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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More from @ChiefPharmacst

Oct 8, 2022
- Squirt is simply urine.
- A woman can get pregnant for 2 different men at a time.
- A woman can get pregnant immediately she stop menstruating.
- A woman can get pregnant 7days after sex.
- Using Viagra while on BP meds can kill you.
6. A woman can get pregnant while pregnant. Image
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.
2. Superfecundation:
When a woman has intercourse with 2 different men in a short period of time while ovulating, it's possible for both men to impregnate her separately.
In this case, 2 different sperm impregnate 2 different eggs.
Read 8 tweets
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
2/
and that atimes she won't recognize him or the Kids.

Ask him if she's still on the medication (CPZ), he said Yes (since the prescription said for 2 weeks).

Told him not to get the drugs prescribed, because she's only having side effects of the Drug
3/
Read 10 tweets
Oct 5, 2022
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
surroundings. You don't have to
talk to people.
5. Educate yourself: Research
what it is you are experiencing.
Arm yourself with knowledge
and the resources to tackle the
problems head-on.

6. Preparation: Write the day's
to-do list the evening before.
Read 8 tweets
Oct 4, 2022
PolyCystic Ovarian Syndrome is a hormonal disorder. Basically it is a group of symptoms resulting from hormonal imbalance in body. Now what are hormones? Hormones are different chemicals produced in different parts of body that regulate normal physiological functions of body.
1/c
Symptoms :-

IRREGULAR PERIODS
WEIGHT GAIN
HIRSUTISM
ACNE
Bloating
Anxiety
DEPRESSION
HAIR FALL
Post meal cravings
Daytime TIREDNESS
Difficulty to FALL ASLEEP
INFERTILITY
It is very important to know what type of PCOS you have, as type of PCOS left untreated can trigger another type of PCOS within same patient.

1. Inflammatory type PCOS
2. Insulin resistance type PCOS
3. Adrenal fatigue type PCOS
4. Hypothyroidism type PCOS
Read 14 tweets
Oct 4, 2022
With PCOS, it's perfectly normal & fine to hv worries about things, esp. bcos a lot of PCOS is unknown & as humans, we like certainty.

We like knowing & understanding what's going on. With PCOS, this is often not the case

Here are some of the common worries our Healthy PCOS
1/c
community are having;

🤷 “Will I ever be able to have children?”

🤷 “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”

🤷 “Will I ever be able to eat normally without putting on weight?”

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

🤷 “Will I ever get over this constant fatigue? I’m tired of being tired all the time”

3/c
Read 4 tweets
Oct 4, 2022
Everybody has different body activities, so does the Menstrual Cycle DIFFERS among Women.

MENSTRUAL CYCLE varies from 21 day to 36 days (but the Average is 28 days).

For those that have very SHORT or LENGTHY Monthly Cycles, I will SHOW you how to CALCULATE it with ease.

a 🧵🪡
NATURAL FAMILY PLANNING using Calender method: increases a woman’s understanding of her body and her menstrual cycle and this helps them to know which part of the month she is most LIKELY to get pregnant, if practiced correctly.

👇👇👇👇👇👇
Menstrual Cycle - Ovulation Period

21 days 4th day - 10th day

22 days 5th day - 11th day

23 days 6th day - 12th day

24 days 7th day - 13th day

25 days 8th day - 14th day
Read 9 tweets

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