Chief Pharmacist 🆇 Profile picture
Aug 12, 2020 16 tweets 4 min read Read on X
It's a pity that a good number of DOCTORS don't really know much about Generic Drugs.

All they think is, different pharmaceutical companies, different effectiveness, and even challenge PHARMACISTS as if they have upto 50% knowledge about the pharmacology of drugs

1/c Image
compared to Pharmacists.

Unless the drug is Fake, MOST #GENERICS (& even MOST branded products) are same effectiveness (95-100%).

If a doctor prescribes a #BRANDED PRODUCT & the pharmacy doesn't have it, they simply tell the clients/Patients the best generics available.

2/cont
So it's for them to source it somewhere else or go back to the doctor.

But if it's a GENERIC PRODUCT, the Pharmacist has the right to change it to another GENERIC, "ONLY if the INITIAL DRUG is not available"

The Pharmacist will educate the Client/Patient about the change.

3/c
If the doctor's number is on the prescription, it's advisable he/she calls.
#NOTE : The Client/Patients has the final say "Not the Doctor, not the Pharmacist"

🌍 I've been to couple of countries abroad, I've seen how Doctors, Pharmacists & other health care professionals

4/c
collaborate with one & another.

GENERICS isn't a thing over there, ESPECIALLY when the Pharmacist ENDORSE IT (part of the reason why we're the 2nd MOST TRUSTED professions in the world)

😎 👇👇👇
A Good number of doctors here in Nigeria have the habit of PROMOTING some

5/c
specific GENERICS, after getting some tip from Drug Reps. Some just have an ego.

♻️ PLEASE NOTE : It isn't wrong to promote a drug, What's wrong is refusing to switch it to a generic of same Pharmacological Activity Especially when the Pharmacist endorse it. ✖️

6/cont...
Most Branded & Generics end up achieving the same pharmacological effects such as Pain Pills, Antidiabetics, etc.

👉 We're VERY CAREFUL when recommending GENERICS such as Antibiotics, Antiepileptic drugs, AntiPsychotics, Hypnotics & etc.

7/cont...
- We don't switch to a different drug Sub-classes OR drug Classes of similar activities. We DON'T!

- We don't switch to a different Generic when the prescribed medication is available.

But when the prescribed medication isn't available (Out of stock), We then recommend.

8/c
That's where the word came from in Pharmacy practice.

💔 MOST patient have LOST their lives because they went searching for what was being prescribed when same generics were available.

And for you lots that use d phrase "Prescribe it Like That"
Please come to the Pharmacy

9/c
to dispense it like that.

People Dat hvnt compounded/Reconstituted drugs before but want to lecture DRUG EXPERTS about Drugs? IRONY

Pharmacists DON'T have upto 50% knowledge about DISEASE STATES as Doctors even tho we learnt it in school for 3-4 yrs. VICE VERSA with Drugs

10/c
There are couple of Doctors that once the Pharmacist assure them of the drug effectiveness & efficacy, they go with it. TRUST.

If you really check Those Medical doctors, they're usually the smartness & friendly with other health care professionals.

11/cont.
& please to the Doctors, once a Drug EXPERT assure you of of a Generic, let go of that ego & comply.

Won't we recommend any Generic if we don't Trust d Pharmaceutical Company that manufacture it.

Please you all should search "#Incorporating_Clinical_Pharmacists_in_PCMH"

12/c
on YouTubes & Learn how Physicians collaborate with Pharmacists to promote patients outcome.

Clinical Pharmacists are even allowed to prescribe over there.

Link below & Watch 👇



13/🔚
Imagine asking a Patient to get a particular Generic in the abroad & he/she keep searching for it in 3-6 Pharmacy outlets & then the patient dies?
The Whole medical Doctors will be sued & their licence will be on hold/ceased, while investigating the case.

14/cont
That's part of the reason why they don't do such.

We should try develop that culture too & not stressing the patient.

15/🔚 Again
We won't*

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Relationship between HbA1c & Fasting Blood Sugar (FBS) Level
(Conversion of Fasting Blood Glucose to HbA1c)

1. What's the full Meaning of HbA1c?
HaemogloBin Airman First Class

2. What's HbA1c test?
HbA1c test is a blood test used to diagnose diabetes

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& monitor the progress of treatment plan.

The test reflects the average blood sugar levels in the past 90 days/3 months (I will explain why later in the thread).

HbA1c is a type of Glycated Haemoglobin (ie glucose binding to Haemoglobin in your Red blood cells).

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Hence ↑ in blood glucose Levels will result in more glucose binding to Haemoglobin which will result in High Hb A1c

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- Squirt is simply urine.
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1. SQUIRTING is essentially the involuntary emission of URINE during sexual activity, although a marginal contribution of skene's glands secretions to the emitted fluid often exists.
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Oct 7, 2022
Just last month, a Woman came to the pharmacy with a prescription to get "Chlorpromazine (CPZ) 100mg BID", for her hiccups.

Told her the dosage was pretty too high but she objected.

Fast forward 1 week later, a Man (her husband) came to the Pharmacy to get some drugs..

1/cont.
(Lyrica, Neurovite Forte, Tegretol & Diazepam) for his wife.

During the consultation with him, I found out it was the same woman that came a few ago to get CPZ.

He told me that, she was having muscle spams, uncontrollable movements of her body, agitation, restlessness
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Ask him if she's still on the medication (CPZ), he said Yes (since the prescription said for 2 weeks).

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SOME WAYS TO CALM YOURSELF WHEN LlFE IS GETTlNG TOUGH

1. Walk: Walking helps clear
your mind. It offers you a
different perspective.

2. Indulge: Take a day off to
spend a whole day doing
exactly what you want.

1/cont...
3. Be Generous: Give something
to o total stranger. Acts of
giving make us feel warm and
fuzzy inside.

4. Sit in o coffee shop or a busy
street and soak up your
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5. Educate yourself: Research
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6. Preparation: Write the day's
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1/c
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IRREGULAR PERIODS
WEIGHT GAIN
HIRSUTISM
ACNE
Bloating
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Post meal cravings
Daytime TIREDNESS
Difficulty to FALL ASLEEP
INFERTILITY
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1. Inflammatory type PCOS
2. Insulin resistance type PCOS
3. Adrenal fatigue type PCOS
4. Hypothyroidism type PCOS
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We like knowing & understanding what's going on. With PCOS, this is often not the case

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1/c
community are having;

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🤷 “Will I ever actually be in control of my own body?”

🤷 “Will my hair ever be as thick and full as it used to be?”

🤷 “Will I ever be able to not have to stress about my beard being visible?”

2/c
🤷 “Will anybody ever understand because I feel totally alone”

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🤷 “Will I ever be able to love myself?”

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3/c
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