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 Multiplication of bacteria

Microba NSAIDs
Release of 1 mediator

Tissue damage Fever pain edema

Dysfunction of organ Symptom

SYMPTOMATIC DRUGS
Dysuria
SYMPTOMATIC DRUGS diarhea
CHOOSE THE TREATMENT FOR THE
TREATMENT FOR THE INDIVIDUAL PATIENT
(P-DRUG)

Efficacy
Safety
Suitability
Cost
DRUGS E S S C NOTE
(.) (.) (.) (.) (100%)
I 5 3 5 5

II 2 3 2 4

III 3 4 1 3

IV 4 5 1 2
COST
1. The cost of AM it self
2. Frequency of administration daily
3. Number of AM
4. Injection
5. Monitoring for toxicity
6. 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 No
Correction :
cure not cure - Diagnose
- P-drug
- Regimen dose
Side Effect - Prescribing
- Instruction
- Patient compliance