You are on page 1of 20

2/18/2014

1
GII THIU GII THIU
MN DC LM SNG MN DC LM SNG
PGS. TS. PGS. TS. Nguyn Nguyn Tun Tun Dng Dng
11-- Thut ng Thut ng
22-- Lch s pht trin mn Dc Lm sng Lch s pht trin mn Dc Lm sng
33-- Nhim v DS Lm sng Nhim v DS Lm sng
44-- Trang b kin thc chuyn mn v k nng Trang b kin thc chuyn mn v k nng
giao tip giao tip
2/18/2014
2
THUT NG THUT NG
DC LM SNG DC LM SNG

Dc l Pharmacology Pharmacology
Dc ng hc Pharmacokinetic Pharmacokinetic
Dc lc hc Pharmacodynamic Pharmacodynamic
2/18/2014
3
Dc l Pharmacology Pharmacology
Dc l lm sng Clinical pharmacology Clinical pharmacology
Dc lm sng Clinical Pharmacy Clinical Pharmacy
Dc bnh vin Hospital Pharmacy Hospital Pharmacy
2/18/2014
4
LCH S PHT TRIN LCH S PHT TRIN
MN DC LM SNG MN DC LM SNG

Galien Galien Hyppocrates Hyppocrates


Qa trnh pht trin ca Dc LmSng
2/18/2014
5
Cc yu t khch quan tc
ng n vai tr ca ngi
dc s
From darkness into light
2/18/2014
6
product-oriented to a patient-oriented .
VAI TR VAI TR
DC S LM SNG DC S LM SNG

2/18/2014
7
2/18/2014
8

TRANG B TRANG B
KIN THC CHUYN MN KIN THC CHUYN MN
& K NNG GIAO TIP & K NNG GIAO TIP
2/18/2014
9
Cch tip cn ca dc s lm sng vi
mc tiu s dng thuc hp l
(Rational Use of Drugs)
Hiu qu
An ton
Kinh t
Ph hp
Danh mc thuc Danh mc thuc
K n K n
2/18/2014
10
1- HIU QU
Somnath Pal - St. Johns University, New York (2002)
Out of a total of 150 million antibiotic prescriptions written each year,
more than 50 million are unnecessary
2- AN TON
Thalidomide
Rofecoxib (VIOXX)
2/18/2014
11
THALIDOMIDE & PHOCOMELIA
Greek phk, seal + Greek melos, limb
2/18/2014
12
THALI DOMI DE THALI DOMI DE THALI DOMI DE THALI DOMI DE
THALI DOMI DE THALI DOMI DE
Hu tr uy Hu tr uyn (D) n (D)
THALI DOMI DE THALI DOMI DE
Hu tr uy Hu tr uyn (D) n (D)
THALI DOMI DE THALI DOMI DE
Ta Tatr uy tr uynn (L) (L)
THALI DOMI DE THALI DOMI DE
Ta Tatr uy tr uynn (L) (L)
An An thn thn,, gy gy ng ng
Lng rt nh
Qui Qui thai thai
Thm ho 1962 !
2/18/2014
13
ROFECOXIB ROFECOXIB ::
20/05/1999 FDA cho php lu hnh trn 20/05/1999 FDA cho php lu hnh trn
th trng vi BD : Vioxx, Ceoxx & th trng vi BD : Vioxx, Ceoxx &
Ceeoxx Ceeoxx (Vioxx 2.5 t USD)
30/09/2004 : tp on MSD t nguyn 30/09/2004 : tp on MSD t nguyn
cho thu hi thuc Vioxx trn ton th cho thu hi thuc Vioxx trn ton th
gii do thuc gy phn ng c hi nguy gii do thuc gy phn ng c hi nguy
him cho bnh nhn. him cho bnh nhn.
2/18/2014
14
3- KINH T
Somnath Pal - St. Johns University, New York (2002)
Out of a total of 150 million antibiotic prescriptions written each year,
more than 50 million are unnecessary
4- PH HP
The right The right pill pill
in in
the right the right mouth mouth
2/18/2014
15
Chuyn ha ca Diazepam Chuyn ha ca Diazepam
Paracetamol Paracetamol Aspirin Aspirin Analgin Analgin
Hiu qu Hiu qu
An ton An ton
Kinh t Kinh t
Hp l Hp l
2/18/2014
16

TRANG B TRANG B
KIN THC CHUYN MN KIN THC CHUYN MN
& K NNG GIAO TIP & K NNG GIAO TIP
2/18/2014
17
2/18/2014
18
2/18/2014
19
M trong mu cao
Tng lipid huyt
Tng cholesterol
Ri lon lipid huyt
Cm ng/ c ch Men gan
Cytochrome 2D6
Cytochrome
Cytochrome 2D6*1
2/18/2014
20

You might also like