Consult E

PRESCRIPTION
PHARMACEUTICAL
 CONSULTATION
PHARMACEUTICAL
Service provided by the pharmacist to
patient, respecting ethical principles and
professionals, with the purpose of obtaining the
better results with pharmacotherapy and
promote the rational use of medications and of
other health technologies.
 CLINICAL ATTRIBUTIONS OF
PHARMACIST
We aim to provide care to the patient, family and
community, in order to promote rational use
of medications and optimize pharmacotherapy, with
the purpose of achieving defined results that
improve the patient's quality of life.
It aims to provide health care,
all places and levels of care in services
public or private
 SOME ATTRIBUTIONS
PHARMACIST CLINICS
Establish and conduct a patient-centered care relationship;
Provide the pharmaceutical consultation in a pharmaceutical office or elsewhere
suitable environment that ensures the privacy of the service
Perform the pharmaceutical anamnesis, as well as check for signs and symptoms, with
the purpose of providing care to the patient;
Access and know the information contained in the patient's record;
Organize, interpret and, if necessary, summarize the patient's data in order to
to proceed with the pharmaceutical assessment;
Request laboratory tests, within the scope of your professional competence,
with the purpose of monitoring the results of pharmacotherapy;
 SOME ATTRIBUTES
PHARMACIST CLINICS
Evaluate the results of the patient's clinical-laboratory tests, such as
instrument for the individualization of pharmacotherapy;
Monitor therapeutic drug levels through data from
clinical pharmacokinetics;
Determine biochemical and physiological parameters of the patient for the purpose of
monitoring of pharmacotherapy and health screening;
Develop the pharmaceutical care plan for the patient
Prescribe, according to specific legislation, within the scope of its competence.
professional;
Evaluate and monitor patient adherence to treatment, and take action.
for your promotion
(For other assignments, consult resolution 585 Article 7)
 PHARMACEUTICAL PRESCRIPTION
The act by which the pharmacist selects and
documenta
pharmacological and non-pharmacological therapies, and
other interventions related to health care of the
patient, aiming at promotion, protection and
recovery of health, and disease prevention and
of
other health problems
 Pharmaceutical prescription is
a clinical assignment of the
pharmacist and always should be
carried out based on the needs
of the patient's health, in the best
scientific evidence, in principles
ethical, and in accordance with the
health policies.
 WHERE IT MIGHT OCCUR
PHARMACEUTICAL PRESCRIPTION?
It may occur in establishments
pharmaceuticals, offices, services of
levels of health attention, respecting
always the confidentiality and
privacy of patient no
service. (Res. 586)
 WHO WILL BE ABLE TO CARRY OUT THE
PHARMACEUTICAL PRESCRIPTION?
Every legally licensed pharmacist and
registered with the regional pharmacy council
of its jurisdiction, that is, as soon as it
to register and enroll in the CRF, the pharmacist
it will already be enabled for prescription
pharmaceutical
Note: (As of now, there is no requirement to
specialization to start the prescription
 WHAT THE PHARMACIST
Can you prescribe?
The pharmacist may issue a prescription for
medications and other products for purposes
therapeutics, whose dispensing does not require a prescription
medical, including industrialized medications and
magistral preparations - allopathic or dynamized,
medicinal plants, plant drugs and other categories
or relationships of medications that may be
approved by the federal health agency for prescription
of the pharmacist.
Note: The pharmacist cannot prescribe diets or prescription medications.
phytotherapeutics and plant drugs restricted to medical prescription
 KNOWLEDGE AND SKILLS
FOR A GOOD PRESCRIPTION
The practice of pharmaceutical prescription should
to be based on knowledge and
clinical skills that encompass good
prescription practices, pathophysiology,
semiology, interpersonal communication
clinical pharmacology and therapy
 Homeopathic preparations
For the prescription of medications
dynamized will be required by the Council
Regional Pharmacy of your jurisdiction,
the recognition of title of
homeopathy specialist or
Anthroposophy.
Only those who have a postgraduate degree in homeopathy will be able to prescribe potentized remedies.
 MEDICATIONS THAT ARE REQUIRED
MEDICAL PRESCRIPTION
The pharmacist may prescribe medications that
dispensing requires a medical prescription, provided that
conditioned on the existence of a prior diagnosis and only
when provided for in programs, protocols,
guidelines or technical standards, approved for use in
scope of health institutions or when
formalization of collaboration agreements with others
prescribers or health institutions.
(For this type of prescription, the pharmacist must have a postgraduate degree in the area)
clinical pharmacy or clinical pharmacology
 STAGES OF THE PROCESS OF
Pharmaceutical Prescription
I - identification of the patient's needs
related to health (identified at the time of
data collection from medical records and anamnesis

II - definition of the therapeutic objective (identify the

objectives reported by the patient

III - selection of therapy or interventions related to

care for health, based on its safety, efficacy,
cost and convenience, within the care plan;
(select therapies according to your
Patient evaluations
IV - drafting of the prescription (choice and transcription of
pharmacological or non-pharmacological therapy chosen

V - patient orientation
(explanation for the patient about the chosen therapy)

VI - evaluation of the results;

(dialogue and evaluation with the patient after the
treatment of the chosen therapy)

VII - documentation of the prescription process.

(document medical record, anamnesis and
recipe
 WHAT IS A MEDICAL RECORD
The term "prontuário" is derived from Latin.
repository, which means a place where things are stored.
what should be at hand, what may be necessary to
any moment. For the Secretary of
Ministry of Health's Health Attention, "medical record
it is a set of standardized documents,
organized and concise, intended for the record of the
medical care and that of other professionals,
provided to the patient in a facility of
health (BRAZIL, 2015, p.6).
 What to register?
Subjective and objective information, patient problems/concerns,
signs/symptoms, condition or significant change in the patient's health status, plan
of care, provided care, results of the interventions.

When to register?
Whenever care is provided.

Where to register?
In its own model or in those established by the health service.

Why register?
To enable the continuity of care, allow communication between professionals.
health, among others.

Who should register?

Health professionals related to care, including pharmacists.
Components of
Registration no
Medical Record
 Patient identification
Name, age, gender, and other sociodemographic information

Motivation for service

Patient's complaint or concern.

Anamnesis and verification of clinical parameters

Subjective and objective data obtained from the patient

Professional evaluation
Diagnostic hypothesis of the health needs of
patient
 Care plan
Conducts or interventions and therapeutic objectives

Professional identification
Full name, professional registration number and
signature

Annexes
Exams and other documents relevant to the evaluation of
patient's health condition
 MEASURES THAT CONTRIBUTE TO
PATIENT SAFETY IN
ACT OF PRESCRIPTION
I - base your actions on the best scientific evidence;
II - make decisions in a shared and patient-centered manner;
III - consider the existence of other clinical conditions, the use of others
medications, lifestyle habits, and the care context in the environment
of the patient;
IV - be attentive to the legal and ethical aspects related to the documents
that will be delivered to the patient;
V - communicate appropriately with the patient, their guardian or caregiver,
your decisions and recommendations, so that they understand them
in a complete way;
VI - adopt measures so that the patient's health outcomes,
resulting from pharmaceutical prescription, should be monitored and
evaluated.
 HOW IT SHOULD BE WRITTEN
Pharmaceutical Prescription
It should be written in vernacular, in full, in a legible manner, observing the
nomenclature and the system of official weights and measures, without amendments or erasures, must
containing the following minimum components:

Identification of the pharmaceutical establishment or healthcare service to which the

pharmaceutical is linked;
II- full name and contact of the patient;
III - description of pharmacological therapy, when applicable, including the following
information:
a)nome do medicamento ou formulação, concentração/dinamização, forma farmacêutica
and by way of administration;
b) dose, frequency of medication administration, and duration of treatment; c)
additional instructions, when necessary.

IV- description of the non-pharmacological therapy or other intervention related to care

of the patient, when applicable;
V- full name of the pharmacist, signature and registration number with the Council
Regional Pharmacy;
VI - location and date of the prescription.
 LEGISLATIONS FOR ASSISTANCE
PHARMACEUTICAL PRESCRIPTION
CFF Resolution 622/16 - Provides for the indication
pharmaceuticals from medicinal plants and
phytotherapeutics that are exempt from medical prescription.

Ordinance 40/98 - Regulation that establishes

standards for Daily Dosage Levels
Vitamins and Minerals in Medications

IN No. 5, of 11/12/2008 – List of Medications

Phytotherapeutics with Simplified Registration.
 LEGISLATIONS FOR ASSISTANCE OF
PHARMACEUTICAL PRESCRIPTION
RDC Resolution 269/2005 - Technical Regulation
about the recommended daily intake (RDI) of
protein, vitamins and minerals.

Resolution No. 138/2003 - *GITE

Provides for the classification into the category of
sale of medicines - OTCs
IDR OF VITAMINS AND PROTEIN
(NON-LACTATING ADULTS)

Protein 50 g
Vitamin A 600 mcg
Vitamin D 5 mcg
Vitamin C 45 mg
Vitamin E 10 mg
Thiamine 1.2 mg
Riboflavin 1.3 mg
Niacin 16 mg
Vitamin B6 1.3 mg
Folic Acid 240 mcg
Vitamin B12 2.4 mcg
Biotin 30 mcg
 INDICATION GROUPS
SPECIFIC THERAPEUTICS (GITE)
Topical anti-acne medications and astringents,
Antacids, antiemetics, euphorics, enzymes
digestive
Topical antibacterials (bacitracin and neomycin)
Antidiarrheal medications
Oral antiseptics, buccal-pharyngeal antiseptics
Amino acids, vitamins, and minerals
Anti-inflammatories, such as naproxen, ibuprofen and
cetoprofen
Analgesics, antipyretics and anti-inflammatories
Emollients and lubricants for skin and mucous membranes
ANNEXES
MODEL OF RECORD
RECIPE MODEL
REFERRAL TEMPLATE
 REFERENCES
BIBLIOGRAPHICAL
 RESOLUTION No. 585
RESOLUTION No. 586
SYMPOSIUM: HOW TO SET UP YOUR
PHARMACEUTICAL CONSULTATION CRF-RJ
PROFAR: PHARMACEUTICAL CARE
PHARMACEUTICAL PRESCRIPTION IN PROBLEMS
SELF-LIMITED HEALTH