If you have any queries with regards to drugs / health, feel free to contact us at : Drug Information Service (DIS), Pharmacy Department HRPZ II 09-7452000 Ext: 2478 (Office hours) HRPZIIDIS@gmail.com
Januari-April 2014 MOH/P/KEL/94.14(BUL) 2 ADVISOR Puan Fatimah Abdullah Ketua Pegawai Farmasi CHIEF EDITOR EDITOR Content Page Introduction to each VAS 3-5 Statistic VAS 6 Kajian Kepuasan Pelanggan VAS 7-8 Berita Denggi 9 Senarai Ubat KPK Stok Hospital 10 New Listing Drug in FUKKM 11-12 Activities 13-14 Welcoming our new Family Members 15-16 Puan Sudarwaty Abd Rajab Pegawai Farmasi U48 Puan Aziani Yacob Pegawai Farmasi U44 Behind from left: Yong Kai Heng, Muhammad Husni Abd Rahman, Lim Boon Han, Farahanim Kassim, Nurhanis Maliki, Basyirah Afifah Ab Razak Front from left: Izzaty Abdullah, Nur Asma Abdullah@Zakaria, Lee Wan Nee, Nur Hidayah Mohd Isa 3
SYSTEM PENDISPENSAN UBAT BERSEPADU (SPUB) Sistem pembekalan ubat-ubatan untuk kes-kes yang dirujuk oleh Jabatan Farmasi, dimana pesakit akan mendapatkan bekalan ubat-ubatan susulan dari hospital/klinik kesihatan/institusi KKM yang te- lah ditetapkan. Prosedur ini digunakan bagi semua pesakit yang mendapatkan rawatan dan meneria preskripsi jangka panjang dari hospital/klinik kesihatan/ institusi Kementerian Kesihatan Malaysia (KKM) sa- haja. UBAT MELALUI POS 1 MALAYSIA (UMP1M) Perkhidmatan Ubat Melalui Pos 1Malaysia (UMP 1Ma- laysia) adalah perkhidmatan pembekalan ubat susul- an terus ke lokasi pilihan pesakit melalui Pos Laju dengan caj kiriman yang telah ditetapkan. UMP 1Malaysia merupakan salah satu daripada perkhidmatan tambah nilai yang disediakan untuk kemudahan pesakit mendapatkan bekalan ubat su- sulan mereka. Perkhidmatan UMP1M adalah satu ker- jasama di antara Kementerian Kesihatan Malaysia dan Pos Malaysia Berhad. KAD TEMUJANJI Melalui Kad Temujanji preskripsi pesakit akan dikepilkan bersama-sama Kad Temujanji. Ubat per- lu dituntut pada tarikh temujanji. Syarat-syarat menyertai: Pesakit adalah dari klinik-klinik pakar di HRPZII Pesakit telah mendaftarkan diri sebagai pengguna KAD TEMUJANJI. Pesakit mesti membawa bersama preskripsi asal dan KAD TEMUJANJI pada hari pengambilan ubat Pesakit mesti mengambil bekalan susulan TE- PAT pada tarikh yang diberikan oleh farmasi Kebaikan: JIMAT MASA kerana anda tidak perlu menunggu lama untuk mengambil bekalan ubat susulan 4 SMS DAN AMBIL Melalui sistem ini pesakit akan membuat panggi- lan SMS ke No 012-9670664 sekurang-kurangnya 2 hari sebelum tarikh TCA ubat (hari bekerja saha- ja). Syarat-syarat Pesakit telah mendaftarkan diri sebagai pengguna Telefon/SMS dan ambil Pesakit yang mengambil ubat susulan dan ubat yang diambil (hari bekerja). Maklumat yang diberikan mestilah tepat. Pesakit mesti membawa bersama preskripsi asal dan Kad Temu Janji pada hari pengambi- lan ubat TEL & AMBIL Pesakit boleh membuat panggilan ke 012-9670664 sekurang-kurangnya 2 hari sebelum tarikh ubat hendak diambil. Maklumat yang diperlukan adalah nombor pendaftaran, nama penuh, nombor kad pengenalan dan tarikh ubat hendak diambil DRIVE-THRU PHARMACY Kaunter Pandu Lalu terletak berhadapan dengan Stor Farmasi dan Jabatan Forensik. Pe- sakit boleh mengambil ubat di Kaunter Pandu Lalu tepat pada tarikh ambil ubat tanpa menunggu nombor giliran di kaunter Farmasi. 5 LOCKER 4U.. Locker4u ialah perkhidmatan pembekalan ubat susulan melalui loker yang boleh didapati di dinding bersebelahan pintu Far- masi Pesakit Luar. Perkhidmatan ini adalah terhad kepada pesakit yang ubatnya jenis tablet/kapsul , bukan ubat psikotropik atau ubat simpanan peti sejuk. Pesakit boleh mengambil ubat tanpa had masa dalam ma- sa 1 minggu. Terdapat 80 buah locker yang boleh digunakan oleh 200 orang pesakit pa- da satu-satu masa. TUNTUT ESOK.. Pesakit boleh meninggalkan preskripsi ubat masing-masing dan mengambil pa- da keesokan harinya. 6 7 8 Research on VAS (continue) 9 The latest report from the Health Ministry states that as of March 22, both the number of cases and deaths nationwide for the year have increased by 314% compared to the same period last year. The number of dengue cases in the lat- est report totalled 23,633, while the number of deaths was 58.The problem is not just limited to Malaysia, although we are considered an endemic dengue hotspot.The World Health Organisation (WHO) estimates there may be 50-100 million dengue infections globally every year, with two-fifths of the world pop- ulation, or 2.5 billion people, at risk of this mosquito-borne infectious disease ~The Star Online, 13 April 2014 PETALING JAYA: The current surge of dengue cases is the result of a change in variation of the dengue virus, the Health Ministry said.Deputy Health director- general Datuk S. Jeyaindran said there was usually an outbreak whenever there was a change in the dengue virus serotype as fewer people would be im- mune to the serotype after the change.Moreover, the current serotype, DEN-2, was more virulent, he said, adding: That is why we are seeing more deaths.It was reported that 10,712 cases and 19 deaths were reported this year up to Feb 6 compared to 2,836 cases and eight deaths over the same period last year. ~The Star Online, 15 February 20i4 10 Ubat-ubatan yang tidak tersenarai di dalam FUKKM perlu mendapat kelulusan daripada Ketua Pengarah Kesihatan ( KPK) terlebih dahulu sebelum pembelian boleh dibuat untuk pesakit. Borang BPF/103-KPK01 (Pindaan 2) boleh didapati di www.pharmacy.gov.my @ dapatkan borang di Unit DIS HRPZII. STOK HOSPITAL Bil Nama Ubat
Jabatan/Pakar yang memohon 1 Abacavir 20mg/ml Syrup Paed 2 Abacavir 300mg Tab Paed/PC 3 Abciximab 10mg/5ml Inj. Kardiology 4 Artesunate 200mg + Mefloquine 250mg Tab Semua pesakit 5 Betaine HCl 250mg Tab Untuk pesakit Dr Nor Azni (Paed) sahaja 6 Caffeine powder Paed 7 Calcium Chloride 10% Inj. Bius 8 Co-enzyme Q10 30mg Cap Paed 9 Colistin 1MU inj Critical Care/PC 10 Cyclophosphamide 50mg Tab Perubatan 11 Dantrolene Sodium 20mg Inj Untuk semua pesakit 12 Dexamethasone 4mg Tab Oncology/O&G- Dr Anita 13 Fluodrocortisone 0.1mg Tab Paed 14 Green Pit Viper Antivenom Inj. A & E 15 Hemato Polyvalent Antivenom Inj. A & E 16 Hydralazine 10mg Tab Endokrin- Dr Norhayati 17 Ibuprofen 10mg/2ml Inj. Paed 18 Isoprenaline HCl 5mg Inj Bius & Kardiologi 19 King Cobra Antivenom Inj. A & E 20 L-Arginine 5g/10ml Inj. Paed 21 Lopinavir 100mg + Ritonavir 25mg Tab (Kaletra Low Dose) Paed 22 Medroxyprogesterone Acetate 100mg Tab O&G 23 Melatonin 3mg Cap Paed 24 Methylene Blue 1% Inj. O & G 25 Milrinone 10mg Inj. Bius 26 Misoprostol 200mcg Tab O&G 27 Neuro Polyvalent Antivenom Inj. A & E 28 Nevirapine 10mg/ml Syrup Paed 29 Nicardipine 2mg/2ml Inj. Bius 30 Oseltamivir 12mg/ml Syr. H1N1 31 Oseltamivir 75mg Cap H1N1 32 Papaverine HCl 30mg/ml Inj. KAP 33 Paracetamol 100mg/100ml Inj. Paed Surgery 34 Phenylephrine HCl 1% Inj. Bius 35 Prednisolone 1mg Tab Rheumatology- Dr Asmahan 36 Sodium Benzoate 2g/10ml Inj. Paed 37 Sodium Phenylbutyrate 2g/10ml Inj. Paed 38 Tetracosactrin Acetate 250mg/ml Inj. Endokrine- Dr Norhayati 39 Trimetoprim 300mg Tab Semua *Ubat KPK: Ubat yang memerlukan kelulusan Ketua Pengarah Kesihatan
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Generic Names Indications Dosage Form Cate- gory Golimumab 50 mg (0.5ml) solu- tion for injec- tion in a pre- filled syringe i) Rheumatoid arthritis (RA): In combination with methotrexate (MTX), is indicated for: The treatment of moderate to severe active rheumatoid arthritis in adult patients when the response to DMARD therapy including MTX has been inadequate. The treatment of active, severe and progressive rheumatoid arthritis in adult patients not previously treated with MTX. ii) Psoriatic arthritis (PsA) : Golimumab alone or in combination with MTX, is indicated for: The treatment of active psoriatic arthritis in adult patients when the response to previous DMARD therapy has been inadequate. iii) Ankylosing spondylitis (AS): Golimumab (used alone) is indicated for: The treatment of active ankylosing spondylitis in adult patients when the response to conventional therapy has been inadequate. i) Rheumatoid arthritis 50 mg given as a subcutane- ous injection once a month, on the same date each month.
ii) Psoriatic arthritis 50 mg given as a subcutaneous injection once a month, on the same date each month.
iii) Ankylosing spondylitis 50 mg given as a subcuta- neous injection once a month, on the same date each month. A* Buprenorphine 5 mcg/hr trans- dermal patch Treatment of non-malignant pain of moderate intensity when an opioid is necessary for obtaining adequate analge- sia. Not suitable for the treatment of acute pain. Re- strictions: For elderly patients or patients with comorbidi- ties/difficult to swallow Once weekly transdermal patch/for hospital use only. Patient aged 18 years and over. Initial dose : 5 mcg/hr For elderly : Renal impairment. No special dose adjustments necessary in patients with renal impairment Hepatic impairment Patients with hepatic insufficiency should be care full monitored during the treatment with bupren- orphine patch. Alternate therapy should be con- sidered. Patch should be used with cautions in severe hepatic impairment patient A*
Buprenorphine 10 mcg/hr transdermal patch Treatment of non-malignant pain of moderate intensity when an opi- oid is necessary for obtaining adequate analgesia. Not suitable for the treatment of acute pain. Restrictions: For elderly patients or patients with comorbidities/difficult to swallow Once weekly transdermal patch/for hospital use only. Patient aged 18 years and over. Initial dose : 5 mcg/hr For elderly : Renal impairment. No special dose adjustments necessary in patients with renal impairment Hepatic impairment Patients with hepatic insufficiency should be care full monitored during the treatment with buprenorphine patch. Alternate therapy should be considered. Patch should be used with cautions in severe hepatic impair- ment patient A* New listing drugs in FUKKM (Circular 1/2014) 12 Generic Names Old Category New Category Irbesartan 300mg/HCTZ 12.5mg Tablet A* A/KK Montelukast Sodium 10mg Tablet A* A/KK Celecoxib 200mg Capsule A* A Simvastatin 10mg,20mg & 40mg Tablet A/KK B Reason Generic Names Total Utility Score (TUS) yang rendah di bawah kum- pulan HMG-coenzyme A reductase inhibitor (statin) Lovastatin 20mg Tablet Linagliptin 5 mg tablet As monotherapy in adult patients with type 2 dia- betes mellitus (T2DM) to improve glycaemic control in conjunction with diet and exercise ,or as add-on to metformin ,sulphonylureas or metformin plus sulphonylureas. Adults: 5 mg once daily. When linagliptin is added to metformin, the dose of metformin should be main- tained and linagliptin ad- ministered concomitantly. A* Fingolimod 0.5 mg Capsule Treatment of patients with relapsing forms of mul- tiple sclerosis to reduce the frequency of clinical exacerbations and to delay the accumulation of physical disability 0.5mg orally once daily A* Rifampicin 150 mg + Isoniazid 75 mg tablet For pulmonary tuberculosis in which organisms are susceptible in continuation phase treatment for 4months 30-37 kg : 2 tabs OD 38-54 kg : 3 tabs OD 55-70 kg : 4 tabs OD Above 70 kg : 5 tabs OD B Gadoxetic acid disodi- um 0.25 mmol/ml so- lution for injection (10ml pre-filled sy- ringe) For use in adults for the enhancement of magnetic resonance imaging (MRI)of focal liver lesions 0.1 ml/kg body weight (equivalent to 25 mol per kg body weight). Not rec- ommended for patients younger than 18 years A* 13 SAMBUTAN MAULIDUR RASUL & JAMUAN PERPISAHAN PERTUKARAN ANGGOTA 23 Januari 2014 LAWATAN TAPAK KE ACC Tarikh: 5 Feb 2014 LAWATAN KERJA KE HOSPITAL SUNGAI BULOH & HOSPITAL TENGKU AMPUAN RAHIMAH Tarikh:12-13 Feb 2014 RENUNGAN PAGI JABATAN Tarikh: 20 Feb 2014 GERAI DPHARM CORNER SEMPENA LARIAN SIHAT Tarikh: 22 Feb 2014 MESYUARAT BERSAMA PENGURUSAN & CME JABATAN Tarikh: 1 Mac 2014 LAWATAN KERJA DARIPADA JABATAN FARMASI HUSM Tarikh: 13 Mac 2014 FESTIVAL FARMASI 2014 Tarikh: 14-15 Mac 2014 14 BUNGA KEMBOJA PUTIH BERSERI PUTIHNYA MELUR DI HUJUNG DAHAN ATAS KERJASAMA DAN BANTUAN YANG DIBERI PUJIAN DAN TERIMAKASIH KAMI UCAPKAN ENCIK SAIFUL ADLAN B. ABDUL RAHMAN Pegawai Farmasi U44 Bertukar ke Klinik Kesihatan Tengkera, Melaka Berkhidmat di HRPZII selama 4 tahun PUAN HASMAH BT SULAIMAN Penolong Pegawai Farmasi U32 Naik Pangkat U36 ke Hospital Serdang Berkhidmat di HRPZII selama 30 tahun PUAN ZALILAH BT ABDULLAH Penolong Pegawai Farmasi U38 Naik pangkat U40 ke JKN Wilayah Persekutuan Kuala Lumpur Berkhidmat di HRPZII selama 25 tahun 15
Cik Nur Diyana Bt Che Ismail Jawatan: Pegawai Farmasi U44 Pengalaman bekerja: 2007: PRP di Hospital Raja Perempu- an Zainab II 2008: Pegawai Farmasi di Hospital Kuala Krai Mula bertugas di HRPZ: 1/1/2014
Encik Ahmad Hirzan Bin Abdul Hamid Jawatan: Pegawai Farmasi U48 Pengalaman bekerja: 2005: PRP di BPFK 2006: Pegawai Farmasi di JKN Jo- hor 2013: Pegawai Farmasi di KK Bachok dan KK Selising Mula bertugas di HRPZ: 30/1/2014
Puan Aziani Bt Yacob Jawatan: Pegawai Farmasi U44 Pengalaman bekerja: 2008: PRP di Hospital Raja Per- empuan Zainab II 2010: Pegawai Farmasi di KKB Pasir Mas 2012: Pegawai Farmasi di Hospital Gua Musang Mula bertugas di HRPZ: 1/1/2014
Encik Jabirin Bin Lamusik Jawatan: Pembantu Pegawai Farmasi U40 Pengalaman bekerja: 1983: Pembancuh ubat C9 di Hospital Keningau 1985: Pembantu Pegawai Farmasi U29 di Hospital Tambunan 1996: Pembantu Pegawai Farmasi U32 di Hospital Tenom 2007: Pembantu Pegawai Farmasi U36 di JKN Sabah 2009: Pembantu Pegawai Farmasi U38 di Hospital Queen Elizabeth Kota Kina- balu 2011: Bertukar ke Hospital Keningau Mula bertugas di HRPZII: 1/1/2014
Encik Assan Bin Wijiarto Jawatan: Pembantu Pegawai Far- masi U38 Pengalaman bekerja: 1986: Pembantu Pegawai Farmasi U29 di Hospital Queen Elizabeth, Kota Kinabalu 2003: Pembantu Pegawai Farmasi U32 di PKD Kudat 2009: Pembantu Pegawai Farmasi U36 di Hospital Taiping Mula bertugas di HRPZII: 27/1/2014
Cik Zubaidah Bt Yusoff @ Daud Jawatan: Pembantu Pegawai Far- masi U29 Pengalaman bekerja: 2011: Pembantu Pegawai Farmasi di Hospital Permai 2012: Pembantu Pegawai Farmasi di PKD Tanah Merah 2013: Pembantu Pegawai Farmasi di Hospital Pasir Mas Mula bertugas di HRPZII: 6/4/2014
WELCOMING OUR NEW FAMILY MEMBERS 16
Encik Nazmi Zabri bin Zakaria Jawatan: Penolong Pegawai Tadbir N27 (Stor Farmasi) Tempat bertugas terdahulu Hospital Kemaman, Tereng- ganu Tempoh Perkhidmatan: 4 tahun Mula bertugas di HRPZII: 1/1/2014
WELCOMING OUR NEW FAMILY MEMBERS
Encik Rafizan bin Ariffin Jawatan: Penolong Pegawai Tadbir N32 (Stor Farmasi) Tempat bertugas terdahulu: Hospital Pasir Mas Unit Pembangunan HRPZ11 Tempoh Perkhidsmatan: 11 tahun Mula bertugas di Stor Farmasi HRPZII: 25/3/2014 Encik Roslee bin Mat Jawatan: Pembantu Tadbir N22 (Stor Farmasi) Tempat bertugas terdahulu Pejabat Kesihatan Daerah Machang Tempoh Perkhidmatan : 20 tahun Mula bertugas di HRPZII: 1/1/2014 Puan Rohana binti Yusoff Jawatan: Pembantu Tadbir N22 (Stor Farmasi) Tempat bertugas terdahulu Bahagian Perkhidmatan Farma- si Pengkalan Chepa Tempoh Perkhidmatan: 33 tahun Mula bertugas di HRPZII: 1/1/2014 Puan Ayu Noorazami binti Safiai Jawatan: Pembantu Tadbir N22 (Stor Farmasi) Tempat bertugas terdahulu Jabatan Kesihatan Wilayah Persekutuan Kuala Lumpur Tempoh Perkhidmatan: 2 tahun 9 bulan Mula bertugas di HRPZII: 23/2/2014