Thursday, November 15, 2012219 Dwinelle, 7-8:30pm

Email: pills.prepharmacy@gmail.com

Website: www.ocf.berkeley.edu/~pills

PILLS 4th General Meeting

Herbal and Dietary Supplements Could Interfere With Prescription Drugs

http://www.medicalnewstoday.com/articles/251953.php

By Vincent Man & Yuen Ng

Natural remedies - dietary and herb supplements (HDS) Prevent illnesses Treat ailments

Potential interferences between HDS and Rx need more research International Journal of

Clinical Practices Using 213 HDS entities and 509

prescribed medications, 882 HDS-drug interactions were found

HDS-Drug Interactions Statistics

Over 42% of HDS-drug interactions from changes in pharmacokinetics Process by which a drug is

absorbed, distributed, metabolized, & eliminated by the body

Over 26% classified as major interactions

152 contraindications involving gastrointestinal, neurological system, & adrenal/genitourinary diseases.

Interactions from HDS that included calcium, iron, & magnesium

More research and awareness needs to be raised

Membership Updates Requirements

2 General Meetings 1 Social 4 Hours of Approved Volunteering Membership Application Fees ($17)

Link to spreadsheet: https://docs.google.com/spreadsheet/ccc?key=0AroNpsCAG1wFdFRVTHVIa0FtRkFpaW0xTTJadXhKbEE#gid=0

Berkeley Project Recap

THANK YOU FOR COMING!

Last Event of the Semester TBA Check Email for update

5th Social November 30th Holiday Themed Time: 7 – 8:30PM Location: 2070 VLSB

Reminder: Need to attend at least 1 social to be an active

member This is your LAST chance!

Thank you guys for coming out to the Joint Cops & Robbers PhRENDs Social in October!

Be on the lookout for a November Individual Group Hangout!

Introducing the PhRENDs point system!

Any tips/suggestions for PhRENDs? Let your group PRs know!

Welcome to PhRENDs Point System!

We have a SECRET PRIZE for the winning PhREND group at the end of Spring 2013!

Careers in PharmacyClinical, Regulatory/Policy, R&D, Management, Nursing Home,

Academia, Retail

Clinical Pharmacist Where they work:

Hospitals and clinics

Responsibilities: Advises physicians and nurses Knowledgeable about drug-drug interactions, drug

allergies, history of medications, PK/PD, etc. Oversees technicians (preparation, labeling, and

deliveries)

Requirements: PharmD degree, two year residency (can get

board certified with specific specialties)

Avg salary: $124,892

Pharmacy Policy Where they work:

FDA, NIH, CDC, Pharmaceutical Companies, Managed CareOrganizations, Chain Drug Stores, Academia

Responsibilities: Evaluate effectiveness of health policy Advise about new industry development Develop policies to ensure best outcomes in patient care Regulate efficiency and cost effectiveness of

product development and manufacturing Requirements:

development of skills via on-the-job experience or post-graduate education. Average Salary:

103,000 (FDA pharmacist) Other:

Responsibilities vary with area of work (industry, government, academia). Positions can have responsibilities anywhere from a local to global scale.

Research & Development Where they work:

Biotech companies, government institutes Responsibilities:

Design clinical trials Experiments in pharmaceutical development

Educational requirements: PharmD [optional] Post-graduate fellowships or PhD

Average salary: $110,000

Small but growing field

Title (Arial 40 pt, bold)

Subtitle (Arial 20 pt)

Pharmacy Management Where they work:

Retail pharmacies, hospitals, any pharmacy with a group of workers.

Responsibilities: Manage group of pharmacists in daily tasks. Leads and

directs the group. Resolves any issues and oversees pharmacy as a whole operation.

Education Requirement: Pharm D

Average Salary: $125,000

Experience is the key to this profession.

Long-term Care Pharmacist Where they work:

Nursing homes, group homes, correctional facilities, alcohol/drug rehabilitation centers, with long-term care pharmacy chains like Omnicare and PharMerica

Responsibilities: Compounds and dispenses prescribed drugs Pain management counseling Therapeutic drug monitoring

Educational requirement: PharmD

Avg salary: $107,2201

Most recent national study in 2003 showed average number of medications used per nursing facility resident was 8.1 routine + 3.2 PRN2

Pharmacy Academia Where they work:

Pharmacy schools and laboratories/clinics

Responsibilities: Educate the pharmacist workforce Conduct research (e.g.: evaluating scientific data, patient

compliance, etc.)

Educational requirement: Graduate degree (e.g.: PharmD, PhD, etc.), residency,

teaching licensure

Avg salary: $117,038

Diversity in types of pharmacy faculty: Pharmaceutical sciences; pharmacy practice faculty/clinical sciences; social, economic, behavioral and administrative faculty

Retail Pharmacy Where they work: CVS, Walgreens, Walmart, Safeway, Target,

Costco

Responsibilities: Traditional: dispense medication, patient consultation Expanded: vaccination, Medication Therapy Management (MTM)

Educational requirement: PharmD., (residency if necessary for your speciality)

Avg salary: ~$132,000 (according to indeed.com)

Fun Fact: Before, pharmacists only needed a B.A. or B.S. The most prescribed drug in the U.S. is Vicodin (128.1 million in 2009)

Retail Pharmacy Setting

Ambulatory Care Pharmacy

Umang Patel and Kelly Valine

Role of an Ambulatory Care Pharmacist Interact with patients in an outpatient clinic

setting for the management of chronic conditions under protocol

Responsible for adjusting medication doses counseling patients on side effects of medications and the importance of medication adherence, and making therapy recommendations to prescribing physicians.

Patient MJMJ is a 68 year old male referred to you by Dr. Smith to manage high blood pressure.

Past Medical History

Hypertension

Diabetes

Cholesterol

Allergies

Penicillin – rash

Medications

Lisinopril 20mg 1 tablet daily

Hydrochlorothiazide 25mg 1 tablet daily

Simvastatin 40mg 1 tablet daily

Metformin 500mg 1 tablet 2 times per day

Vitals

BP 175/92 HR 72 (4/5/12)

BP 160/90 HR 69 (2/12/12)

BP 150/85 HR 85 (1/6/12)

Labs

Scr 1.8 (kidney function)

ALT 24 (liver function)

WHAT IS YOUR PLAN?

What do you need to know?MJ is a 68 year old male referred to you by Dr. Smith to manage high blood pressure.

Past Medical History

Hypertension

Diabetes

Cholesterol

Allergies

Penicillin – rash

Medications

Lisinopril 20mg 1 tablet daily

Hydrochlorothiazide 25mg 1 tablet daily

Simvastatin 40mg 1 tablet daily

Metformin 500mg 1 tablet 2 times per day

Vitals

BP 175/92 HR 72 (4/5/12)

BP 160/90 HR 69 (2/12/12)

BP 150/85 HR 85 (1/6/12)

Labs

Scr 1.8 (kidney function)

ALT 24 (liver function)

ASSESSMENT / PLAN: - BP goal is < 130/80- Combine lisinopril and hydrochlorothiazide into 1 pill called prinzide - Start atenolol 25mg 1 tablet daily. Monitor heart rate - Start aspirin 81mg 1 tablet daily for heart protection - Continue all other medications- Recheck BP in 4 weeks

What is MJ’s blood pressure goal? Does he exercise? How often? Eat excessive salty foods?

What blood pressure medications to

avoid with penicillin allergy? What are these medications and for what conditions? Any interactions? Duplicates? Safe for elderly? Adherent to therapy? Experiencing side effects? Follow recommended treatment guidelines? Cost savings opportunities? Reduce quantity of medications?

What do these lab results mean? Are medications safe given this labs?

What settings do Ambulatory Care Pharmacists Work? Internal medicine Oncology Nephrology Gastrointestinal Endocrine HIV Chronic Pain Hospice Much more…

Why choose Ambulatory Care? Manage chronic conditions and educate patients Build great working relationships with physicians,

nurses, medical assistants Develop expertise in a specialized area

The road to Ambulatory Care

Pharmacy School (3-4yrs)

AND

Residency (1 year)

Questions?

Tuesday, November 27, 2012110 Barrows, 7-8:30pm

Email: pills.prepharmacy@gmail.com

Website: www.ocf.berkeley.edu/~pills

PILLS 5th General Meeting: Pharmacy

Opportunities