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The provision of Pharmaceutical Care takes on various descriptions. It is a mistake
that is made by most consumers of this service that the prescribed drug, in an
appropriately labelled prescription vial is the sum total of the pharmacist's work. In
fact, that is just the "middle".
In order to fill the prescription, the pharmacist must take care to interpret the
physician's prescription, which is his/her order for a drug-based treatment regimen, as
one of the first steps. Pertinent patient information, if not already on file, must be
added. This will include other medications currently taken, drug allergies, intolerances,
medical conditions and any other information that is considered important to a successful
therapeutic outcome.

The prescription is then prepared, whether it be in capsule or tablet or liquid dosage
form. Even here it is important to provide a dosage form that will be compatible with the
purpose and the patient. If there is a paediatric patient then a liquid or chewable tablet
form might be the most appropriate. The product must be labelled with instructions that
are clear and concise. Instructions that read "Take as directed" or "Use
when needed" do not serve the patient well at all, even though many practitioner's
make the practice of writing prescriptions with such instructions to their patients.
Finally, the patient must be properly informed on how best to derive the benefits from
the medication and minimize side effects or adverse effects. If other medications are
being taken concurrently, then guidelines for taking more than one medication in the
course of the day and/or night have to be made clear. Side effects and adverse effects
that can be expected have to be explained. What to do if these effects should express
themselves must be explained. How the medication should be taken in relation to meals is
also important. Whether or not exposure to sunlight is a concern or whether water
consumption should be increased. These represent only a few pieces of information that
might be given to the consumer before leaving the pharmacy.
Our focus then is on those "cognitive" services that enhance the
effectiveness of the drug treatment whether that be a prescribed medication or one of the
many over-the-counter medications used to self-medicate minor illness or injury. This can
only be done through a face-to-face interaction between pharmacist and consumer. When
necessary, a private consultation office is available for use. As well, videos can be
viewed in-store (or borrowed for home viewing) and a certain amount of computer assisted
education can also be done.
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