Saturday, August 21, 2010

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How to Pass the PTCB Exam

A pharmacy technician provides assistance to a licensed pharmacist in preparing patient medication. Pharmacy technicians can enhance job prospects and career potential by obtaining certification. The Pharmacy Technician Certification Board provides certification to candidates who pass the PTCB exam. PTCB provides several test-prep resources for test takers. Several schools also offer courses for pharmacy technicians. Certification candidates should use the resources to study for and pass the PTCB pharmacy technician exam.



 Instructions


   1.
      Access the "Exam Preparation" page on the PTCB website. Use the three links for the exam content outlines to the right of the page to figure out the content of the PTCB certification exam. Use the content outlines to focus your studies when attending any courses or using reference materials to prepare for the exam.
   2.
     Access the EducationCenterOnline list of courses for pharmacy technician training . Schools on this list have either online or campus-based training courses for pharmacy technicians. You may fill in a form on the website to get additional information from each school. PTCB does not require any specific training before applying for the PTCB exam and certification. However, attending a course can form part of an overall plan to gain the knowledge necessary to pass the PTCB exam.
   3.
     Click on the links for the individual publications on the PTCB "Pharmacy Technician Education Materials" web page. Purchase and study the educational resources on the list to prepare for the PTCB exam.
   4.
      Purchase the books on the "Bibliography" page. PTCB used the books on this list to make the questions on the certification exam. Accordingly, mastering the material in all of these textbooks will provide you with the knowledge required to pass the pharmacy technician exam.
   5.
     Open the PTCB "Practice Exam" page. You may click on the exam banner to register for and take four different PTCB practice tests. As of 2010, the fee for each exam is $29, payable by credit card when you register online. Use the practice exams to gauge your knowledge of the material and ability to finish the exams on time. The real exam is a two-hour test with 90 questions. Therefore, you need to practice answering the questions in about 80 seconds each. You need to master the knowledge plus manage your time to pass the PTCB exam.

NAPLEX North American Pharmacist Licensure Practice Exam

NAPLEX PRACTICE EXAM
Just like the actual NAPLEX Exam!

Exam Master’s NAPLEX North American Pharmacist Licensure Practice Exam gives users the experience of taking the actual NAPLEX. Our NAPLEX North American Pharmacist Licensure Practice Exam contains 185 questions including patient profiles, just like the NAPLEX blueprint. Topics are presented and tested in the questions based on the percentages provided in the NABP NAPLEX blueprint.

Availability:

    * Institutional Version/Exam Master OnLine®
          o Affordable annual license – First Year introductory Pricing
          o Available from any internet connection – secure, convenient access for students
          o Available usage statistics for portal administrator – easy resource management
          o Customized access gateway
          o Contact inst-sales@exammaster.com This e-mail address is being protected from spambots. You need JavaScript enabled to view it
    * Academic Manager®
          o Create exams for student testing and assessment
          o Ability to edit Exam Master Questions
          o Author tool allows faculty to add their own questions and images
          o Detailed Score Reports
          o Includes Exam Master OnLine®
          o Contact inst-sales@exammaster.com This e-mail address is being protected from spambots. You need JavaScript enabled to view it
    * Single User Version/Exam Master OnLine®
          o Available in 1 month, 3 month or 6 month online subscription
          o Same large question bank as used by institutional programs
          o Contact sales@exammaster.com

Board Prep for the NAPLEX North American Pharmacist Licensure Examination

Preparation and Review for the NAPLEX, North American Pharmacist Licensure Examination
Edited by Callie Pray, PharmD and W. Steven Pray, MPH, PhD.

Exam Master’s board prep for the NAPLEX North American Pharmacist Licensure Examination is a valuable tool for candidates preparing for the NAPLEX exam. Our NAPLEX review offers access to over 1,750 questions covering 8 key subject areas, based on the NAPLEX blueprint*. Exam Master’s board prep for the NAPLEX North American Pharmacist Licensure Examination allows users to take practice exams and quizzes, review results, and study the detailed explanations in a fast and efficient format. Major topics covered include: providing healthcare information, preparation and dispensing of medications, and safe and effective pharmacotherapy.

Our board prep for the NAPLEX North American Pharmacist Licensure Examination will:

    * Quickly assess your strengths and weaknesses through score reports
    * Provide detailed explanations with every question
    * Allow users to take realistic practice exams
    * Build your confidence for the Pharmacy boards!

About our editors:

Callie Pray is a licensed pharmacist and member of the American Society of Health Systems Pharmacists.  W. Steven Pray is The Bernhardt Professor of Nonprescription Products and Devices at Southwestern Oklahoma State University College of Pharmacy.  Dr. Pray has a long and distinguished career as a practicing pharmacist, educator, contributing editor/author and scholar in the field of pharmacy. Together they have helped develop a high-quality, relevant and up-to-date board review resource for pharmacy professionals seeking to improve their chances of passing and scoring well on the NAPLEX exam.
About the NAPLEX exam:

The NAPLEX is developed by the National Association of Boards of Pharmacy® (NABP®) and is utilized by the boards of pharmacy as part of their assessment of competence to practice pharmacy.

The NAPLEX is a computer-adaptive examination that consists of 185 multiple-choice test questions. Of these, 150 questions will be used to calculate your test score. The remaining 35 items will serve as pretest questions, which will not affect your NAPLEX score. Pretest questions are administered to evaluate the item's difficulty level for possible inclusion as a scored question in future examinations. These pretest questions are dispersed throughout the examination and cannot be identified by the candidate.

A majority of the questions on the NAPLEX are asked in a scenario-based format (ie, patient profiles with accompanying test questions). To properly analyze and answer the questions presented, you must refer to the information provided in the patient profile. Other questions are answered solely from the information provided in the question."  For more information on the exam please visit http://www.nabp.net/.

Availability:

    * Institutional Version/Exam Master OnLine®
          o Affordable 4-month or 12-month subscription
          o Available from any internet connection – secure, convenient access for students
          o Available usage statistics for portal administrator – easy resource management
          o Customized access gateway
          o Contact inst-sales@exammaster.com This e-mail address is being protected from spambots. You need JavaScript enabled to view it
    * Academic Manager®
          o Create exams for student testing and assessment
          o Ability to edit Exam Master Questions
          o Author tool allows faculty to add their own questions and images
          o Detailed Score Reports
          o Includes Exam Master OnLine®
          o Contact inst-sales@exammaster.com This e-mail address is being protected from spambots. You need JavaScript enabled to view it
    * Single User Version/Exam Master OnLine®
          o Available in 1 month, 3 month or 6 month online subscription
          o Same large question bank as used by institutional programs
          o Contact sales@exammaster.com

Concise review for the ptcb exam

This PTCB Exam review guide is a valuable tool for individuals who are preparing to take the pharmacy technician certification exam. It is not intended to address all aspects of the pharmacy profession. Rather, its purpose is to teach quick study tips and the basic facts needed to pass the PTCB certification exam.

Instruction in all test areas: math, law, hospital, drug information. . Contains strategies you MUST know to ace the exam. Over 750 practice questions that will familiarize you with the PTCB format and help you master the techniques taught. . Detailed answer explanations that will help you avoid making the same mistake twice.

Pharmacy Tech Salary

Pharmacy Technician Education – gives you an edge

Pharmacy technician education can make it possible for you to start a ...
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Pharmacy Technician Course

Pharmacy technician course provides the proper education for students who are interested in starting a pharmacy career but are not willing to expand their preparation period to an intensive postsecondary education.


Pharmacy Technician Course A pharmacy technician course may take various recognition forms. Therefore, the basic level is equal to a 6 months training program and students who accomplish this short-term course earn a certificate. The next level encompasses generally 12 months training course, and its completion is eventually rewarded with a diploma. The superior level for an accredited pharmacy technician course is in fact an associate’s degree and its completion requires a 24 month training program. A pharmacy technician course may vary according to on-campus study or online study or any other distance education program. And if you are willing to get licensed as a pharmacist, you should focus on superior academic education. After graduation, your endeavors will be rewarded with a bachelor’s degree, and if such be the case with a master’s degree in pharmacy.

Many undergraduates seem to get interested in a pharmacy technician course. This preparation is positively reckoned due to financial factor, to the increasing opportunities on the labour market and to the flexible attendance features. In addition, surveys have shown that today students find appealing a pharmacy technician job description. Therefore, a pharmacy technician will be trained to fulfill various job requirements such as selling healthcare products and drugs based on prescription, administrative and front-office duties, data-entry operation, supervised dosage of pharmaceutical components. Although the duties are quite complex, pharmacy technicians are not entitled to convey additional medical advice to customers.

As it is has been previously stated, aspiring technicians can either take the first step with on-the-job preparation, or with an accredited pharmacy technician course. The first option is quite limited, because pharmacists usually credit better proper accredited education. Aspiring technicians who have completed a formal accredited PHARMACY TECHNICIAN COURSE are already acquainted with the specific terminology. The accredited education program already took charge of their lab and clinical practice (they should be able to calculate a certain dosage of chemical substances using the proper technology). Moreover, future pharmacy technicians are taught at least the basic customer service techniques. It is important to pay attention to the legislation regarding the pharmaceutical domain. That is why, accredited pharmacy technician course provides the necessary information on how technicians should deal with ethical issues and to avoid legal problems.

Certification in this activity is optional, but successfully enhances your chances for promotion and for upper financial compensation.There are two major institutions which assess and certify pharmacy technicians, and trainees should get acquainted with their standards since the very beginning of their education (Institute of Certification of Pharmacy Technicians and Pharmacy Technician Board). This activity demands permanent preparation, as the drug market enhances permanently its offer. A pharmacy technician course is also meant to develop the fundamental skills for young aspiring pharmacy technicians. If pharmacy and health care issues have always captivated your interest, why not try to become a pro, check the accredited education offer, assess your skills and take the first big step.

About the Pharmacy

Pharmacy technicians aid pharmacists in preparing prescription medications and handling customer service issues. Some of their duties may include taking prescription requests, taking inventory of pills and tablets, labeling bottles and clerical duties. Not all states require pharmacy technicians to be certified, but employers often prefer that prospective employees have passed a pharmacy technician certification exam before hiring them.

      Description
   1. There are two private institutions that offer pharmacy technician certification exams: the Pharmacy Technician Certification Board (PTCB) and the Institute for the Certification of Pharmacy Technicians (ICPT). Since states have different licensing and certification requirements, candidates should consult their State Board of Pharmacy to determine which exam to take. The PTCB exam, the PTCE, consists of 90 multiple-choice questions; candidates are given two hours to complete the test. The test administered by the ICPT, the ExCPT, also has a two-hour testing period, but there are 110 multiple-choice questions.
      Eligibility Requirements
   2. Both the PTCE and the ExCPT require that candidates have a high school diploma or equivalency degree. In addition, neither exam can be taken by candidates with felony convictions or individuals who have drug or pharmacy convictions. If candidates have had any registration or license revoked or suspended or faced disciplinary action by a state board, they're also not permitted to take either exam.
      Application and Registration
   3. The PTCE is offered continuously throughout the year. A candidate can apply to take the test online; once the application is approved, he will be sent a letter that lists the dates that he's eligible to take the exam and instructions on how to schedule a testing appointment. A fee is required when a candidate applies to take the PTCE. The ExCPT is offered more than 310 days a year at PSI-LaserGrade Testing Centers throughout the United States. Registration is done over the phone by calling PSI-LaserGrade's toll-free number and setting up a testing date and location. Like the PTCE, a fee is required when a candidate registers for the ExCPT.
      Preparation
   4. A candidate planning to take the PTCE should familiarize herself with the material contained in basic pharmacy technician training manuals or books, according to PTCB. The pharmacist who supervises the candidate may also be able to help her create a study plan. ICPT recommends consulting the latest edition of The National Pharmacy Technician Training Program manual to prepare for the ExCPT. Both the PTCE and ICPT websites have sample tests available online; there's a fee to access the ExCPT practice test.
      Results
   5. Both the PTCE and ExCPT are computer-based exams, so a candidate will have his results within moments of finishing the exam. Scaled scores and certificates are mailed out a few weeks after the tests. If a candidate fails the PTCE, he's permitted to retake it up to three times; a candidate can take the ExCPT as many times as necessary. Both the PTCB and ICPT require pharmacy technicians to be recertified every two years. This may require continuing education courses or a recertification fee.

About the Pharmacy Technician Exam

A pharmacy technician job is an excellent option for people who are seeking for a career change. Pharmacy technician staffs need to work and perform many pharmacy-related functions under the direct supervision of a licensed pharmacist.

The salary for pharmacy technician career is also fairly high. In order to be recognized as a pharmacy technician professional, you need to get the proper certificate. In order to get the pharmacy technician certificate, you must pass the national pharmacy training exam.

Pharmacy technician certification programs are offered by vocational or technical colleges, proprietary schools, and community colleges, some hospitals and pharmacies. The program is available as online or traditional campus certification program. The duration of pharmacy technician certification programs usually takes around six to twelve months. Wherever you undergo the program, the pharmacy technician certification will be given by the pharmacy technician certification board.

If you are interested in undergoing a pharmacy technician certification program, the first thing you need is a high school diploma. Once you have good grade in your high school diploma, you can choose an online or traditional campus pharmacy technician certification program. It is your duty to study the course with care in order to prepare for the pharmacy technician certification exam. The pharmacy technician certification exam is usually held at many locations. If you are able to pass this exam successfully, you must get some working experience working in a pharmacy. Once you pass the exam and get some working experience, you can become a successful pharmacy technician professional. You can even go for the certification after getting placed in some on-the-job training.

A pharmacy technician who wants to constantly update their knowledge with the latest advances in the pharmacy industry can retake the test every two years. Sometimes people get hired on as far as pharmacy technicians without actually passing this exam. Even if you are hired as a pharmacy technician without actually passing this exam, the pharmacist will give you a certain time period to become certified.

The pharmacy technician certification program covers everything necessary for working as a competent and professional pharmacy technician. Getting the pharmacy technician certification will help you develop the interpersonal skills and the right approach to handle patients. A certified technician must be very helpful to pharmacists. The certified pharmacy technicians must be able to handle pharmacy-related functions efficiently. Moreover they must be able to handle the patients effectively and skillfully.

The Angry Pharmacist

CPhT – Why?

One of my staff has recently taken the CPhT exam (thats Certified Pharmacy Tech for those at home).
He showed me the sample test and study booklet. There is NO way a tech should know all of that. Think about it, the law states that a Technician is to preform the remedial tasks of a pharmacist under the direct supervision of a pharmacist.
Why are these overpriced classes teaching them about Cushing Disease, how coumadin works, and other horseshit. Why doesn’t it just test them on a bunch of brand/generic, sound-alike drugs? For 99% of the pharmacy techs out there, thats all they really need! If you need specialized training for a hospital, then get certified in a hospital-tech cert.
All this testing does it gives the technician enough knowledge to /think/ they know the correct answer without taking into consideration the tons of background information thats only acquired in pharmacy school. The tech now has enough information to sound like he/she knows what he/she is talking about, but really doesn’t.
I know all of you CPhT folks out there are going to chew my ass over this, but seriously. How much of that test actually applies to real-life retail pharmacy (where most of the techs are going to work)?

June 2010 Pharmacist Board Exam Results Released

June 2010 Pharmacist Board Exam Results Released

The professional Regulations Commission announces 869 passed the Board Exam for Pharmacists in the Philippines
administered by the Board of Pharmacy in Manila, Baguio and Cebu last June 22, 2010.

The top 10 examinees are listed below.

1. Joyce Anne Verzosa of the CEU Malolos City - 90.75 percent
2. Shernalyn Mukaram of the Our Lady of Fatima University (OLFU) Valenzuela City – 90.73 percent
3. Haniya Dimaocor of CEU Manila – 90.50 percent
4. Sannie Go Ho of the University of Santo Tomas (UST) – 90.28 percent
5. Mary Elizabeth Reyes of the University of the Philippines (UP) Manila – 90.05 percent
6. Denlo Jay Asuncion of CEU Manila – 89.72 percent
7. Cedrix Cuaderno of UP Manila and Thessa Mia Rivera of UST – 89.58 percent
8. David Creony Javier of UST – 89.48 percent
9. Bianca de la Cruz of CEU Manila – 89.42 percent
10. Jennilyn Arenas of UP Manila – 89.38 percent

Registration for the issuance of PRC ID will start July 5 until July 20, 2010. Requirements for registration are as follows:

Duly accomplished Oath of Professional (Panunumpa ng Propesyonal) form
Current Community Tax Certificate (cedula),
2 pieces passport size picture (colored with white background and complete nametag)
1 piece 1x1 picture (colored with white background and complete nametag)
2 sets of metered documentary stamps
1 short brown envelope with name and profession
Initial Registration Fee of P600
Annual Registration Fee of P450 for 2010-2013

Adventure Studying: An Unconventional New Approach to Exam Preperation

Adventure Studying: An Unconventional New Approach to Exam Preperation

Two days ago, I spent an afternoon roaming Boston’s Institute of Contemporary Art, which, in its new building, is situated right on the harbor. While exploring the main exhibition space on the the fourth floor, I stumbled into a room they call the mediatheque. It was stunning. The ICA’s architecture has the fourth floor cantilevered out over the water of the harbor. This particular room hung off the bottom of this ledge, and featured a steep set of descending tiers. At the bottom was a full-length picture window through which only water is visible. (See the picture above.)

The full effect is hard to describe. You lose your sense of height and location in space. Are you in a ship? In a building? Are you a few feet above the water or hundreds? Very Zen.

My first thought: this would be a damn good place to work on a paper.

You Can’t Do That!

For many students, this thought reeks of heresy. Conventional wisdom says: studying happens on campus, or, if you’re feeling particularly crazy, maybe in a Starbucks near campus. And that’s it. It is supposed to be a grind that takes place in in the same old boring libraries surrounded by the same old boring people. And by the end, with your eyes rimmed red with exhaustion, and your skin sallow and whitened from fluorescent saturation, you can grin, feebly, and announce: I survived…

Here’s my question: does it have to be like this?

Beyond the Ordinary

At Dartmouth, I frequently sought ways to challenge this conventional wisdom. When I would see the hooded sweat-shirted masses trudging toward the library at the beginning of finals period, I would turn and run in the opposite direction. I was known to drive 20 minutes away from campus to study at bookstore where no one knew or cared that my school had exams. I would sometimes tackle thorny take-home exam questions while walking the banks of the Connecticut river. Anything to avoid the cinder-blocked study lounges that most students believed — bafflingly — that they were contractually bound to inhabit during this period.

Introducing Adventure Studying

I call this tactic: adventure studying. The basic idea is simple. Our minds crave novelty. If you work on exam preparation and paper writing in novel environments, it becomes easier to engage the material, be more creative, form stronger comprehension, and, overall, dare I say it, perhaps even enjoy the process.

My Challenge to You

I’m embarrassed, however, that as an undergraduate I didn’t have the confidence to push adventure studying as far as I should have. I want you to make up for my shortcoming. I want you to push the adventure studying concept to its limits. What is the most outrageously exotic yet undeniably perfect location where you can migrate your exam preparation or final exam writing? Try it.

Ignore ingrained student traditions of camping out in libraries and study lounges. Redefine finals period to be a source of personal reflection and novelty and intellectual adventure.

Some examples of adventure studying possibilities:

   1. If you have a car, spend a day reviewing in a completely different town. Preferably one that is small, and idyllic, and more than 30 minutes from campus. Switch between little cafes, the public library, and parks. Meet the locals.
   2. If you’re near a body of water and live somewhere reasonably warm: spend a day reviewing in your bathing suit. Cycle through: reviewing; napping; swimming; then back to reviewing. I’ve never tried running through flashcards at the end of an ocean-battered jetty; but I imagine it’s not a bad way to learn those art history dates.
   3. Head to the nearest big city and camp out at museum. Find your own local equivalent of the ICA mediatheque room.
   4. If your family owns a vacation house that has been opened for the season: camp out for a couple days. Bring a friend. Study during the day, have philosophical, semi-incoherent conversations at night. (Don’t, however, go late-night drunken skinny-dipping. According to the movies this will lead to you getting eaten by a shark.)
   5. Load up some quiz-and-recall study guides in your backpack and hike some place isolated and wild. Switch between studying and wandering and reading and zoning out in a Thoreau-esque state of blissfulness; like Into the Wild — but, hopefully, with less death. Who says you can’t review on a 5000 foot summit? It’s better than the library basement.

The Golden Rule of Study Advice

I’ll let you in on a critical secret: no one cares how or where you study. You don’t have to punch a time card when you enter the library. The dean doesn’t track how you spent your day. Take 100% advantage of this reality.

The Tomb at The MetJust because it’s “tradition” to spend the week before exams holed up in the library in some macho display of academic self-flagellation, this doesn’t mean that you have to follow this path. Why can’t you study alone on the beach? Or in your parent’s cabin in Maine? Or sitting on a bench near that crazy, completely enclosed Egyptian Tomb they have setup at the Met?

The Zen Valedictorian Tackles Finals

You might have noticed that I tagged this article with “The Zen Valedictorian.” I think the adventure studying concept fits nicely with the ZV philosophy. It’s about the larger goal of constructing the college experience you want, not stumbling through the path of least resistance.

RPSGB Pharmacy Exam revision help: BNF BLUE BOX

RPSGB Pharmacy Exam revision help: BNF BLUE BOX

After writing my previous post I remember I still got the BNF BLUE BOX document I saved, here it is for everyone(NOTE:this is from an older BNF new content may have been added in the new BNF, so remember to read your current BNF aswell), listed in order that it appeared in the BNF:


BNF BLUE BOXED CSM Warnings

Low Na+
The words low Na+ added after some preparations indicate a sodium content of less than 1 mmol per tablet or 10ml dose.

Infliximab for Crohn’s disease
Infliximab is recommended for Crohn’s disease (with or without fistulae) when treatment with immunomodulating drugs and corticosteroids has failed or is not tolerated and when surgery is inappropriate. Treatment may be repeated if the condition responded to the initial course but relapsed subsequently. Inflixamab should be prescribed only by a gastroenterologist.

Aminosalicylates (Sulfasalazine
Blood disorders
Patients receiving aminosalicylates should report any unexplained bleeding, bruising, purpura, sore throat, fever or malaise that occurs during treatment. A blood count should be performed and the drug stopped immediately if there is suspicion of a blood dyscrasia.

Laxative
For children with chronic constipation, it may be necessary to exceed the licensed doses of some laxatives. Parents and careers of children should be advised to adjust the dose of laxative given in order to establish a regular pattern of bowel movements in which stools are soft, well-formed, and passed without discomfort.

Clopidogrel
Clopidogrel with aspirin appropriate for management of non-ST-segment elevation acute coronary syndrome in those at moderate to high risk of myocardial infarction or of death.

Lipid-regulating drugs MUSCLE EFFECTS
The CSM has advised that rhabdomyolsis associated with lipid-regulating drugs such as the fibrates and statins appears to be rare(apporx. 1 case every 100 000 treatment years) but may be increased in those with renal impairement and possibly in those with hypothyroidism. Concomitant treatment with drugs that increase plasma-statin concentration increase muscle-toxicity; concomitant treatment with a fibrate and a statin may also be associated with an increased risk of serious muscle toxicity.

Formoterol and salmeterol
To ensure safe use, the CHM has advised that for the management of chronic asthma, long-acting beta2 agonists (formoterol and salmeterol) should:
Be added only if regular use of standard-dose inhaled steroids has failed to control asthma adequately;
Not be initiated in patients with rapidly deteriorating asthma;
Be introduced at a low dose and the effect properly monitored before considering dose increase;
Be discontinued in the absence of benefit;
Be reviewed as clinically appropriate;stepping down thereapy should be considered when good long-term asthma control has been achieved
Aminophylline, Fentanyl, Remifentanil
To avoid excessive dosage in obese patients, dose should be calculated on the basis of ideal weight for height.


Antipychotics
IM injection of antipychotics can differ from oral dose, im has increased absorbtion especially if the patient is very active. The dose for antipsychotic for emergency use should be reviewed at least daily. Injections for depot must be titrated according to the patients response.

Lithium
Patients on lithium require a lithium card

Hyponatreamia and antidepressant therapy
Hyponatreamia (usually in the elderly and possibly due to inappropriate secretion of antidiuretic hormones) has been associated with all types of antidepressants; however, it has been reported more frequently with SSRIs than with other antidepressants. The CSM has advised that hyponatreamia should be considered in all patients who develop drowsiness, confusion, or convulsion while taking an antidepressant.

SSRI’s for children
Not recommended in children as it may provoke suicidal thoughts.
Products unfavourable for under 18’s: citalopram, escitalopram, paroxetine, sertraline.
Product that is favourable: FLUOXETINE.

Drugs used in status epilepticus
If seizures recur or fail to respond with 30 minutes:
PHENYTOIN, PHENOBARBITAL, FOSPHENYTOIN should be used
If these measures fail to control seizure with 60 minutes, anaesthesia with thiopental, midazolam, or in adults, a non-barbiturate anaesthetic such as propofol should be instituted with full intensive care.

Fosphenytoin sodium
Precriptions for fosphenytoin sodium should state the dose in terms of phenytoin sodium equivalent(PE); fosphenytoin sodium 1.5mg = phenytoin sodium 1mg

Fibrotic reactions
The CSM has advised that ergot-derived dopamine receptor agonists, bromocriptine, cabergoline, lisuride[discontinued], and pergolide, have been associated with pulmonary, retroperitoneal, and pericardial fibrotic reactions. Before starting treatment with these ergot derivatives it may be appropriate to measure the erythrocyte sedimentation rate and serum creatine and to obtain a chest x-ray. Patients should be monitored for dyspnoea, persistent cough, chest pain, cardiac failure, and abdominal pain or tenderness. If long-term tests may also be helpful.

Sudden onset of sleep
Excessive daytime sleepiness and sudden onset of sleep can occur with co-careldopa, co-beneldopa, and dopamine receptor agonists. Driving warning, drowsiness warning.

Nicotine and bupropion
Only give 2 weeks supply after the stop date, or 3-4 weeks supply of bupropion. Patients are only allowed to claim NHS supplied smoking cessation thereapy within 6 months of an unsuccessful cessation attempt.

Bupropion
The CSM has issues a reminder that bupropion is contra-indicated in patients with a history of seizures or of eating disorders, CNS tumour, alcohol and benzodiazepine withdrawal. Increases the risk of seizures with ANTIDEPRESSANTS, ANTIMALARIALS(MEFLOQUINE AND CHLOROQUINE), ANTIPSYCHOTICS, QUINOLONES, SEDATING ANTIHISTAMINES, SYSTEMIC CORTICOSTEROIDS, THEOPHYLLINE, TRAMADOL. And conditions including diabetes, alcohol abuse, head trauma, and use of stimulated and anorectics.

Methadone and buprenorphine
For opiod dependence, should be administered under supervision for 3 months, until compliance is assured,

Flucloxacillin
Cholestatic jaundice and hepatitis may occur up to several weeks after treatment with flucloxacillin has been stoppened.Administration for more than 2 weeks and increasing age and risk factors. CSM has reminded that:
Flucloxacillin should not be used in patients with a history of hepatic dysfunction associated with flucloxacillin
Flucloxacillin should be used with caution in patients with hepatic impairment;
Careful enquiry should be made about hypersensitivity reactions to beta-lactam antibacterials

Linezolid
Refer symptoms of visual impairment, and blood disorders

Co-trimoxaole
Drug of choice for: Pneumocystis jiroveci (Pneumocystis carinil)
Toxoplasmosis and nocardiasis
If no other alternative consider for:
Acute exacerbations of chronic bronchitis
Urinary tract infections
Acute otitis media in children

Quinonlones (e.g ciprofloxacin)
Tendon damage (including rupture) has been reported in patients receiving quinolones. Tendon rupture may occur within 48 hours of starting treatment.
Quinolones are contra-indicated in patients with a history of tendon disorders related to quinolone use
Elderly patients are more prone to tendonitis
The risk of tendonitis rupture is increased by the concomitant use of corticosteroids
If tendonitis is suspected, the quinolone should be discontinued immediately

Urineary tract infections
Whenever possible specimen of urine should be collected for culture and sensitivity testing before starting antibacterial therapy. The antibacterial chosen should reflect current local bacterial sensitivity to antibacterials.

Itraconazole
Following rare reports of heart failure, the CSM has advised caution when prescribing itraconazole to patients at high risk of heart failure. Those at risk include:
Patients receiving high doses and longer treatment courses
Older patients and those with cardiac disease
Patients receiving treatment with negative inotropic drugs, e.g calcium channel blockers

Inhaled insulin
Not to be used for the routine treatment of type 1 or 3 diabetes. May be used:
With evidence of poor glycaemic control despite other interventions and
Who require insulin but are unable to use subcutaneous insulin because of either a diagnosed phobia of injections, or severe or persistent problems with injection sites.

Treatment should continue beyond 6 months only if there is evidence of improvement og HBA12.

Insulin glargine
Insulin glargine should be available as an option for patients with type 1 diabetes.
Insuline glargine is not recommended for routine use in patients with type 2 diabetes who require insulin but it may be considered in type 2 diabetes for those:
Who require assistance with injecting their insulin or
Whose lifestyle is significantly restricted by recurrent symptomatic hypoglycaemia or
Who would otherwise need twice-daily, basal insulin injections in combination with oral antidiabetic drugs

Thiazolidinediones
Pioglitazone or rosiglitazone as second-line therapy added to either metformin or a sulphonylurea is not recommened except for:
Patients who are unable to tolerate metformin and sulphonylurea in combination therapy, or
Patients in whom either metformin or a sulphonylurea is contra-indicated.
In such case thiazolidinedione should replace whichever drug in the combination is poorly tolerated or contra-indicated.

Carbimazole
Doctors are reminded of the importance of recognising bone marrow suppression induced by carbimazzole and the need to stop treatment promptly.
Patient should be asked to report symptoms and signs suggestive of infection, especially sore throat.
A white blood cell count should be performed if there is any clinical evidence of infection
carbimazole should be stopped promptly if there is clinical or laboratory evidence of neutropenia

Steroid SEs – risk of sever chickenpox/measles, immunosuppression, adrenal suppression, mood changes, gi affects.

Osteoporosis
Those at risk of osteoporosis should maintain an adequate intake of calcium and vitamin D and any defieciency should be corrected by increasing dietary intake or taking supplements.

Bisphosphonates (Alendranate, risadronate)
Bisphosphonates are recommended as treatment options for the secondary prevention of osteoporotic fractures in susceptiblepostmenopausal women. In women who cannot take a bisphosphonate or who have suffered a fragility fracture despite treatment for a year and whose bone mineral density declines below the pre-treatment level, the selective oestrogen receptor modulator raloxifene is an alternative. The parathyroid hormone fragment teriparatide is recommended for women over 65 years who cannot take a bisphosphonate (or in whom bisphosphonates has failed to prevent a fracture) and have:
either an extremely low bone mineral density
or a very low bone mineral density, sufferent more than 2 fractures, and have other risk factors for fractures (e.g body mass index under 19kg/m2, premature menopause, prolonged immobility, history of mineral hip fracture under the age of 75 years)


Induction of labour
Dinoprostone is preferable to oxytocin for induction in women with intact membranes, regardless or parity or cervical favourability.

Parental progesterone-only contraceptive
The CSM has advised that:
in adolescents, medroxyprogesterone acetate (Deop-provera) be under only when other methods of contraception are inappropriate.
In all women, benfits of using medroxyprogesterone beyond 2 years should be evaluated again risks.
In women with risk factors for osteoporosis a method of contraception other than medroxyprogesterone acetate should be considered.

Spermicial contraceptives
Products such as petroleum jelly (Vaseline), baby oil and oil-based vaginal and rectal preparations are likely to damage condoms and contraceptive diaphragms made from latex rubber, and may render them less effective as a barrier method of contraception and as a protection from sexually transmitted diseases (including HIV).

CRM guildelines on handling cytotoxic drugs:
Trained personnel should reconstitute cytotoxics;
Reconstitution should be carried out in designated area;
Protective clothing (including gloves) should be worn;
The eyes should be protected and means of first aid should be specified;
Pregnant staff should not handle cytotoxics
Adequate care should be taken in the disposal of waste material, including syringes, containers, and absorbent material.

Most cytotoxic drugs are teratogenic and all may cause life-threatening toxicity; administration should, where possible be confined to those experienced in their use.
Because of the complexity of dosage regimens in the treatment of malignant disease, dose statements have been omitted from some of the drug entries in this chapter. In all cases detailed specialist literature should be consulted.
Presciptions should not be repeated except on the instructions of a specialist.

Ciclosporin
Because of differences in bioavailability, the brand of oral ciclosporin to be dispensed should be specified by the prescriber.

Anastrozole
The aromatase inhibitors anastrazole, exemestane, and letrozole, within their licensed indications, are recommended as options for the adjuvant treatment of early oestrogen-receptor-postitive invasive breast cancer in postmenopausal women.

Drugs with definite risk of haemolysis in most G6PD-deficient individuals (from Afriva, Asia, Oceania, and from south Europe):
Dapson and other sulphones, Methylthionium chloride, Nitrofurantion, Pamaquin, Primaquin, Quinolones, Sulphonamides.
Possible risk:
Aspirin, Chloroquine, Menadione, Probenecid, Quinidine, Quinine


Thiamine
Although potentially serious allergic adverse reactions may rarely occur during, or shortly after, parenteral administration, the CHM has recommended that:
This should not preclude the use of parenteral thiamine in patients where this route of administration is required, particularly in patients at risk of Wenicke-Korsakoff syndrome where treatment with thiamine is essential;
Intravenous administration should be by infusion over 30 minutes;
Facilities for treating anaphylaxis (including resuscitation facilities) should be available when parental thiamine is administered.

Pyridoxine Hydrochloride
Pyridoxine is used to treat isoniazid neuropathy. However prolonged use of pyridoxine in dose of 10mg daily is considered safe but the long-term use of pyridoxine in a dose of 200mg or more daily has been associated with neuropathy. The safety of long-term pyroxidine supplements with doses above 10mg daily has not been established.

NSAIDS and cardiovascular events
COX-2 selective inhibitors are associated with an increased risk of thrombotic events (e.g MI and stroke) and should not be used in preference to non-selective NSAIDS except when specifically indicated (i.e for patients at a particularly high risk of developing gastroduodenal ulceration or bleeding) and after assessing their cardiovascular risk.
Non-selective NSAIDs may also be associated with a small increased risk of thrombotic evens particularly when used at high doses and for long-term treatment. Diclofenac (150mg daily) and ibuprofen (2.4g daily) are associated with an increased risk of thrombotic events. The increased risk for diclofenac is similar to that of licensed doses of etoricoxib. Naproxen is associated with an increased risk of myocardial infarction. A small increased thrombotic risk cannot be excluded for other NSAIDs.
The lowest effective dose of NSAID or COX-2 selective inhibitor should be prescribed for the shortest period to control symptoms and that the need for long-term treatment should be reviewed periodically.

Piroxicam
The CHMP has recommended restrictions on the use of piroxicam because of the increased risk of gastro-intestinal side effects and serious skin reactions. The CHMP has advised that
Piroxicam should be initiated only by physicians experienced in treating inflammatory or degenerative rheumatic diseases
Piroxicam should not be used as first-line treatment
In adults, use of piroxicam should be limited only to the symptomatic relief of osteoarthritis, rheumatoid arthritis, and ankylosing spondylitis
Piroxicam dose should not exceed 20mg daily
Piroxicam should no longer be used for the treatment of acute painful and inflammatory conditions
Treatment should be reviewed 2 weeks after initiating piroxicam and periodicallt therafter
Concomitant administration of a gastro-protective agent should be considered
Topical preparations containing piroxicam are not affected by these restrictions

Tiaprofenic acid
May cause sever cystisis, stop treatment if symptoms occur.

Methotrexate
In view of reports of dycrasias (including fatalities) and liver cirrhosis with low-dose methotrexate, the CSM has advised:
Full blood count and renal and liver function tests before starting treatment and repeated weekly until theraphy stabilised, thereafter patients should be monitored every 2-3 months
That patients should be advised to report all symptoms and signs suggestive of infection, especially sore throat.
Treatment with folinic acid(calcium folinate) may be required in acute toxicity.

The patient must be warned to report immediately the onset of any feature of blood disorders (e.g sore throat, bruising, and mouth mulcers), liver toxicity (e.g nausea, vomiting, abdominal discomfort, and dark urine), and respiratory effects (e.g shortness of breath)

Co-cyprindiol
Venous thromboembolism occurs more frequently in women taking co-cyprindiol than those taking a low-dose combines oral contraceptive. The CSM has reminded prescribers that co-cyprindiol is licensed for use in women with severe acne which has not responded to oral antibacterials and for moderately severe hirsutism; it should not be used solely for contraception. It is contra-indicated in those with a personal or close family history of venous thromboembolism. Women with severe acne or hirsutism may have an inherently increased risk of cardiovascular disease.
Contra-indicated in pregnancy and a predisposition to thrombosis.

Congratulations to the RPSGB Preregistration students that passed this the prereg exam

Congratulations to the RPSGB Preregistration students that passed this the prereg exam

Friday was another day of results for RPSGB preregistration students in the UK. Another 272 people passed this Autumn exam. Congratulations for those that passed for the first time, and those taking it the second time, you must be relieved its all over. Now you can enjoy the rest of the year.

With the inclusion of new pharmacy schools in the uk the amount of new pharmacist available every year is increasing. How many pharmacists jobs are there actually in the UK?

What to do next
Now that you've passed the preregistration exam and soon be registered, what should you do next? Some of you may already have jobs lined up, if not here are some things you should consider:

1) Take a break
The pharmacy preregistration year is a though year, you work full time and have to study in the evenings. But guess what, being an actual pharmacist is more stressful, you'll be wondering if you made any mistakes every night. Take a break, organise yourself, your personal life, your finances ect. If you jump straight into a job you'll feel great for the first week cause you can give medicines out yourself, but after that you will wish for a break.

2) Get MUR certificate
For everyone that has just passed the RPSGB preregistration exam, you should try to get a certificate to allow you to do MUR's as soon as possible, get it out the way. Most employers and locum agencies want you to be able to do MUR's. If you do not have a MUR certificate this will decrease your chances of getting a job and locum jobs. Do it while all the prereg exam knowledge is still in your brain.

3) Locum
Register with a locum agency and get some experience. I know it may be scary cause your gonna be thrown in the deep end, but have confidence, be careful and get some experience. This is the best way to earn some money and get a whole load of experience. I personally went straight into a full time job after my prereg, I still haven't got any locuming experience cause I'm too knackered by the weekend, and feel it's too risky to work when your tired. So I recommend everyone to get some locum experience before you get locked in a job. One of the best things about being a qualified pharmacist is that if all goes wrong, you can locum.

MOH PHARMACY EXAM FOR OMAN

MOH PHARMACY EXAM FOR OMAN | PHARMACY JOBS FOR OMAN | OMAN PHARMACY JOBS | PHARMACIST EXAM FOR OMAN


For:B'pharm,D'pharm ie  pharmacist/assistant pharmacist

    * criteria for appearing in Oman ministry of health exam:

   1. Minimum Three years working experience,after completion of D'pharm/B'pharm
   2. Registration from pharmacy council,

DOCUMENTATION:

    * H.R.D (authentication of degree and diploma (university/ board) certificate,
    * H.R.D for H.S.C
    * experience certificate attestation from consulate,
    * Consulate attestation

PROCEDURE FOR H.R.D :(total three doc)
steps

NOTARY

HOME DEPARTMENT

PRE HRD

HRD

OMAN CONSULATE

PROCEDURE COMPLETE

pre HRD:verification form respective university/board.
consulate attestation can be done on xerox as well as on original.

Pharmacy jobs, Oman jobs, Pharmacy Tech

Pharmacy jobs, Oman jobs, Pharmacy Tech
For getting pharmacy jobs in oman you need to follow this process, Pharmacy Tech need to complete this process to apply the jobs in oman.

To see complete procedure of H.R.D plz see my previous posts.

Application Form for Authentication (H.R.D)
(Mumbai, M.S.)
Important Instructions: -

Only original certificates are authenticated,
No Xerox copies / True copies.
* Xerox copy of your Passport, Ration Card and Original Certificates with this
form.
* Two Passport size photograph
* Self Attested copies of all submitted document.
* If any column is not applicable. Write 'not applicable'
Only original certificates are authenticated, No Xerox copies / True copies.
* Authentication only for recognized course by recognized institution /
university.
* Furnishing wrong information / fake document is an offence total three parts.


Part – I
● Name of the person) Name of Father
● Name of Mother
● Male / Female
● Nationality
● D.O.B.
● Passport No. / Place of Issue
● Present Postal Address
● Permanent Postal Address
● Name and address of two responsible person in Applicant locality
● Detail of present employment i.e.
a) Designation b) Name & full address
● Purpose for which authentication is sought with country of destination
● Detail of original educational certificate S.S.C. / H.S.C. / Diploma / Degree


Part – II
For persons presenting form on behalf of candidate residing abroad / unable to come for presenting documents in person.
● Name
● Relationship with qualification holder
● Name of father and mother
● Residence address with Tel. Nos.
● Occupation and office address Telephone No. (Office)
Nationality
● Permanent address in home country
Passport Number
● Full name with signature


Part – III
Undertaking to be furnished by all …….
1) I solemnly declare that the document presented for authentication is original etc.
2) Submitted … _1234 etc…_ original certificates
====================================================================================

M.O.H Exam pattern Oman | Sample question paper for moh exam oman

Sample Question Paper for M O H Exam Oman (pattern) :


1) Drugs poisoning---------------------------Antidote
Eg.cyanide----------------------------------sodium thiosulphate
Heparin------------------------------protamine


2) Abbrivations
HRT -------------------------------hormone replacement therapy
TPN ----------------------------------- total parenteral neutrition


3) MCQs


● The drug suitable to treat hypertension in patients with diabetes mellitus and less interference with glucose tolerance. (free from unwanted effects in diabetes)
• A. Atenolol B. Metoprolol C. Captopril
● Amongst the beta blockers the drug having less interference with and more selective towards heart .
A. Propranolol . B Atenolol C. Metoprolol
• Treatment with ampicillin causes skin rashes in which of the following disease
A. Endocarditis (inflammation of the lining of the heart)
B. Renal insufficiency
C. Glandular fever
D. Typhoid
E. Urinary tract infections
• All of the above are side effects of progestin except
A. Weight gain B .Headache C. Fatigue D .Constipation
• Doxorubicin is used to treat
A. A variety of infections B. Gram positive infections C. Gram negative infections
D .Viral infections E.Carcinomas
• A drug lacking vasodilator properties that is useful in angina

A. Nitroglycerin B . Metoprolol C .Nifedipine D .Isosorbide dinitrate E. Diltiazem
• The antibiotic which acts by inhibiting protein synthesis
A. Cephalosporin (inhibiting bacterial cell wall, bactericidal)
B. Tetracycline (inhibiting protein synthesis, bacteriostatic)
C. Penicillin (inhibiting bacterial cell wall, bactericidal)
D. Actinomycin (anti cancer drug)
• The major disadvantage of the cimetidine is
A. Gyneacomastia
B. Recurrence of the disease if discontinue
C. Nausea, vomiting and diarrhea
D. Impotence
E. Nephrotoxicity
• Severe complications may occur if G6DP deficient patient will take the medicine
A. Fluvastatin
B. Primaquine
C. Erythromycin
D. Cough syrup

4) Short mechanism of action of drugs


5) Latin abbreviations eg bid, od bd etc
6) ORAL question.

PRC parmacist licensure examination results

The Professional Regulation Commission (PRC) announces that 481 out of 1091 passed the Pharmacist Licensure Examination given by the Board of Pharmacy in the cities of Manila, Baguio and Cebu this January 2010.

The members of the Board of Pharmacy who gave the licensure examination are Mr. Reynaldo Maxlito H. Umali, Chairman; Ms. Jennifer M. Flores and Ms. Marilyn M. Young-Tiu, Members.

The results were released in two (2) days after the last day of examination.

Registration for the issuance of Professional Identification Card (ID) and Certificate of Registration will start on Thursday, February 4, 2010 but not later than February 17, 2010. Those who will register are required to bring the following: duly accomplished Oath Form or Panunumpa ng Propesyonal, current Community Tax Certificate (cedula), 2 pieces passport size picture (colored with white background and complete name tag), 1 piece 1” x 1” picture (colored with white background and complete name tag), 2 sets of metered documentary stamps, and 1 short plastic envelope with name and profession; and to pay the Initial Registration Fee of P600 and Annual Registration Fee of P450 for 2010-2013. Successful examinees should personally register and sign in the Roster of Registered Professionals.

The oathtaking ceremony of the successful examinees in the said examination as well as the previous ones who have not taken their Oath of Professional will be held before the Board on Wednesday, February 24, 2010, at 1:30 in the afternoon at the Fiesta Pavilion, Manila Hotel, One Rizal Park, Roxas Boulevard, Manila.

Registration for membership with the Philippine Pharmacists Association (PPhA), Inc. will start on Thursday, February 4, 2010.

Selling of oathtaking tickets will be from February 4, 2010 until February 22, 2010 only at the PRC Extension Office located at the 2nd Floor, Ever Gotesco Mall, Recto, Manila.