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Buletin Farmasi edisi Okt-Dis 2013 keluaran dari Jabatan Farmasi HRPZII.
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1
Terbitan Jabatan Farmasi 2013
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)
2
SUPERVISOR:
PN FATIMAH
CHIEF EDITOR:
Pn Sudarwaty
Zaimawati Zakaria
Siti Norzulaikha
K. Heygaajivan
Ilmi Najwa Chee shu wen Wee Joo Lie
Ng Chun shian
Nor Nabilah
Nurul Hidayah
ABC of nutrition
My Bluebook
Locker 4U
KAP of insulin technique in DM patients comparing multimedia with conventional
Research Calcium Carbonate
Drug Update: Epilim Chrono
Update of Pain Management
Research PRP: Abstract
Activity: Pharmday
3
My Blue Book is the first Smartphone application which integrates the MOH
Drug Formulary (Blue Book) from www.pharmacy.gov.my in order to provide
an accurate, detail and timely references to healthcare professions.
The integrated data includes generic name, trade name, drug category, MDC
code, indication and dosage which specially design for healthcare profes-
sions in Malaysia. User can search for specific medication simply by enter-
ing their generic or trade name. It is easily obtain by searching the keyword
My Blue Book in Google Play Store and Apple Apps Store.
- PROBLEMS BEFORE INNOVATION -
AVOIDABLE
QUESTIONS
Strength Prescriber category
Dose Dosage form
Questions regarding dosage form of
medications available in the hospital
Questions regarding prescriber category
for certain medications (A,A*, A/KK)
Queries regarding dosage and indica-
tions of medications
Questions regarding strength of
medications available in the hospital
currently.
4
- BENEFITS OF INOVATION -
My Blue Book is FREE in Google Play and Apple Apps Store!
5
Group members
K.HEYGAAJIVAN A/L KERNAS (HRPZII)
GOH MAN FYE (HUSM)
JIA LIM (HTF, PERLIS)
MyPharmacistHouse innovation group
- SITUATION AFTER INNOVATION -
>8500 active users >11 400 downloads > 60 downloads/day
- USER FEEDBACK -
6
Locker 4U merupakan salah satu projek Value
Added Service (VAS), yang mula beroperasi pada
Februari 2013. Melalui projek ini, pesakit akan
diberikan loker dan kunci persendirian bagi
membolehkan mereka menuntut ubat pada bila-
bila masa. Sebanyak 40 unit loker telah disediakan
untuk pesakit dengan kos RM30 seunit.
7
Penasihat
Fatimah bt. Abdullah
Fasilitator
R.M. Khairul Anuar bin R. Ismail
Ketua Kumpulan
Rizwan bin Ramli
Ahli Kumpulan
Hanan Hayati bt. Mamat
Wan Rosidi bin Wan Yusoff
Wan Baihakimah bt. Mamat
INOVASI KUMPULAN SMARTPHARM..
8
V itamins are natural substances found in plants and animals and known as
Essential nutrients for human beings. The name vitamin is obtained from
"vital amines" as it was originally thought that these substances were all
amines. Human body uses these substances to stay healthy and support its
many functions. There are two types of vitamins: water-soluble and fat-soluble.
Fat soluble
- Include vitamins A, D, E and K
- They are soluble in fat and are ab-
sorbed by the body from the intestinal
tract
- Fat soluble vitamins should not be con-
sumed in excess as they are stored in the
body and an excess can result in side ef-
fects.
- An excess of vitamin A may result in ir-
ritability, weight loss, dry itchy skin in
children and nausea, headache, diarrhea
in adults.
Water Soluble
- Cannot be stored in the body
- Easily destroyed or washed out
during food storage and prepara-
tion
- An excess of water soluble vita-
mins should not result in any side
effects as they will disperse in the
body fluids and voided in the
urine.
Vitamins
9
Vit
amin
gen
eric
d
escr
ipto
r n
ame
C
hem
ical
nam
e(s)
(l
ist
no
t co
mp
lete
) So
lub
ility
R
eco
mm
en
ded
d
ieta
ry a
llow
ance
s (m
ale,
age
19
70
) D
efici
ency
dis
eas
e
Up
per
Inta
ke
Leve
l (U
L/d
ay)
Ove
rdo
se d
ise
ase
Fo
od
so
urc
es
Vit
amin
A
Reti
no
l, re
tin
al, a
nd
fo
ur
caro
ten
oid
s in
clu
din
g b
eta
caro
-te
ne
Fat
900
g
Nig
ht-
blin
dn
ess,
Hy-
per
kera
tosi
s, a
nd
K
era
tom
alac
ia]
3,0
00
g
Hyp
ervi
tam
ino
sis
A
Ora
nge
, rip
e ye
llow
fru
its,
leaf
y ve
geta
ble
s, c
arro
ts, p
um
pki
n,
squ
ash
, sp
inac
h, l
iver
, so
y m
ilk,
milk
Vit
amin
B1
Thia
min
e W
ate
r 1
.2 m
g B
erib
eri,
We
rnic
ke-
Ko
rsak
off
syn
dro
me
N/D
D
row
sin
ess
or
mu
scle
re
laxa
tio
n
wit
h la
rge
do
ses.
Po
rk, o
atm
eal,
bro
wn
ric
e, v
ege-
tab
les,
po
tato
es, l
iver
, egg
s
Vit
amin
B2
Rib
ofl
avin
W
ate
r 1
.3 m
g A
rib
ofl
avin
osi
s N
/D
D
airy
pro
du
cts,
ban
anas
, po
p-
corn
, gre
en b
ean
s, a
spar
agu
s
Vit
amin
B3
Nia
cin
,nia
cin
amid
e W
ate
r 1
6.0
mg
Pel
lagr
a 3
5.0
mg
Live
r d
amag
e (d
ose
s >
2g/
day
) an
d o
ther
p
rob
lem
s
Mea
t, fi
sh, e
ggs,
man
y ve
geta
-b
les,
mu
shro
om
s, t
ree
nu
ts
Vit
amin
B5
Pan
toth
enic
aci
d
Wat
er
5.0
mg
Par
esth
esia
N
/D
Dia
rrh
ea; p
oss
ibly
n
ause
a an
d h
eart
-b
urn
.
Mea
t, b
rocc
oli,
avo
cad
os
Vit
amin
B6
Pyr
ido
x-in
e,p
yrid
oxa
min
e,p
yri
do
xal
Wat
er
1.3
1.7
mg
An
emia
, per
iph
eral
n
euro
pat
hy.
1
00
mg
Imp
airm
ent
ofp
rop
rio
cep
tio
n,
ner
ve d
amag
e (d
ose
s >
10
0 m
g/d
ay)
Mea
t, v
eget
able
s, t
ree
nu
ts, b
a-n
anas
Vit
amin
B7
Bio
tin
W
ate
r 3
0.0
g
Der
mati
tis,
ente
riti
s N
/D
R
aw e
gg y
olk
, liv
er, p
ean
uts
, ce
rtai
n v
eget
able
s
Vit
amin
B9
Folic
aci
d, f
olin
ic a
cid
W
ate
r 4
00
g M
egal
ob
lasti
c an
e-m
ia a
nd
Defi
cien
cy
du
rin
g p
regn
ancy
is
asso
ciat
ed
wit
hb
irth
d
efe
cts,
su
ch
as n
eura
l tu
be
def
ect
s
1,0
00
g
May
mas
k sy
mp
-to
ms
of
vita
min
B
12d
efici
en-
cy; o
ther
eff
ect
s.
Leaf
y ve
geta
ble
s, p
asta
, bre
ad,
cere
al, l
iver
Vit
amin
B12
C
yan
oco
bal
a-m
in,h
ydro
xyco
bal
ami
n,m
eth
ylco
bal
amin
Wat
er
2.4
g
Meg
alo
bla
stic
ane-
mia
N
/D
Acn
e-lik
e r
ash
[c
ausa
lity
is n
ot
con
clu
sive
ly e
stab
-lis
hed
].
Mea
t an
d o
ther
an
imal
pro
du
cts
Vit
amin
C
Asc
orb
ic a
cid
W
ate
r 9
0.0
mg
Scu
rvy
2,0
00
mg
Vit
amin
C m
ega-
do
sage
M
any
fru
its
and
veg
etab
les,
live
r
Comparison of vitamin A, B and C
10
Drug Update :
Epilim Chrono
Indication:
i) In the treatment of generalized or partial epilepsy, particularly with the following patterns of seizures: absence, myoclonic, tonic-clonic, atonic-mixed as well as, for partial epilepsy: simple or complex seizures, secondary generalized seizures, specific syndrome (West, Lennox-Gastatut).
ii) Treatment and prevention of mania associated with bipolar disorders.
Reference: FUKKM
Composition:
Each Epilim Chrono 200 mg contains 133.2mg Sodium Valproate and 58.0mg Valproic Acid equivalent to 500mg sodium valproate.
Each Epilim Chrono 300 mg contains 199.8mg Sodium Valproate and 87.0mg Valproic Acid equivalent to 500mg sodium valproate.
*Each Epilim Chrono 500 mg contains 333mg Sodium Valproate and 145.0mg Valproic Acid equivalent to 500mg sodium valproate.
*Listed in FUKKM (Prescriber category: B)
Administration: Epilim Chrono may be given once or twice daily. The tablets should be swallowed whole and not crushed or chewed.
Combined therapy: When starting Epilim in patients already on other anticonvulsants,
these should be tapered slowly; initiation of Epilim therapy should then be gradual, with
target dose being reached after about 2 weeks. In certain cases it may be necessary to
raise the dose by 5 to 10mg/kg/day when used in combination with anticonvulsants
Contraindications
- Active liver disease
- Personal or family history of severe hepatic dysfunction, especially drug related
- Hypersensitivity to sodium valproate
- Porphyria
Fertility, Pregnancy And Lactation
Adequate counselling should be made available to all women with epilepsy of childbear-
ing potential regarding the risks associated with pregnancy because of the potential tera-
togenic risk to the foetus. If pregnancy is planned, consideration should be given to cessa-
tion of Epilim treatment, if appropriate. Excretion of Epilim in breast milk is low considera-
tion should be given to the safety profile of Epilim, specifically haematological disorders.
11
Aktiviti Jabatan
7 Oktober 2013
Jamuan Perpisahan Persaraan Pembantu Tadbir Stor Farmasi
9 Oktober 2013
Perkarangan Foyer A&E HRPZ II
Pameran QA HRPZ II (LOCKER 4U)
Jasamu dikenang :
1. Hj Razali Bin Abdullah
2. Mahani Mohamed
3. Siti Abidah Ismail
4.
12
Aktiviti Jabatan
10 Oktober 2013
Lawatan Kerja Pengarah Kanan Perkhidmatan Farmasi KKM,
Dato Eisah A.Rahman
22-24 Oktober 2013
Kompleks Kebudayaan & Kesenian Tanjung Chat, Kota Bharu
Konvensyen QA Peringkat Kebangsaan kali ke-7
13
Aktiviti Jabatan
26 Oktober 2013
KB Mall Bowling Centre
Pertandingan Bowling di Antara Kakitangan
1-2 November 2013
Perdana Beach Resort, PCB
PharmDay 2013
14
Aktiviti Jabatan
27 November 2013
Lawatan BPF Melaka ke Jabatan Farmasi Seramai 6 orang Pegawai Farmasi daripada BPF Melaka diketuai oleh TPKN (F)
28 November 2013
Tujuan : Melihat aplikasi Mini Farmasi ICU, Farmasi A&E, Farmasi ACC ,MTAC Neuro, aktiviti 5S dan penjadualan anggota.
Lawatan kerja ke HSNZ, Kuala Terengganu
15
Aktiviti Jabatan
10-11 Disember 2013
KOMPLEKS KEBUDAYAAN & KESENIAN TANJUNG CHAT, KOTA BHARU
Tujuan : Mengenengahkan projek-projek Inovasi Locker 4U dan My Blue Book kepada semua anggota kesihatan Negeri Kelantan.
Konvensyen QAP/ Inovasi JKNK
JOHAN :
LOCKER 4U
KETIGA:
MY BLUE BOOK
16
Welcoming New Staff
Izzaty bt. Abbullah, Jonathan Tan Yang Hsien, Low Hui Sin, Mohd Nazman b. Che Razak, Norfarhan Mimi bt Mohd Noor, Nor
Naimah bt Mazlan, Nur Asma bt Abdullah@Zakaria, Nurhanis bt Maliki, Nur Hidayah bt Mohd Isa, Nur Maisarah bt Abu Bakar,
Siti Fatimah bt Anuar, Siti Suzilawani bt Zahari, Tiew Wah Peng, Wong Qiao Bin
PRP Batch
November
2013
Nur Izzati Bt Abd Aziz, Saiyida Syahira Bt Mat Zaid, Nurul Idayu Kamarusulaimi, Siti Athirah Bt Mat Junoh, Muhammad Husni B
Abd Rahman, Farahanim Bt Kasim, Lim Boon Han, Rita Pauline Sanjivi A/P James, Kuilan A/L Yogeswaran, Lee Wan Nee, Aslida
Bt Safiain @ Safian, Tan Lee Khing, Wan Nor Hafizah Bt Wan Hasan@ Wan Hamzah, Basyirah Afifah Bt Ab Razak, Yong Kai
Heng, Ng Kah Quan
PRP Batch
Disember
2013
Azleen Azreen Azmi
Pegawai Farmasi U41
Graduated from M. Pharm., International Medical Uni-versity, twinning with University of Strathclyde, Glas-gow, Scotland. (2009 2012)
PRP of HRPZ II, Kota Bharu, Kelantan (20122013)
Tarikh lapor diri: 16/12/2013
Jafaredin b. Hj. Bahazim
Pembantu Rendah Am
Transferred in from Jabatan Hospital Bintulu, Sarawak (2007 2013)
Tarikh lapor diri: 1/12/2013
17
Ke
Masnor Mat Daud, Pegawai Farmasi U48
Melahirkan bayi perempuan (anak ke-2) pada 26/12/2013
Haslina Hassan, Pen Pegawai Farmasi U29
Melahirkan bayi lelaki (anak ke-4) pada 2/10/2013
Menimang
cahaya
mata
Tahniah..