6 Must Have Smartphone Application for Malaysia Pharmacist

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As a Pharmacist which compete with the massive amount of new medicines, it is vital to keep us up to date and having all the references in your fingertips to provide the most precise information whenever our client need it. It is very tedious to bring along all the references such as 3000 pages drug references or a thick BNF book walk around the ward and it is very time consuming too whenever you need to check for a drug.

Luckily with the advancement of technology, smartphone application provide us the fingertips reference with immediate search references. Here are 6 smartphone apps which I would like to introduce to the pharmacists in Malaysia:

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1. Lexi-comp drug references:

My main reference during my PRP-ship

Pros:

  • Provide concise up to date references of all the drug listed by FDA, details such as renal dose adjustment, peads & adult dosing and provide studies and article for references.
  • Work offline
  • Side reference such as Harison practice, adult patient counseling point and Lexi-tox
  • Great calculator tools
  • Simple but handy drug interaction checker

Cons:

  • Paid apps and costly
  • Drugs not listed in FDA cant be refer.

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2. Medscape

Pros:

  • Provide offline references of medical procedures and drugs which updated regularly with information similar to
  • It’s Free
  • CME provided which can keep you up to date medical information

Cons:

  1. Don’t provide studies on drug
  2. Long loading time

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3. Stanford Antibiotic Guide

Pros:

  • Provide latest antibiotic spectrum to all the microbes that causes diseases
  • Details information of each antibiotics
  • serve as my second references next to lexi comp for antibiotics

Cons:

  • Paid application
  • Have to update yearly. no automatically update available

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4. Pocket Lab Reference Values

Pros:

  • Provide a range of lab values to reference which sort according to their categories in SI units and US units
  • Description of each value are included
  • Work offline
  • Provide differential for increased/decreased value
  • Provide lab diagnostic technique such as container information

Cons:

  • Too much information on a value, sometimes the differential will make you confuse

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5. Drugs.com

A newly published apps by the famous drugs.com

Pros:

  • Contain all the information as in drugs.com
  • Pill Identifier
  • Interactions checker
  • Free apps

Cons:

  • Required internet connections and accounts

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6. My Blue Book

Pros:

  • The only application that allow you to check prescriber categories
  • Provide offline information for drug in Malaysia KKM Hospital
  • Allow you to check the dosage available in Malaysia KKM Hospital
  • Provide generic / brand conversion easily

Cons:

  • Too few information such as renal dosage adjustment are not available
  • Calculator tools are not available (It’s coming soon)
  • Iphone user are not allowed to view the dosage

There are few more handy applications which is good and handy, but however, with this 6 application installed in your smartphone, basically you can solve any questions by your clients in the hospital, be sure you choose the correct tools to solve the problems/questions.

How to identify a SAFE and REGISTERED Medicine product in Malaysia.

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How to identify a SAFE and REGISTERED Medicine product in Malaysia.

Here are some sharing of knowledge on how to identify a SAFE and REGISTERED Medicine product in Malaysia.

Why Registered Medicine Products?
Almost every Medicinal/Pharmaceutical products in Malaysia are required to register to the National Pharmaceutical Control Bureau (NPCB) to be approve by our Drug Control Authority (DCA) for sale and use in Malaysia in order to provide Malaysian with a Safe, unadulterated, and efficient medicine products.

Beside that, NPCB will check whether the medicinal manufacturer had the proper quality and facilities to be produce your medicine (GMP) and will not allow them to produce it if they doesn’t meet the requirement. It is a good way to ensure that we, as a Malaysian obtain the highest quality of drug.

Comparatively with the so called “medicine” sold in pasar malam without proper registration, you can’t know:
Who are the one who produce it?
Do they add in fake / dangerous active ingredient?
Do the medicine effective?
Do the expiry date is true?

Are you confident to consume it even you don’t know what is it?

So, next time when you want to purchase yourself a medicine product (* Even PANADOL) you should check whether it is registered or not.

To check for MAL number validity, I had made an smartphone application (MediQuest) to ease your life, you can download it on below:

https://play.google.com/store/apps/details?id=air.mypharmacisthouse.mediquest

or you can go to NPCB website to check for it:
http://portal.bpfk.gov.my/search-product.cfm (an easier link)

Thank you very much
Best Regard,
My Pharmacist House

Link

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Denguide: Malaysia CPG Guideline

Dengue is dangerous, especially for the old and babies. It can possibly kill the patient if poorly manage.

I had convert our country clinical practice guideline into an easier view apps in order to facilitate your view toward the guideline in anytime and anywhere.

Just hope that this little apps can assist you all in saving patients life

Warfarin

Click here to download Mediscan now!

Click here to download Mediscan now!

Kegunaan Ubat:

Ubat ini digunakan untuk menghalang pembentukan darah beku dan menghalang darah beku sedia ada daripada menjadi semakin besar.

Cara Pengambilan Ubat:

Ambil ubat ini pada masa yang sama setiap hari selepas makan (Biasanya pukul 6 petang). Teruskan mengambil ubat ini sehingga doctor anda memberitahu anda untuk berhenti. Jangan berhenti mengambil ubat ini hanya kerana anda berasa lebih baik.

Langkah Berjaga-jaga:

Anda mungkin berdarah dengan lebih mudah, berhati-hati dan mengelakkan kecederaan. Jangan derma darah semasa mengguna ubat ini. Maklumkan doktor atau ahli farmasi anda jika anda mempunyai: penyakit buah pinggang, penyakit hati, penyakit thyroid, jantung yang lemah, merancang untuk hamil. Maklumkan kepada doktor gigi anda bahawa anda sedang mengguna warfarin.

Jika terlupa ambil ubat:

  • Ambil dos yang tertinggal sebaik sahaja anda teringat, jika ianya dalam tempoh hari yang sama.
  • Teruskan mengambil warfarin anda pada waktu yang sama pada keesokan hari.
  • Jangan gandakan dos. Menggandakan dos mungkin menyebabkan peningkatan pendarahan.
  • Catatkan tarikh dos yang tertinggal dan beritahu doktor anda semasa janji temu anda yang seterusnya.

Penyimpanan

  • Jauhi dari kelembapan (simpan di tempat yang kering) dan kepanasan (elakkan daripada sinaran terus matahari)
  • Simpan ubat di tempat yang selamat dan jauh daripada kanak-kanak

Peringatan

  • Kehamilan: Warfarin boleh menyebabkan kecacatan semasa lahir. Maklumkan doktor atau ahli farmasi anda jika anda hamil atau berhasrat untuk hamil.
  • Pembedahan: Jika anda akan melalui pembedahan (termasuk pembedahan gigi) maklumkan doktor atau doktor gigi berkenaan bahawa anda mengambil warfarin. Doktor mungkin meminta anda berhenti mengambil warfarin selama beberapa hari sebelum prosedur tersebut untuk mengelakkan pendarahan berlebihan.
  • Alkohol: Elakkan pengambilan alkohol berlebihan. Dinasihatkan supaya tidak mengambil lebih daripada 5 tin bir atau lebih daripada 1 botol wain seminggu.
  • Aktiviti Harian: Berhati-hati apabila menggunakan pisau cukur dan objek tajam lain. Elakkan sukan lasak (contohnya, bola sepak, rugbi, seni mempertahankan diri) atau aktiviti yang boleh mencederakan anda .Elakkan penggunaan berus gigi, floss yang keras.
  • Kecederaan: Sekiranya anda mengalami kecederaan ringan, basuh dan berikan tekanan atas kawasan tersebut sehingga pendarahan berhenti (ini mungkin mengambil masa sehingga 10 minit). Dapatkan perhatian perubatan dengan segera jika pendarahan banyak berlaku pada tempat cedera atau jika anda mengalami kecederaan di kepala. Teruskan memberi tekanan pada tempat luka sambil menunggu bantuan.

Semasa anda mengambil warfarin, anda perlu kembali untuk pemeriksaan darah secara berkala. Pada setiap temu janji dengan doktor anda, pemeriksaan darah akan diarahkan untuk memeriksa Nisbah Ternormal Antarabangsa (INR), yang mencerminkan keberkesanan rawatan antikoagulasi. Jadi, penting bagi anda menghadiri setiap temu janji untuk memastikan bahawa warfarin diberikan dengan wajar. Sentiasa buat janji temu lain jika anda gagal menghadiri salah satu. Anda hendaklah pertimbangkan membawa kad pengenalan (Buku Panduan untuk Pesakit Warfarin) untuk menunjukkan yang anda mengambil warfarin. Ini penting terutamanya semasa kecemasan atau apabila anda tidak sedar. Berunding dengan ahli farmasi atau doktor anda mengenai cara mendapatkan kad ini.

Interaksi warfarin dengan ubat ubatan lain

Banyak pengubatan mengganggu keberkesanan warfarin. Penting bagi anda memberitahu doktor atau ahli farmasi anda jika anda mengambil pengubatan lain termasuk pengubatan tanpa preskripsi, tradisional dan herba. Ini termasuk:

  • Antasid
  • Batuk atau ubat selesema
  • Ubat ulser gaster
  • Julap
  • Ubat tahan sakit (contohnya, aspirin dan NSAIDS lain)
  • Vitamin tambahan (Vitamin K)

Interaksi warfarin dengan makanan:

Bincang diet anda dengan doktor. Jangan lakukan sebarang perubahan besar terhadap pengambilan makanan yang mengandungi vitamin K, seperti hati, sayuran berdaun hijau dan brokoli, kerana ia mungkin mengubah kesan warfarin.

Interaksi warfarin dengan herbal:

Dinasihatkan supaya tidak mengambil apa-apa Jamu, ubat Cina (Gingko Biloba, Ginseng, Dong Quai) atau Ayurvedik , kerana kesannya terhadap warfarin tidak boleh diramal.

Kesan Terapeutik

  • Mencegah dan merawat darah beku di dalam saluran darah.

Kesan Sampingan

Kesan sampingan warfarin yang paling biasa ialah pendarahan. Sila dapatkan perhatian pengamal perubatan sekiranya anda mengalami simptom berikut:

  • Pendarahan daripada telinga, hidung, gusi (jangan lupa menggunakan berus gigi lembut)
  • Muntah darah (yang mungkin kelihatan seperti serbuk kopi atau darah segar)
  • Sakit perut tanpa sebab
  • Bintik merah pada kulit
  • Kesakitan atau pembengkakan luar biasa (con. Pada sendi)
  • Darah dalam air kencing
  • Darah haid yang banyak
  • Pendarahan rektum
  • Najis hitam, melekit

Lebam-lebam: Anda mungkin mudah menjadi lebam sekiranya jatuh atau terlanggar sesuatu. JANGAN gosok atau urut kawasan tersebut. Sila dapatkan perhatian perubatan jika lebam bertambah besar atau saiznya tidak berkurangan, atau jika anda mendapat lebam-lebam tanpa sebab nyata.

References:

Kaunselling Ubat Hospital USM

Naproxen (Naprosyn)

Click here to download Mediscan now!

Click here to download Mediscan now!

Usage:

This medicine is used to ease pain, swelling and fever. This medicine also used to treat arthritis and gout attacks. Other usage include: ease painful period (menstrual) cycle

How to use it / Best taken:

Take this medicine with food to prevent an upset stomach.

Precautions / Warning:

You may bleed more easily, be careful and avoid injury. Talk with your doctor if you have risk for heart disease, kidney disease, liver disease, ulcer / bleeding from your stomach or bowel, pregnant, plan to getting pregnant or breast feeding.

Disclaimer:

The information in this webpage is general information only. This page is not medical advice specific to you or any other person. This page does not contain all information about this drug and does not cover all uses, directions, precautions, warning, drug interactions or side effects. Read the package insert for more information.

References:

  • Lexi comp adult patient education module
  • Product Leaflet

Mefenamic acid (Ponstan)

Click here to download Mediscan now!

Click here to download Mediscan now!

Usage:

This medicine is used to ease pain, swelling and fever.

How to use it / Best taken:

Take this medicine with food to prevent an upset stomach.

Precautions / Warning:

You may bleed more easily, be careful and avoid injury. Talk with your doctor if you have risk for heart disease, kidney disease, liver disease, ulcer / bleeding from your stomach or bowel, pregnant, plan to getting pregnant or breast feeding.

Disclaimer:

The information in this webpage is general information only. This page is not medical advice specific to you or any other person. This page does not contain all information about this drug and does not cover all uses, directions, precautions, warning, drug interactions or side effects. Read the package insert for more information.

References:

  • Lexi comp adult patient education module
  • Product Leaflet

Diclofenac (Voltaren)

Click here to download Mediscan now!

Click here to download Mediscan now!

Usage:

This medicine is used to ease pain and swelling. This medicine also used to treat arthritis and gout attacks.

How to use it / Best taken:

Take this medicine with food to prevent an upset stomach. Take with a full glass of water. Many times this medicine is taken on an as needed basis.

Precautions / Warning:

You may bleed more easily, be careful and avoid injury. Talk with your doctor if you have risk for heart disease, kidney disease, liver disease, ulcer / bleeding from your stomach or bowel, pregnant, plan to getting pregnant or breast feeding.

Disclaimer:

The information in this webpage is general information only. This page is not medical advice specific to you or any other person. This page does not contain all information about this drug and does not cover all uses, directions, precautions, warning, drug interactions or side effects. Read the package insert for more information.

Tramadol (Tramal)

Click here to download Mediscan now!

Click here to download Mediscan now!

Usage:

This medicine is used to ease pain

How to use it / Best taken:

Take this medicine with or without food, take with food if it causes an upset stomach. Drink a lot of water unless told to drink less liquid by your doctor. Many times this medicine is taken on an as needed basis.

Precautions / Warning:

This medicine may let you feel lightheaded, sleepy, blurred eyesight, or dizzy. Avoid driving or doing other tasks that call for you to be alert or have clear eyesight. This drug may be habit-forming with long-term use.

Disclaimer:

The information in this webpage is general information only. This page is not medical advice specific to you or any other person. This page does not contain all information about this drug and does not cover all uses, directions, precautions, warning, drug interactions or side effects. Read the package insert for more information.

Celecoxib (Celebrex)

Click here to download Mediscan now!

Click here to download Mediscan now!

Usage:

This medicine is used to ease pain and swelling. This medicine also used to treat arthritis.

How to use it / Best taken:

Take this medicine with food to prevent an upset stomach. You may sprinkle contents of capsule on applesauce. Do not chew the capsule. Many times this medicine is taken on an as needed basis.

Precautions / Warning:

Do not take antacids with this medicine. Talk with your doctor if you have risk for heart disease, kidney disease, liver disease, ulcer / bleeding from your stomach or bowel, pregnant, plan to getting pregnant or breast feeding.

Disclaimer:

The information in this webpage is general information only. This page is not medical advice specific to you or any other person. This page does not contain all information about this drug and does not cover all uses, directions, precautions, warning, drug interactions or side effects. Read the package insert for more information.

References:

  • Product Leaflet

Ranitidine (Zantac)

Click here to download Mediscan now!

Click here to download Mediscan now!

Usage:

This medicine is used to treat gastroesophageal reflux disease (GERD). This medicine also used to treat heartburn, sour stomach and other syndromes caused by lots of stomach acid. Other usage include: stop or treat GI ulcers caused by infection

How to use it / Best taken:

Take this medicine with or without food, take with food if it causes an upset stomach.

Precautions / Warning:

Talk with your doctor before using products that have aspirin, blood thinners, garlic, ginseng, ginkgo, ibuprofen or like products, pain drugs or vitamin E

Disclaimer:

The information in this webpage is general information only. This page is not medical advice specific to you or any other person. This page does not contain all information about this drug and does not cover all uses, directions, precautions, warning, drug interactions or side effects. Read the package insert for more information.

References:

  • Lexi comp adult patient education module
  • Product Leaflet

Loratadine (Claritin)

Click here to download Mediscan now!

Click here to download Mediscan now!

Usage:

This medicine is used to ease allergy signs and treat hives

How to use it / Best taken:

This medicine is most useful if started 1 – 3 hour before contact with the allergen. Take with or without food. Take with food if it causes an upset stomach

Precautions / Warning:

This medicine will make you feeling lightheaded, sleepy, having blurred eyesight or a change in thinking clearly. Avoid driving and doing other tasks or actions that call for you to be alert or have clear eyesight

Disclaimer:

The information in this webpage is general information only. This page is not medical advice specific to you or any other person. This page does not contain all information about this drug and does not cover all uses, directions, precautions, warning, drug interactions or side effects. Read the package insert for more information.

Chlorpheniramine (Piriton)

Click here to download Mediscan now!

Click here to download Mediscan now!

Usage:

This medicine is used to ease allergy signs

How to use it / Best taken:

This medicine is most useful if started 1 – 3 hour before contact with the allergen. Take with or without food. Take with food if it causes an upset stomach

Precautions / Warning:

This medicine will make you feeling lightheaded, sleepy, having blurred eyesight or a change in thinking clearly. Avoid driving and doing other tasks or actions that call for you to be alert or have clear eyesight

Disclaimer:

The information in this webpage is general information only. This page is not medical advice specific to you or any other person. This page does not contain all information about this drug and does not cover all uses, directions, precautions, warning, drug interactions or side effects. Read the package insert for more information.