P-DRUG P( ersonal )-Drug means personal choice of drug of a clinician for a particular condition based on the essential drug list, availability, safety and cost of drug.
P-treatment P-treatment means personal choice of treatment of a clinician for a particular condition for a particular patients.
SELECTION OF P-DRUG
HOW TO SELECT AN EFFECTIVE GROUP? EFFICACY SAFETY SUITABILITY COST
WHAT NEXT ?? Select appropriate dosage form/schedule with duration of treatment. Write prescription with advice to patients. Drug information and warning Monitoring the treatment/ Follow-up.
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SELECT THE P-DRUG FOR THIS PATIENT- An adult male patient aged 45 years had suffered few acute attack of classical angina last month as revealed in history and his father died due to acute MI few years back. Now, He consult you for the treatment.
Step 1 DEFINE THE DIAGNOSIS Stable angina pectoris, caused by a partial occlusion of coronary artery.
Step 2 SPECIFY THE THERAPEUTIC OBJECTIVES To reduce myocardial oxygen demand by decreasing preload, contractility, heart rate or afterload.
Step 3 MAKE THE LIST OF EFFECTIVE GROUPS Nitrates Beta blockers Calcium channel blockers