CURRICULUM VITAE Nama: Prof. DR.dr.Herri S. Sastramihardja, SpFK (K).
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Transcript of CURRICULUM VITAE Nama: Prof. DR.dr.Herri S. Sastramihardja, SpFK (K).
CURRICULUM VITAE
NamaNama : Prof. DR.dr.Herri S. Sastramihardja, SpFK : Prof. DR.dr.Herri S. Sastramihardja, SpFK (K).(K).TTL TTL : Cianjur,8 April 1944: Cianjur,8 April 1944AgamaAgama : Islam: IslamPangkatPangkat : Guru Besar / IV-e: Guru Besar / IV-eJabatan Jabatan : : Staff Bag. Farmakologi FK UNPAD / Staff Bag. Farmakologi FK UNPAD /
Farmakologi Klinik RSHS Farmakologi Klinik RSHS Ketua BKU Farmakologi pada program Ketua BKU Farmakologi pada program
pascasarjana pascasarjana UNPAD dan PPCD FK UNPAD dan PPCD FK UNPADUNPAD
Pengalaman bekerja, antara lain :
• Ketua Komite Farmasi dan Terapi RSHS (1994-2005). • Anggota Komite Medik RSHS (1996-2005).• Staf Pengajar / Dosen di beberapa Perguruan Tinggi : - FK UNPAD (sejak 1972) - Pascasarjana UNPAD (sejak 1996) - Program Pascasarjana Combined Degree (PPCD) FK
UNPAD (sejak 2002) - Luar biasa FK UNJANI (sejak 1995). - Luar biasa FK UNILA (sejak 2002) - Pascasarjana ITB (Program S2 Farmasi RS) (sejak
1997) - Dosen tetap FK UNISBA (Sejak 2004)• Ka. Bag. Farmakologi FK UNPAD/Farmakologi Klinik RSHS
(1998-2005).• Anggota Senat UNPAD (sejak 1999).
Drugs Utilities in Medical Drugs Utilities in Medical Practice & Patient Practice & Patient Protection Against Protection Against Counterfeit DrugsCounterfeit Drugs
Herri Herri S.SastramihardjaS.Sastramihardja
Department Of Pharmacology & Department Of Pharmacology & TherapeuticsTherapeutics
Medical School – Padjadjaran Medical School – Padjadjaran UniversityUniversity
IntroductionIntroduction Drug: Any subtance or product which is to
prevent, relieve or cure a pathological state or to explore or influence physiological or pathological mechanism for the benefit of the patient
Prevention & treatment of many diseases or disorder are close-related with medical treatmentmedical treatment
Source of medical treatment Health care facilities
PHC Hospital Private Doctors
Self medication (=SM)
The principal of medication therapy were : to inhibit or cure the disease or disorder
IntroductionIntroduction (continued…)(continued…)
IntroductionIntroduction (continued…)(continued…)
Praktik kedokteran:Rangkaian kegiatan yang dilakukan oleh dr & drg terhadap pasien dalam melaksanakan upaya kesehatan
Dokter dalam melaksanakan praktik kedokteran harus dilakukan sesuai dengan standar pelayanan, standar profesi dan standar operasional prosedur (=SOP)
SOPSOP di di YANKESYANKES formal formalANAMNESAANAMNESA
PENGOBATANPENGOBATAN
PEMERIKSAANPEMERIKSAAN
Dengan Dengan obatobat
TanpaTanpa obatobat
Standar diagnosaStandar diagnosa Standar terapiStandar terapi
EBM ?EBM ?
DIAGNOSADIAGNOSA
WHAT IS EBM ?WHAT IS EBM ?
Evidence-basedEvidence-based medicinemedicine is the is the integration of best research integration of best research
evidence with individual clinical evidence with individual clinical expertice and patient values and expertice and patient values and
expectationsexpectations
EBM - WHAT IT ISEBM - WHAT IT IS
ClinicalExpertise
Research Evidence
Patient Preferences
The aim of any drugs management system :
to deliver the correctthe correct drugsdrugs to the patient who needs that medicine
In order to achieve this goal :Drug therapy should be undertaken in
accordance with principles of rational principles of rational prescribingprescribing
Rational Use of DrugsRational Use of Drugs (RUD)(RUD)
(WHO, 1985)(WHO, 1985)
Occurs when patients receive medication :
Appropriate to their clinical needs in doses that meet their own individual requirements
For an adequate period of time
At the lowest cost to them & their community
(conference of experts on RUD)
Criteria ofCriteria of RUDRUD (WHO, 1987)(WHO, 1987)
Correct diagnosisCorrect diagnosis
Appropriate indicationAppropriate indication
Appropriate Appropriate drugdrug (s) (s)
Approriate dosage, administration & Approriate dosage, administration & duration of treatmentduration of treatment
Appropriate patientAppropriate patient
Appropriate Appropriate informationinformation
Appropriate evaluation & follow-upAppropriate evaluation & follow-up
(Managing Drug Supply, 1997)
Appropriate indication The reason to prescribe is based on medical reasons
Pharmacotherapy is proven to be the best alternatif for treatment
Appropriate drug (s)Considering efficacy, safety, suitability for patient, and cost
Appropriate information• Proper information to the patient
is an integral part of the prescribing
process
• Needed to ensure their correct & safe use and to improve patient compliance
Figure 1. The drug use Figure 1. The drug use ProcessProcess
Prescription Prescription
An instruction from a prescriber to a dispenser
Information must be complete & clear
Give information, Give information, intructions & warningintructions & warning
Effect of the drug
Side effects
Instructions
Warning
Next appointment
Everything clear ?
Irrational use of drugsIrrational use of drugs (= (=IRUDIRUD))
Occurs in all countries
Examples of IRUD :
• No drug needed• Wrong drugs• Ineffective drugs & drugs with doubtful efficacy• Unsafe drugs• Underuse of available effective drugs• Incorrect use of drugs
Classification ofClassification of IRUDIRUD
(Quick, 19881)(Quick, 19881) Extravagant prescribing Over prescribing Incorrect prescribing Multiple prescribing Under prescribing
Self medicationSelf medication SM is the treatment of health
problems without medical supervision.
by using: Non-prescriptions drugs (commonly) Traditional drugs (TD +) Prescriptions drugs:
Pharmacies freely supply drugs to informal shops & small groceries
Re-use of copies of prescription
RUD only partly improve the use of drugs
SM is the most common form of choice & people often rely on informal drug distribution channel (including the possibility of buying medicines through internet)
RUD only partly improve the use of drugs
SM is the most common form of choice & people often rely on informal drug distribution channel (including the possibility of buying medicines through internet)
IRUD, IRUD, the usage of the usage of illegal illegal or counterfeit drugsor counterfeit drugs
Counterfeit DrugsCounterfeit Drugs PhysicallyPhysically, difficult to differentiate
between counterfeit and true drugs
The best alternative laboratorylaboratory examination
Some patient protection against counterfeit drugs: Patient Education Responsible information Regulation etc.
Conclusion Conclusion In order to achieve the goal of In order to achieve the goal of
pharmacotheraphy, the drugs must pharmacotheraphy, the drugs must be used rationally be used rationally
Information must be clearly, acurate Information must be clearly, acurate and not misleadingand not misleading
Patient must be criticised all Patient must be criticised all information about drug information about drug
Thank youThank you