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Alanis Morisette Azagra

on 9 February 2014

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Transcript of Report in INFORMATICS

Responding to Drug Queries using Systematic approach
by :

Group 1

Introduction to the TOPIC
At the entrance to your stomach is a valve, which is a ring of muscle called the lower esophageal sphincter (LES). Normally, the LES closes as soon as food passes through it. If the LES doesn't close all the way or if it opens too often, acid produced by your stomach can move up into your esophagus. This can cause symptoms such as a burning chest pain called heartburn. If acid reflux symptoms happen more than twice a week, you have acid reflux disease, also known as gastroesophageal reflux disease (GERD).
Common Risk Factor
• Eating large meals or lying down right after a meal
• Eating a heavy meal and lying on your back or bending over at the waist
• Snacking close to bedtime
• Drinking certain beverages, such as alcohol, carbonated drinks, coffee, or tea
• Smoking
• Taking aspirin, ibuprofen, certain muscle relaxers

Common Symptoms
• Heartburn: a burning pain or discomfort that may move from your stomach to your abdomen or chest, or even up into your throat
• Regurgitation: a sour or bitter-tasting acid backing up into your throat or mouth
Step 1 : Identify the Requestor
Thus, to answer the query of Ms. M.Y. San, the Pharmacist must have a connection to her to provide the response that RiteMed Ranitidine is the drug equivalent to Artonil to treat her acid reflux.
Topic No. 1
M.Y. San, a Female patient visiting the Philippines from US contacts the pharmacist asking for an advice. She has problems with acid reflux and took Artonil at home which relieved her symptoms well,and would like to know what would be an equivalent medication available in the Philippines.
Step 2 : Obtain background Information
Step 3 : Determine and Categorize the Question
Step 4: Develop Strategy and Conduct Research
Topic No. 2
#4 A male pharmacist received a prescription for dexamethasone to help reduce a tumor.The pharmacist wants to know what dose is appropriate for this use
Introduction to the TOPIC
Dexamethasone is a corticosteroid that prevents the release of substances in the body that cause inflammation.
Dexamethasone is used to treat many different inflammatory conditions such as allergic disorders, skin conditions, ulcerative colitis, arthritis, lupus, psoriasis, or breathing disorders.

To make sure you can safely take dexamethasone,
tell your doctor if you have any of these other conditions:
• liver disease (such as cirrhosis);
• tuberculosis;
• osteoporosis;
• a muscle disorder such as myasthenia gravis;
• kidney disease;
• a thyroid disorder;
• diabetes;
• a history of malaria;
• glaucoma or cataracts;
• herpes infection of the eyes;
• stomach ulcers, ulcerative colitis, or diverticulitis;
• depression or mental illness;
• congestive heart failure; or
• high blood pressure

Step 1 : Identify the Requestor
Step 2 : Obtain the background Information
Step 3 : Determine and
Categorize the Question
Step 4 : Develop a Strategy
and conduct Research
A female patient from US, taking Artonil as the medication to her Acid Reflux.
M.Y. San is the Requestor
The Male Pharmacist is the Requestor
The male Pharmacist receives a
prescription of Dexamethasone to
help reduce a tumor.
The Pharmacist wants to know
what dose is appropriate for this use.

Question Classification :
Dose/ Dosing Schedule
M.Y. San wants to know what is the equivalent medication of Artonil in the Philippines

Question Classification:
Drug Availability
We conducted research with the use of alternative resources and a Web-based information was collected. Based on the information given, Artonil is a medication for acid reflux. And the available drug here in the Philippines is RiteMed Ranitidine which is a medication to GERD.
Based on the information given, and through the use of MIMS and alternative sources. Dexamethasone should be given in 0.05-0.2 mg/kg body wt/day for Adult use. For Children, it should be 6-40 mcg/kg or 0.235-1.25 mg once a day.
So we therefore conclude that the Pharmacist must answers the requestor with the dosing schedule given in Step 4.
Full transcript