PERSONAL DRUG

(P-Drug)
sebagai dasar terapi rasional

Yesi Astri,dr,M.Kes

PENGOBATAN RASIONAL
The rational use of drugs requires that patients receive medications appropriate to their clinical need, In doses that meet their own individual requirements for and adequate period of time and the lowest cost to them and their community.

THE PROCESS OF RATIONAL TREATMENT

1. Define the patients problem 2. Specify the therapeutic objective 3. Choose the treatment for the individual patient (P-drug) 4. Start the treatment (prescribing)

5. Give information, instruction, and warnings

6. Monitor (and stop?) treatment

THE PROCESS OF RATIONAL TREATMENT

DEFINE THE PATIENT PROBLEMS

Symptom

Diagnosis

SPECIFY THE THERAPEUTIC OBJECTIVE

Causative Symptomatic Paliative

Preventive
Curative

TEGASKAN TUJUAN TERAPI

Epithelial attachment or inoculation Tissue innovation Anti Microba Multiplication of bacteria NSAIDs Release of 1 mediator Tissue damage Dysfunction of organ
SYMPTOMATIC DRUGS

Fever pain edema Symptom Dysuria diarhea

SYMPTOMATIC DRUGS

CHOOSE THE TREATMENT FOR THE TREATMENT FOR THE INDIVIDUAL PATIENT (P-DRUG)
Efficacy Safety Suitability Cost

DRUGS
I II III IV

E S (.) (.)
5 2 3 4 3 3 4 5

S (.)
5 2 1 1

C (.)
5 4 3 2

NOTE (100%)

COST
1. 2. 3. 4.

5.
6.

The cost of AM it self Frequency of administration daily Number of AM Injection Monitoring for toxicity Others

INFORMATION

1. Aturan makan obat

2. Efek samping obat 3. Efek obat 4. Peringatan 5. Kunjungan berikutnya

6. Penyakit

MONITORING
Have the treatment succeed?
Yes
cure not cure

No Correction :
- Diagnose - P-drug - Regimen dose

Side Effect

- Prescribing - Instruction - Patient compliance