专项处方点评对我院门急诊氟喹诺酮类药物使用的影响分析

目的调查专项处方点评前后门急诊处方氟喹诺酮类药物的使用情况,为临床合理用药及管理提供理论依据。方法调取该院2011年6月和9月含有氟喹诺酮类药物的门急诊处方,分析处方中氟喹诺酮类药物在有无适应症、联合用药、用药金额、用药科室与疾病、不良反应等方面的应用情况。结果专项处方点评后氟喹诺酮类处方占比降低,联合用药处方比例下降,不规范处方数、不良反应显著下降。结论专项处方点评使该院的门急诊处方中氟喹诺酮类抗菌药的临床应用更加合理规范。     

处方药监督管理面临的问题及对策

我国《处方药和非处方药分类管理办法》（试行）已正式颁布和实施,加强对处方药的监督管理、使其真正必须凭执业医师或执业助理医师的处方才能够买得到、用得上,既是实现合理用药的客观需要,也是药品分类管理能否得以真正实现的重要标志。１ 当前处方药监督管理面临的主要问题１．１ 来自消费者方面的主要问题 由于相对于去医院购药而言,去药店自行选择和购买药品给消费者带来了经济、方便、省时等诸多好处,使得选择药店的消费群体日益扩大。“小病去药店”已被日益增多的消费者所认同。原本可以在药店随意购买的处方药,因药品分类管…     

Abuse of drugs associated with eating disorders

Concomitant bulimia nervosa and drug abuse are common in women. Drugs used by this group include diuretics, emetics, laxatives, and diet pills, as well as alcohol, cigarettes, and illicit street drugs. This paper applies principles from behavioral pharmacology to the problem of drug use by women with bulimia nervosa. The prevalence of use, primary effects, toxicity, detection, tolerance, withdrawal, and effects on appetite and weight are discussed for drugs used by bulimic women to reduce appetite or weight or to induce purging (e.g., diuretics, emetics, laxatives, and diet aids). Alternatives in the diagnosis and treatment of drug use in women with eating disorders are discussed.