Practicum 2 Drug Classification Drug classification material is given to you before the practicum takes place,so that you can determine the class of drugs contained in the prescription, know how to store narcotic, psychotropic drugs, and hand over drugs which must be accompanied by a label.Drug classes are: classifications intended to increase safety and accuracy of use and secure distribution, consisting of: 1. Over-thecounter drugs 2. Limited over-the-counter drugs 3. Hard drugs 4. Drugs mandatory pharmacy (OWA) 5. Psychotropics 6. Narcotics A. CLASSIFICATION OF DRUG 1.Free medicineis: a drug with a wide level of safety, which can be dispensed without a doctor's prescription. The special marking on the packaging for over-the-counter medicines is a green circle with a black line around the edge. Examples: Promag tablets, Panadol tablets, Aspilet tablets, Puyer Waisan, Enzyplex caplets etc. 2. Limited over-the-counter drugs (list W = Waarschuwing)are: hard drugs which in certain quantities can be dispensed without a doctor's prescription. Apart from that, the medicine packaging also has a special marking, a blue circle with a black line around the edge.In addition to the special marking with a blue circle with a black line on the edge, there is also a warning sign P. No. 1 to P. No.5. as follows: P. No.1 Watch out! hard drugs Read the rules for using them. This marking is found on the packaging of tablet preparations and oral medication (potio). Examples: Decolgen tablets, Benadryl DMP syrup, Combantrin tablets. P. No.2 Watch out! potent drug. Just to gargle, don't swallow. This marking is found on mouthwash packaging. Example: Mouthwash and mouthwash containing Povidone Iodide 1% (Neo Iodine Gargle). P. No.3 Watch out! potent drug. For external use only. Examples: Canesten cream, Neo iodine (antiseptic solution for external medicines containing Povidone Iodide 10%). P. No.4 Watch out! potent drug. Only to be burned. P. No.5 Caution! potent drug. Not to be taken internally.Warning signs P. No. 4 and No. 5 currently this dosage form no longer exists. P. No.6 Watch out! potent drug. Hemorrhoid medicine, do not swallow. Example: Anusol suppository, Anusup suppository. Another term for free and limited over-the-counter medicines in the community is known as OTC medicines (Over the counteris a drug that can be purchased without a doctor's prescription). 3. Class of Hard Drugs There are four definitions of hard drugs: 1. Drugs that can only be purchased with a doctor's prescription (antibiotics, hypertension drugs, heart drugs, hormones, cancer drugs, antihistamines for internal medicine, etc.); 2. Drugs that are used by injection or by tearingoriginal series of tissues such as drug preparations in the form of injections, infusion solutions, implant preparations (preparations containing hormones for birth control) 3. All new drugs that have not been registered with the Ministry of Health (which do not have a registration code from the Ministry of Health/POM); 4. All drugs in substance state or all drugs on the list of hard drugs (substance state = medicinal raw materials). Special marking for drugs belonging to the hard drug class: Red circle with black outline, inside which is the letter K touching the black circle. Hard drugs: if you look at the Special Drug Index Book (ISO), there is a K written to the right of the name of the drug Examples of hard drug classes: Antibiotics: Gentamycin Sulfas, Chloramphenicolum, Tetracyclin, Cefadroxil Kanamycin, Ampicillin, Amoxicillin, etc. Antimicrobials: Cotrimoxazole, Metronidazole as an amubicidal, nystatin Hormones: Prednisone, Betamethazone, Dexamethasone, Hydrocortisone, Fluicinolone Heart medication: Heart medication: Digoxin, Isosorbide dinitrate. Antihypertensives: Cuinapril, Nipedipine, Reserpine, Valsartan, Bisoprolol etc. Antihistamines: Loratadine, Diphenhydramine HCl Antineoplastics: Cytarabine, Methotrexate, citarabine, Cyclophosphamide In the field of drugs, the class of hard drugs is known as Ethical drugs (Ethical drugs, namely drugs that can only be purchased with a doctor's prescription) or List G drugs which come from the word G = Gevaarlijk according to the Law on Hard Drugs Number. 4. Pharmacy Mandatory Medication (OWA) Mandatory pharmacy medicines are hard medicines that can be delivered without a doctor's prescription by pharmacists at pharmacies. In general, this class of drugs is already known to the public, because they have received this drug based on a doctor's prescription, this drug is effective and safe (suitable) for treating their illness. So that in the future, if they need it and the drug is available on the pharmacy's mandatory list, the pharmacist can serve it at the pharmacy. The purpose of this decision is: a. To increase people's ability to help themselves to overcome health problems, it needs to be supported by facilities that can improve self-medication appropriately, safely and rationally; b. That appropriate, safe and rational self-medication can be achieved through increasing the supply of drugs needed for self-treatment which at the same time ensures the appropriate, safe and rational use of drugs; c. to increase the role of pharmacists in pharmacies in IEC services (communication, information and education), as well as drug services to the community. OWA Example Number 1: a. Oral contraception for 1 cycle (for the first cycle must be prescribed by a doctor) b. Mag medication: antacid combined with antispamodic and psychotropic Al (OH)3+ Mg trisilicate + Papaverin/ Belladon extract + Diazepam/ Chlordiazepoxide) maximum 20 tablets per patient. c. Asthma medication: Aminophyllin supp/ 3 supp, Ketotifen / 10 tabs, Terbutaline SO4 / 20 tabs. d. Analgesics: Antalgin / 20 tabs, Mefenamic acid / 20 tabs, Metamphyron + Diazepam/Klordiazepoxide / 20 tabs. e. Antihistamines: Mebhydrolin, Pheniramini maleate, Astemizole, Homochlorcyclizin Dexchlorpheniramini maleas/ 20 tablets per patient. f. A class of antibiotics for topical use for application to the skin in the form of cream/ointment. Examples are: Chloramphenicol, Gentamycin cream/ointment, Erythromycin/Clindamycin lotion for acne vulgaris, Framisetin SO4 in gauze preparations. Meanwhile, antibiotic preparations in oral/injection dosage forms are not included in the mandatory pharmacy category g. Antifungal in the form of ointment/cream containing: miconazole nitrate, Nystatin, Tolnaftat. h. Corticosteroids for anti-allergic and local inflammation in the form of cream/ointment containing: hydrocortisone, Triamcinolone, Betamethasone, Fluocortolone. i. Skin whitener/skin whitener: in cream form containing: Hydroquinone, Hydroquinone + PABA. j. Omeprazole for ulcer medication (a proton pump inhibitor is given a maximum of 7 tablets per patient). Example of Mandatory Pharmacy Medicine Number 2: Name of drug Content/container unit Amount that can be received by the patient 1 Albendazole Tablet 200 mg 6 tablets Tablet 400 mg 3 tablets 2 Prednisolone Tube As an external medication for skin infections 3 Clindamycine Tube As an external medication for the treatment of acne 4 Sucralfate 20 Tablets Example of Mandatory Pharmacy Medicine Number 2 Name of drug Concentration/container unit Amount that the patient can receive 1 Ranitidine Tablet 150 mg Maximum 10 tablets. Medication is given only on the basis of repeat treatment from a doctor. 2 Famotidine Tablets 20 mg/40 mgMaximum 10 tablets. Medication is given only on the basis of repeat treatment from a doctor. 3 Allopurinol Tablets 100 mgMaximum 10 tablets. Medication is given only on the basis of repeat treatment from a doctor. 4 Diclofenac sodium Tablets 25 mgMaximum 10 tablets. Medication is given only on the basis of repeat treatment from a doctor.