upon completion of the course, the student shall be able to
1. Know various drug distribution methods in a hospital
2. Appreciate the pharmacy stores management and inventory control
3. Monitor drug therapy of patient through medication chart review
and clinical review
4. Obtain medication history interview and counsel the patients
5. Identify drug-related problems
6. Detect and assess adverse drug reactions
7. Interpret selected laboratory results (as monitoring parameters in
therapeutics) of specific disease states
8. Know pharmaceutical care services
9. Do patient counseling in community pharmacy
10. Appreciate the concept of rational drug therapy.
Unit I 10 Hours
a. Hospital and its organization: Definition, classification of hospital—
primary, secondary and tertiary hospitals, classification based on
clinical and non-clinical basis, organization structure of a hospital,
and medical staff involved in the hospital and their functions.
b. Hospital pharmacy and its organization: Definition, functions of
hospital pharmacy, organization structure, location, layout and staff
requirements, and responsibilities and functions of hospital
pharmacists.?
c. Adverse drug reaction: Classifications—excessive pharmacological
effects, secondary pharmacological effects, idiosyncrasy, allergic drug
reactions, genetically determined toxicity, toxicity following sudden
withdrawal of drugs, drug interaction—beneficial interactions, adverse
interactions, and pharmacokinetic drug interactions, methods for
detecting drug interactions, spontaneous case reports and record
linkage studies, and adverse drug reaction reporting and management.
Syllabus PSyllabus P
Syllabus PSyllabus P
Syllabus P
rescribed by Pharmacy Council of Indiarescribed by Pharmacy Council of India
rescribed by Pharmacy Council of Indiarescribed by Pharmacy Council of India
rescribed by Pharmacy Council of India
for Bachelor of Pharmacy Coursefor Bachelor of Pharmacy Course
for Bachelor of Pharmacy Coursefor Bachelor of Pharmacy Course
for Bachelor of Pharmacy Course
Syllabus Prescribed by Pharmacy Council of India xiii
d. Community pharmacy: Organization and structure of retail and
wholesale drug store, types and design, legal requirements for
establishment and maintenance of a drug store, dispensing of
proprietary products, maintenance of records of retail and wholesale
drug store.
Unit II 10 Hours
a. Drug distribution system in a hospital: Dispensing of drugs to
inpatients, types of drug distribution systems, charging policy and
labeling, dispensing of drugs to ambulatory patients, and dispensing
of controlled drugs.
b. Hospital formulary: Definition, contents of hospital formulary,
differentiation of hospital formulary and drug list, preparation and
revision, and addition and deletion of drug from hospital formulary.
c. Therapeutic drug monitoring: Need for therapeutic drug monitoring,
factors to be considered during the therapeutic drug monitoring, and
Indian scenario for therapeutic drug monitoring.
d. Medication adherence: Causes of medication non-adherence,
pharmacist role in the medication adherence, and monitoring of
patient medication adherence.
e. Patient medication history interview: Need for the patient medication
history interview, medication interview forms.
f. Community pharmacy management: Financial, materials, staff, and
infrastructure requirements.
Unit III 10 Hours
a. Pharmacy and therapeutic committee: Organization, functions,
policies of the pharmacy and therapeutic committee in including drugs
into formulary, inpatient and outpatient prescription, automatic stop
order, and emergency drug list preparation.
b. Drug information services: Drug and poison information center,
sources of drug information, computerized services, and storage and
retrieval of information.
c. Patient counseling: Definition of patient counseling; steps involved
in patient counseling, and special cases that require the pharmacist.
d. Education and training program in the hospital: Role of pharmacist
in the education and training program, internal and external training
program, services to the nursing homes/clinics, code of ethics for
community pharmacy, and role of pharmacist in the interdepartmental
communication and community health education.
e. Prescribed medication order and communication skills: Prescribed
medication order—interpretation and legal requirements, and
communication skills—communication with prescribers and
patients.