临床药师在患者使用广告药品过程中开展药学服务的必要性

Necessity of Pharmaceutical Care Provided by Clinical Pharmacists for the Use of Advertised Drugs

目的:探讨临床药师在患者使用广告药品过程中开展药学服务的必要性。方法:通过回顾性统计国家食品药品监督管理总局2013年1月-2015年6月发布的撤销广告批准文号的药品广告,分析其被撤销原因,然后有针对性地提出对患者开展类似广告药品药学服务的工作重点。结果与结论:共有46条药品广告的批准文号被撤销,其中中成药45条,占97.83%;西药1条,占2.17%。药品广告批准文号被撤销的原因,主要包括擅自夸大疗效、保证起效时间、保证在一定时间内治愈、利用专家名义进行宣传等。由于这些广告在对药品进行宣传时其传递的信息相对片面,很容易误导患者不合理用药,因此临床药师针对此类药品向患者开展药学服务工作极有必要。其工作重点应包括详细向患者交代用法、用量及讲解可能出现的不良反应与相应的处理措施;强调患者的个体差异,药物治疗效果、起效时间及治愈时间不尽相同;加强处方审核和用药适宜性的审核等。

OBJECTIVE：To explore the necessity of pharmaceutical care provided by clinical pharmacists during the use of advertised drugs. METHODS：Through retrospectively analyzing drug advertisements permission number of which had been revoked issued by China Food and Drug Administration during Jan. 2013-Jun. 2015 statistically,the reasons for permission withdrawal were analyzed to put forward the focal point of pharmaceutical care development. RESULTS CONCLUSIONS：A total of 46 items of permission number had been revoked,including 45 items of Chinese patent medicine（97.83%）,1 item of western medicine（2.17%）. The reasons for permission revoking mainly included overstating therapeutic efficacy without authorization,guaranteeing onset time,guaranteeing recovery in certain time,propagandizing drugs in the name of experts,etc. These drug advertisements sent relatively one-sided information so as to easily mislead patients and consumers to use drug irrationally. So,it is necessary to provide pharmaceutical care by clinical pharmacists about this kind of drug. The focal points of pharmaceutical care contain telling patients usage and dosage detailedly,and explaining possible ADR and relevant countermeasures;emphasizing different therapeutic efficacy,onset time and recovery time due to individual difference;strengthening prescription check and medication suitability appraisal,and so on.