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) HRPZIIDIS@gmail.com

SUPERVISOR: PN FATIMAH

CHIEF EDITOR: Pn Sudarwaty

Zaimawati Zakaria Siti Norzulaikha

Ng Chun shian Nor Nabilah

K. Heygaajivan

Nurul Hidayah

Ilmi Najwa

Wee Joo Lie

Chee shu wen

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

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 professions in Malaysia. User can search for specific medication simply by entering 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 Queries regarding dosage and indications of medications Questions regarding dosage form of medications available in the hospital

Dose
AVOIDABLE QUESTIONS

Dosage form

Strength
Questions regarding strength of medications available in the hospital currently.
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Prescriber category
Questions regarding prescriber category for certain medications (A,A*, A/KK)

- BENEFITS OF INOVATION -

My Blue Book is FREE in Google Play and Apple Apps Store!

- SITUATION AFTER INNOVATION -

>8500 active users >11 400 downloads > 60 downloads/day

- USER FEEDBACK -

MyPharmacistHouse innovation group

Group members K.HEYGAAJIVAN A/L KERNAS (HRPZII) GOH MAN FYE (HUSM) JIA LIM (HTF, PERLIS)

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 bilabila masa. Sebanyak 40 unit loker telah disediakan untuk pesakit dengan kos RM30 seunit.

INOVASI KUMPULAN SMARTPHARM..

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 7

V
- Cannot

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.

Vitamins

Water Soluble
be stored in the body - Easily destroyed or washed out during food storage and preparation - An excess of water soluble vitamins should not result in any side effects as they will disperse in the body fluids and voided in the urine.

Fat soluble
- Include vitamins A, D, E and K - They are soluble in fat and are absorbed by the body from the intestinal tract - Fat soluble vitamins should not be consumed in excess as they are stored in the body and an excess can result in side effects. - An excess of vitamin A may result in irritability, weight loss, dry itchy skin in children and nausea, headache, diarrhea in adults.

Recommended Upper Intake Vitamin generic Chemical name(s) Solubility dietary disease allowances Deficiency Level Overdose disease descriptor name (list not complete) (male, age 1970) (UL/day) Food sources
Orange, ripe yellow fruits, leafy vegetables, carrots, pumpkin, squash, spinach, liver, soy milk, milk 900 g Night-blindness, Hyperkeratosis, and Keratomalacia] Beriberi, WernickeKorsakoff syndrome N/D 3,000 g Hypervitaminosis A

Vitamin A

Retinol, retinal, and four carotenoids including beta carotene 1.2 mg

Fat

Vitamin B1

Thiamine

Water

Drowsiness or Pork, oatmeal, brown rice, vegemuscle relaxation tables, potatoes, liver, eggs with large doses. Dairy products, bananas, popcorn, green beans, asparagus Liver damage (doses > 2g/ day) and other problems Meat, fish, eggs, many vegetables, mushrooms, tree nuts

Vitamin B2 1.3 mg 16.0 mg Pellagra 35.0 mg Ariboflavinosis N/D

Riboflavin

Water

Vitamin B3

Niacin,niacinamide

Water

Vitamin B5 5.0 mg 1.31.7 mg Anemia, peripheral neuropathy. 100 mg Paresthesia N/D

Pantothenic acid

Water

Meat, broccoli, avocados Meat, vegetables, tree nuts, bananas

Comparison of vitamin A, B and C

Diarrhea; possibly nausea and heartburn. Impairment ofproprioception, nerve damage (doses > 100 mg/ day)

Vitamin B6

Pyridoxine,pyridoxamine,pyri doxal

Water

Vitamin B7 30.0 g 400 g Megaloblastic anemia and Deficiency during pregnancy is associated withbirth defects, such as neural tube defects Megaloblastic anemia Scurvy Dermatitis,enteritis

Biotin

Water

N/D 1,000 g May mask symptoms of vitamin B12deficiency; other effects.

Raw egg yolk, liver, peanuts, certain vegetables Leafy vegetables, pasta, bread, cereal, liver

Vitamin B9

Folic acid, folinic acid

Water

Vitamin B12 2.4 g

Cyanocobalamin,hydroxycobalami n,methylcobalamin 90.0 mg

Water

N/D

Acne-like rash Meat and other animal products [causality is not conclusively established]. 2,000 mg Vitamin C megadosage Many fruits and vegetables, liver

Vitamin C

Ascorbic acid

Water

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 childbearing potential regarding the risks associated with pregnancy because of the potential teratogenic risk to the foetus. If pregnancy is planned, consideration should be given to cessation of Epilim treatment, if appropriate. Excretion of Epilim in breast milk is low consideration should be given to the safety profile of Epilim, specifically haematological disorders. 10

Aktiviti Jabatan
Jamuan Perpisahan Persaraan Pembantu Tadbir Stor Farmasi
7 Oktober 2013

Jasamu dikenang :
1. 2. 3. 4. Hj Razali Bin Abdullah Mahani Mohamed Siti Abidah Ismail

Pameran QA HRPZ II (LOCKER 4U)

9 Oktober 2013 Perkarangan Foyer A&E HRPZ II

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Aktiviti Jabatan
Lawatan Kerja Pengarah Kanan Perkhidmatan Farmasi KKM,

Dato Eisah A.Rahman

10 Oktober 2013

Konvensyen QA Peringkat Kebangsaan kali ke-7

22-24 Oktober 2013 Kompleks Kebudayaan & Kesenian Tanjung Chat, Kota Bharu

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Aktiviti Jabatan
Pertandingan Bowling di Antara Kakitangan
26 Oktober 2013 KB Mall Bowling Centre

PharmDay 2013
1-2 November 2013 Perdana Beach Resort, PCB

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Aktiviti Jabatan
Lawatan BPF Melaka ke Jabatan Farmasi
Seramai 6 orang Pegawai Farmasi daripada BPF Melaka diketuai oleh TPKN (F)

27 November 2013

Lawatan kerja ke HSNZ, Kuala Terengganu

28 November 2013
Tujuan : Melihat aplikasi Mini Farmasi ICU, Farmasi A&E, Farmasi ACC ,MTAC Neuro, aktiviti

5S dan penjadualan anggota.

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Aktiviti Jabatan
Konvensyen QAP/ Inovasi JKNK
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.

JOHAN :
LOCKER 4U

KETIGA:
MY BLUE BOOK

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Welcoming New Staff

PRP Batch November 2013

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 Disember 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

Jafaredin b. Hj. Bahazim Azleen Azreen Azmi Pegawai Farmasi U41 Graduated from M. Pharm., International Medical University, twinning with University of Strathclyde, Glasgow, Scotland. (2009 2012) PRP of HRPZ II, Kota Bharu, Kelantan (20122013) Tarikh lapor diri: 16/12/2013 Pembantu Rendah Am Transferred in from Jabatan Hospital Bintulu, Sarawak (2007 2013) Tarikh lapor diri: 1/12/2013

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Ke

Menimang cahaya mata

Tahniah..
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

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