Starting or Strengthening a Drug Bulletin - A Practical Manual
(2005; 165 pages) View the PDF document
Table of Contents
View the documentPreface
View the documentHow the manual was produced
View the documentAbout ISDB
View the documentExecutive summary
Open this folder and view contents1. Introduction
Close this folder2. Rational use of medicines
View the document2.1 The relationship between evidence and rational use
View the document2.2 Other influences on the choice of medicines
View the document2.3 Sources of information for prescribers
View the document2.4 The special role of drug bulletins
View the document2.5 Specific ways in which bulletins can help
View the document2.6 Bulletins as part of wider initiatives for promoting rational use of medicines
View the document2.7 Summary
Open this folder and view contents3. What are drug bulletins?
Open this folder and view contents4. Defining aims, target and type of bulletin
Open this folder and view contents5. Planning resources
Open this folder and view contents6. Planning bulletin production: schedules and timing
Open this folder and view contents7. The editorial process
Open this folder and view contents8. Reviewing a new drug: is it a therapeutic advance?
Open this folder and view contentsAnnexe to Chapter 8: Evaluating harm
Open this folder and view contents9. Design and production
Open this folder and view contents10. Dissemination
Open this folder and view contents11. Organizational and legal issues
Open this folder and view contents12. Evaluating quality and usefulness
Open this folder and view contents13. Partnership and collaboration
Open this folder and view contents14. Keeping records and creating a memory
Open this folder and view contentsAppendix: Electronic sources of information
 

2. Rational use of medicines

Medicines are used rationally when they are the appropriate treatment for a condition, are used in the right dose, at the right time(s) and for the right duration. Clearly, irrational prescribing, and use of irrational medicines can harm people's health, cause problems in health systems (such as antibiotic resistance) and also waste money.

Although the ideals of rational prescribing appear relatively simple, they are hard to achieve. This chapter explores the reasons why making rational choices about medicines can be problematical. It also describes how the special characteristics of drug bulletins help practitioners make rational decisions, and also make them a fundamental tool for promoting rational use.

Healthcare reforms began in Kyrgyzstan in the mid 1990s, primarily in the pharmaceutical sector. Irrational use of drugs remains a major problem in Kyrgyzstan. Polypharmacy, incorrect use of effective drugs, use of wrong or ineffective drugs and irrational prescribing are the major patterns of inappropriate use of drugs in Kyrgyzstan. Unnecessary injections are used to treat non-specific symptoms such as mild diarrhoea, colds and fatigue. About 50% of the population lacks basic information on the proper use of drugs to combat diseases.

An underlying factor in many aspects of irrational drug use is the lack of access to independent drug information.

Contributed by Saliya Karymbaeva, Drug Bulletin, Kyrgyzstan.

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