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Drug Information Lecture Van Osdol

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VanOsdol Lecture: Drug Information Resources for Consumers (and you!) Context There are over 10,000 FDA-approved prescription drugs and biologics. 300,000 over-the-counter products are available on the market. Pharmacists are the health care professionals responsible for the provision of information on these drugs, and they must be able to locate this information. Drug Information Drug information is carefully evaluated, literature-supported evidence to justify specific medicat
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     VanOsdol Lecture: Drug Information Resources for Consumers (and you!) Context There are over 10,000 FDA-approved prescription drugs and biologics. 300,000 over-the-counter products are available on the market. Pharmacists are the health care professionals responsible for the provision of information on these drugs, and they must be able to locate this information. Drug Information Drug information is carefully evaluated, literature-supported evidence to justify specific medication use practices to enhance the quality of patient care and improve patient outcomes.  When providing drug information, a pharmacist must: Evaluate and interpret the appropriate drug information needs for the person,  whether they are patients, families of patients, caregivers, health care professionals and other personnel. Systematically search, retrieve, and evaluate literature and other resources in response to a request. Effectively communicate drug information, keeping in mind the background of the recipient. Drug Information Resources for Healthcare Providers Sources with FDA-approved indications only Sources with FDA-approved and off-label uses Physician’s Desk Reference DailyMed Package Insert Manufacturer’s Website Micromedex Drug Information Handbook (i.e. Lexicomp) Facts & Comparisons  American Hospital Formulary System (AHFS) (Consumer Drug Information Resources) FDA-labeled indication The FDA approved label printed within the package of the drug provide the following information:  Indication (only those FDA- approved) - Who should take it - Adverse effects - Instructions for uses in pregnancy, children, and other populations - Safety information Prescribing Information Prescribing information is located on the package insert (PI), Physician’s Desk Reference, DailyMed, and the manufacturer’s website. PI is tailored as a reference for health care professionals. PI contains the following information: FDA-approved indications  Adverse effects Safety Information (Contraindications and warnings, drug interactions) Dosing and administration Pharmacology and pharmacokinetics DailyMed DailyMed is a government funded website from the National Library of Medicine (NLM). It contains the most current prescribing information for over 61,000 drugs. It may include: Strengthened warnings undergoing FDA review Minor editorial changes DailyMed provides access to drug labels. The labels are reformatted, making information easier to read. DailyMed contains the link to the product identification system called PillBox,  which is also maintained by NLM. Drug Information Handbook Lexi-Comp publishes the Drug Information Handbook (which is why it is sometimes referred to as Lexi-Comp). It is available both electronically and in hard copy. It contains over 1500 monographs of drugs. It contains the following information: FDA-approved and off-label indications Dosage Drug Interactions  Adverse reactions  Contraindications  Available formulations Drug Information Resources  When delivering information to consumers, avoid medical jargon. Give complete,  but general information. There are many criteria, which may help someone recognize a credible online source from a biased, or inaccurate one: Is this source credible?  Does the source state the owner/ sponsor of the  webpage? What are the credentials of the author? Is the information accurate and current?  Check the frequency of updates. Is the information appropriately detailed and referenced? Information  without references should receive low weight in decision-making. Does the site contain contact information?   Does the site link to other nonaffiliated sites that consistently provide god information?   Health on the Net Foundation The HON code is bestowed upon non- governmental health information websites,  which meet the foundation’s 8 principles:  Authoritative- Qualifications of authors Complementarity- Supports but does not replace doctor- patient relationships Privacy- Personal data submitted to site remains confidential  Attribution- Sources of information are cited and data Justifiability- Claims made on site are supported Transparency- Authors are accessible with up-to-date contact information Financial disclosure- Funding sources  Advertising policy- Advertisements are clearly identified Sites with HON Codes Sites without HON Codes Drugs.com MayoClinic.org  WebMD.com MedicineNet.com HealthCentral.com RxList.com  Wikipedia Manufacturer Websites Government websites (No HON code,  but known to be accurate) Government Websites  Government health websites provide evidence-based, unbiased information of extremely high quality. Key resources provided by the government include: National Institutes of Health (NIH.GOV) National Library of Medicine (NLM.NIH.GOV) Oversees PubMed/Medline, MedlinePlus databases Consumer Health Information Extensive drug information resources US Food and Drug Administration (FDA.GOV) Centers for Disease Control (CDC.GOV) Information on vaccinations, chronic diseases, and travel health Conclusions Drug labels and package inserts contain information only related to FDA-approved indications Other tertiary sources (e.g. Lexi-Comp) provide more comprehensive information on the various uses of OTC and prescription drugs It is important to teach patients how to look up high-quality and unbiased drug information sources  Websites with the HON code and government websites are highly reliable sources of consumer and professional drug information  Various drug information resources present information in different levels of detail, often with different information—using multiple resources is key   

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Jul 23, 2017
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