Back to Top
  • We are Certified Personal Trainer’s

  • Do Work That Aligns with your Heart

  • A Fresh Approach To Health & Life


25 September is World Pharmacist Day 2021

25_September_is_World_Pharmacist_Day_2021

Like every year, 'World Pharmacist Day' is being celebrated in different countries of the world in Bangladesh. In continuation of this, "Bangladesh Diploma Pharmacists Association" celebrated the day on 25th September through meetings, gatherings, seminars and various public awareness activities on the premises of the Department of Medicine Administration.

Speakers at the pre-assembly rally said that this issue needs to be given high importance immediately if state management is to be sustainable and secure.

The speakers said that if it is not possible to prevent counterfeit adulteration of medicines, maintain quality and ensure supervision at all levels, the aspiration of sustainable healthcare will remain unfulfilled and the country and the nation will suffer immensely.

The speakers demanded the appointment of pharmacists in the top positions of medicine administration with adequate bachelor's and diploma pharmacists at government and private levels to ensure safe and affordable availability of medicines to the public.

Masuk Hossain Chowdhury and Palash Das presided over the function while Nasir Ahmed Ratan, Mahmudul Haque Liton, Zahir Uddin Kajal, Mizanur Rahman, SM Jasim Uddin and others spoke. Later, a colorful rally was held around Mohakhali Health Complex. The rally was inaugurated by Dr. Um Umme Aziz Nasima Khandaker, Principal and Director, Institute of Health Technology, Dhaka.

Pharmacy: ‘Always trusted for your health’. Here the pharmacist profession is referred to as a faithful friend of a patient or customer.

Some common questions about the Covid-19 vaccine

Some-common-questions-about-the-Covid-19-vaccine

Various questions and answers related to registration, next steps, receipt of SMS message, receipt of vaccine card, vaccination center, time of vaccination, dose of vaccine, receipt of final certificate etc. can be found in the following section.

Frequently Asked Questions about Covid-19 Corona Vaccine

What to do if OTP is not received at the last step of the registration process?
You can resend OTP. If you unfortunately close the OTP providing screen, can re-register.

If I want to register for Covid-19 coronavirus vaccine, how do I register online?
You can register by logging on to www.surokkha.gov.bd web portal or by downloading the “Surokkha” app from Google Play Store. See "Manual" on the web portal for details.

I have registered for the vaccine online, what should I do next?
Download Vaccine Card from www.surokkha.gov.bd web portal. Later, the date and center of the vaccine will be informed via SMS on the mobile phone.

How to check the Registration status for Covid-19 vaccine online?
You can know the status of registration by verifying the national identity card and mobile number from the "Registration Status" menu on the web portal www.surokkha.gov.bd.

How can I get a vaccine card for receiving the Covid-19 vaccine?
You can Download Vaccine Card by verifying National Identity Card and Mobile Number from the "Vaccine Card Download" menu at www.surokkha.gov.bd

How do I know the center and date for receiving the vaccine?
After the successful registration for the vaccine, the date and center of the vaccine will be informed via SMS on the mobile phone at a later time.

How many doses of Covid-19 vaccine should be taken?
Two doses of Covid-19 vaccine should be taken.

How can I get a vaccine certificate after completion of Covid-19 vaccine?
After completion of two doses of Covid-19 vaccine, you can collect the vaccine certificate by verifying the national identity card and mobile number from the "Vaccine Certificate Download" menu at the web portal www.suraksha.gov.bd

Who can receive Covid-19 vaccine?
According to the National Covid-19 immunization and action plan, everyone will be vaccinated according to the priority list.

Someone asked, my grandfather is 70 years old but can't get out of bed as paralyzed, how can my grandfather get vaccinated?
Covid-19 immunization activities are service based, so the intended person has to come to the immunization center and get vaccinated.

Who cannot be vaccinated in this campaign?
Covid vaccine cannot be given to any person other than the target population of the registered / included in the line listing. Pregnant mothers and lactating mothers, under 18 years of age, sick and hospitalized, need to request a vaccination from the designated immunization center as advised by the doctor. Vaccination cannot be done against the will of the person.

One asked, will a pregnant woman get this vaccine?
Pregnant women will not be given Covid-19 vaccine for the time being.

NID card is lost, how do I register?
This Covid-19 vaccine will be brought under online registration through National Identity Card. The Covid-19 vaccine will be given to everyone in phases. So come next with an NID or National Identity Card.

No vaccination card has been brought, no information can be seen on the mobile; What to do now?
The vaccinator will ask him to reprint the card and bring it back

Earlier affected by Covid-19 and recovered after treatment, can I get Covid-19 vaccine?
Covid-19 vaccine will be given if listed on priority basis.

28 years old, 5 months pregnant. She works at Covid Hospital; Will Covid-19 get vaccinated?
As the effect of Covid-19 vaccine on pregnant women is not confirmed, pregnant women will not be given Covid-19 vaccine for the time being.

A frontline worker goes home every day after work. So will everyone at home get this vaccine?
Vaccination will be given only on the basis of priority list.

If a person from another center / area comes to get vaccinated during vaccination, can he be vaccinated?
If he/she is included in the list, then he/she can be vaccinated. The vaccinator must update online.

I have to take pressure medicine every day; Can I be vaccinated?
Covid-19 vaccine will be given if listed on priority basis.

I had a heart operation 15 days ago; Can I be vaccinated?
Covid-19 vaccine will be given if healthy and enrolled on priority basis.

Does this vaccine have any side effects?
Like all other medicines or vaccines, this vaccine has the potential for some side effects. However, in most cases, they are very mild, such as pain, swelling, redness at the injection site, muscle and joint pain, weakness, nausea, fever, fatigue etc. No serious side effects have been reported so far, according to clinical trials. However, if you have any problem, you must go to the nearest hospital immediately and seek the advice of a doctor.

Information: www.surokkha.gov.bd

WORLD PHARMACISTS DAY 2021: PHARMACY- ALWAYS TRUSTED FOR YOUR HEALTH

Pharmacy:-Always-trusted-for-your-health

World Pharmacist Day is celebrated on September 25 every year. The theme of this year's World Pharmacist's Day is Pharmacy: Always trusted for your health”.

The Covid-1 epidemic has provoked epidemics and infodemic mistrust around it. The trust barometer has seen that distrust of social leaders has increased and distrust on all data sources is at record highs.
In times of uncertainty and when vaccine hesitation becomes a major obstacle, public confidence in pharmacy is more important than ever.

Trust requires three elements: positive relationships, competence, and consistency.

World Pharmacist Day 2021
Positive Relationships It takes time to listen to our real interest in our patients and their needs, as well as our extra efforts during the Covid-1 epidemic to help us make meaningful connections and build positive relationships.

Eligibility We usually complete a four-year Masters of Pharmacy degree or doctorate in pharmacy, followed by a pre-registration year/internship. Once registered, we receive lifelong learning or subsequent training to become more specialized.

Compatibility As the most accessible healthcare provider in many parts of the world, working on-premises that work longer than other healthcare facilities, we and our pharmacy are able to demonstrate our expertise and care.

Many patient-pharmacist relationships are based on beliefs built over time. People believe in our advice. They believe in maintaining our privacy. More and more governments are trusting us to provide a wide range of other services, such as vaccines and testing. The healthcare system trusts us to find solutions to the lack of trust. There are many more examples.

Superbugs are coming

Superbugs-are-coming

We all love Superman. For, with supernatural powers, Superman appears as a savior for the welfare of mankind. There are such superbugs in the germ world as well. But they are not benevolent, but destructive. Not only that, scientists are speculating that this superbug is going to become the biggest enemy of man in the coming days. And with that, the weapons of war are running out very fast.

What is this superbug? Superbugs are germs against which conventional antibiotics do not work. That is, because of one of these properties, the bacterium has the ability to survive in the vast majority of antibiotics. These superbugs can be viruses, bacteria, fungi or parasitic protozoa. Any type of germ can develop resistance to this drug. As a result, it could turn into a destructive force, which we do not have the tools to destroy. But how did a common germ become a superbug? To understand that, you first need to know how antibiotics kill bacteria.

In 1926, the Scottish physician Alexander Fleming almost accidentally discovered antibiotics. He noted that when mold juice made from a fungus called Penicillium notatum was added to the culture plate of Staphylococcus bacteria, the bacteria could no longer reproduce. Not only that, this juice has been able to create a bacteria-free zone on the culture plate. He named this thing penicillin. In this way, antibiotics became the biggest human tool against germs. For this discovery, Fleming was knighted in 1944 and awarded the Nobel Prize in 1945.

In the following years, more antibiotics were discovered along the path shown by him. These antibiotics basically work in two ways. Some kill the bacteria by destroying the cell wall, while others prevent the DNA from dividing by blocking its metabolism even though it cannot kill the bacteria. As a result, the bacteria can no longer reproduce. Prior to the discovery of antibiotics, human deaths at the hands of pathogens were common. Cholera, diarrhea, plague, wounds, pneumonia, etc. would have devastated the town. One antibiotic discovery after another began to eradicate these infectious diseases. Human lifespan begins to increase. People are starting to win against the germ world.

On the other hand, the enemy is not sitting still. Germs also secretly prepare to resist. They change the structure and nature of their cells by causing mutations in their chromosomes. As a result, antibiotics lose their effectiveness. This is called antibiotic resistance. Most importantly, these germs can transfer these genes to future generations. As a result, the mutation is carried in the next generation of bacteria. They became stronger, more irresistible. Sometimes they produce enzymes that destroy the antibiotic in the body, sometimes they alter the protein binding site where the antibiotic will work, sometimes they alter their own metabolism, and sometimes they have the ability to push the antibiotic out of the body. This is how they become superbugs or powerful germs.

The widespread misuse of antibiotics in human society and on livestock farms is helping to increase the power of superbugs. One antibiotic after another is losing its effectiveness. The discovery of any new type of antibiotic has been stopped for many years. As a result, we are going back to the past, when we had no supplies to fight the germs. Medical scientists fear that a sure and miserable defeat is waiting for us in the hands of these superbugs.

Hydroxychloroquine Sulphate: Uses, Dosage, Side Effects

Generic Name
Hydroxychloroquine Sulphate
Therapeutic Class: Anti-malarial drugs, Disease-modifying antirheumatic drugs (DMARDs), Drugs used for Rheumatoid Arthritis

Indications:
Hydroxychloroquine Sulphate is indicated in-
  • Acute and chronic rheumatoid arthritis
  • Systemic Lupus Erythematosus (SLE)
  • Malaria
Description:
Hydroxychloroquine Sulphate synthetically produced version of quinine. It acts as an immunosuppressant by inhibiting the production of rheumatoid and acute phase reactants. It also accumulates in white blood cells, stabilizing lysosomal membranes and inhibiting the activity of many enzymes, including collagenase and the proteases that cause cartilage breakdown. It also acts by disrupting the cell walls of infected red blood cells and kills the developing parasites.

Dosage & Administration:
Hydroxychloroquine Sulphate tablets are for oral administration and are taken with food to avoid stomach upset.
Acute and chronic rheumatoid arthritis: 400 to 600 mg daily. When a good response is obtained (usually 4 to 8 weeks), the dose can be reduced to 50%.
Systemic Lupus Erythematosus (SLE): 400 mg once or twice daily for several weeks or months depending on the response of the patients. The maintenance dose is 200 to 400 mg daily.
Malaria: In adults, an initial dose of 800 mg followed by 400 mg in 6-8 hours and 400 mg on each of two consecutive days. For children, a total dose representing 25 mg/kg is administered in 3 days as follows.
  • First dose: 10 mg base/kg (but not exceeding a single dose of 620 mg base).
  • Second dose: 5 mg base/kg (but not exceeding a single dose of 310 mg base) 6 hours after the first dose.
  • Third dose: 5 mg base/kg 18 hours after the second dose.
  • Fourth dose: 5 mg base/kg 24 hours after the third dose.
Side Effects:
Generally, Hydroxychloroquine Sulphate is well tolerated. However, few side effects like nausea, vomiting, stomach upset, loss of appetite, diarrhea, tiredness, weakness, or headache, and the visual problem may occur the first several days.

Pregnancy & Lactation:
During pregnancy, this drug should be used only if clearly needed. Since small amounts of this medication are found in breast milk consult your doctor before medication.

Precautions & Warnings:
Children are especially sensitive to the 4-aminoquinoline compounds. Patients should be strongly warned to keep these drugs out of the reach of children. The ophthalmologic examination requires in every 12 months.

Overdose:
Symptoms of an overdose consist of headache, drowsiness, visual disturbances, cardiovascular collapse, and convulsions, followed by sudden and early respiratory and cardiac arrest. Gastric lavage until the stomach is completely emptied.

Storage:
Store below 30° C.

Hydroquinone + sunscreen: Uses, Dosage, Side Effects

Generic Name
Hydroquinone + sunscreen
Therapeutic Class: Skin

Indications:
Hydroquinone is indicated -
  • For the gradual bleaching of hyperpigmented skin conditions such as chloasma, melasma, freckles, senile lentigines, and other unwanted areas of melanin hyperpigmentation.
  • To reduce hyperpigmentation caused by photosensitization associated with inflammation or with the use of certain cosmetics.
Presentation:
Hydroquinone + sunscreen Cream: Each gram cream contains Hydroquinone BP 40 mg, Octyldimethyl P-aminobenzoate USP 80 mg, Dioxybenzone USP 30 mg, and Oxybenzone USP 20 mg.

Description:
Hydroquinone is a skin bleaching agent. Topical application of hydroquinone produces a reversible depigmentation of skin by inhibition of the enzymetic oxidation of tyrosine to 3,4- dihydroxyphenylalanine (DOPA) and suppression of other melanocytes metabolic processes. Exposure to sunlight or ultraviolet light will cause repigmentation of bleaching areas which may be prevented by the broad-spectrum sunscreen agents contained in the Hydroquinone + sunscreen cream.

Dosage & Administration:
Hydroquinone should be applied to the affected area and rubbed in well twice daily or as directed by a physician. Most discolorations begin to lighten after 3 or 4 weeks of treatment but it may take longer. After desired bleaching, use only as needed to maintain results of treatment. After reduction of hyperpigmentation, use of sunscreen agents and/or protective clothing should continue on bleached skin to prevent repigmentation.
Use in children: Safety and efficacy in pediatric patients below the age of 12 years have not been established.

Interaction:
Peroxide: Concurrent use of peroxide may result in the transient dark staining of skin areas due to oxidation of hydroquinone.

Side Effects:
No systemic adverse reactions have been reported. Occasional hypersensitivity (localized contact dermatitis) may occur in which case the medication should be discontinued.

Precautions & Warnings:
Hydroquinone is a skin bleaching agent which may produce unwanted cosmetic effects if not used as directed. The physician should be familiar with the contents of this insert before prescribing or dispensing this medication.
Test for skin sensitivity before using by applying a small amount to an unbroken patch of skin to check in 24 hours. Minor redness is not a contraindication, but where there is itching or vesicle formation, or excessive inflammatory response, further treatment is not advised. If no bleaching or lightning effect is noted after 2 months of treatment, the medication should be discontinued.
Contact with the eyes and lips should be avoided. Hydroquinone should not be applied to cut or abraded skin.

Pregnancy & Lactation:
  • Pregnancy: It is not known whether hydroquinone can cause fetal harm when used topically on a pregnant woman or affect reproductive capacity. It is not known to what degree if any, topical hydroquinone is absorbed systemically. Topical hydroquinone should be used in pregnant women only when clearly indicated.
  • Lactation: It is not known whether topical hydroquinone is absorbed or excreted in human milk. Caution is advised when topical hydroquinone is used by a nursing mother.

Hydrocortisone: Uses, Dosage, Side Effects

Generic Name
Hydrocortisone
Therapeutic Class: Analgesic, Anti Inflammatory / Glucocorticoids

Indications:
Hydrocortisone is indicated for use in the following conditions:
  • Primary or secondary adrenocortical insufficiency
  • Acute adrenocortical insufficiency
  • Shock unresponsive to conventional therapy
  • Congenital adrenal hyperplasia
  • Hypercalcemia associated with cancer
  • Nonsuppurative thyroiditis
  • Rheumatic Disorders
  • Dermatologic Diseases (the Allergic States, Severe seborrheic dermatitis, Severe psoriasis, Pemphigus, Severe erythema multiforme)
  • Control of severe or incapacitating allergic conditions (Bronchial asthma, Contact dermatitis, Atopic dermatitis, Serum sickness, Seasonal or perennial allergic rhinitis, Drug hypersensitivity reactions, Urticarial transfusion reactions, Acute noninfectious laryngeal edema)
  • Ophthalmic Diseases (Herpes zoster ophthalmicus, Iritis, iridocyclitis, Chorioretinitis, Diffuse posterior uveitis and choroiditis, Optic neuritis)
  • Gastrointestinal Diseases
  • Fulminating or disseminated pulmonary tuberculosis when used concurrently with appropriate antituberculous chemotherapy
  • Loeffler's syndrome
  • Aspiration pneumonitis
  • Hematologic Disorders (Acquired, autoimmune hemolytic anemia, Idiopathic thrombocytopenic purpura in adults, Secondary thrombocytopenia, Erythroblastopenia)
  • Neoplastic Diseases (Leukemias and lymphomas in adults, Acute leukemia of childhood)
  • Edematous States
  • Acute exacerbations of multiple sclerosis
Presentation:
Hydrocortisone 10: Each tablet contains Hydrocortisone 10 mg.
Hydrocortisone 20: Each tablet contains Hydrocortisone 20 mg.
Hydrocortisone Injection: Each vial contains a sterile powder of Hydrocortisone sodium succinate USP equivalent to Hydrocortisone 100 mg.

Description:

Hydrocortisone inhibits prostaglandin synthesis by inhibiting the enzyme phospholipase A2. Hydrocortisone reduces various vasoactive agents released during inflammation. It also controls the rate of protein synthesis.

Dosage & Administration:
Tablet: The initial dosage of Hydrocortisone Tablets may vary from 20 mg to 240 mg of hydrocortisone per day depending on the specific disease entity being treated. In situations of less severity, lower doses will generally suffice, while in selected patients higher initial doses may be required. The initial dosage should be maintained or adjusted until a satisfactory response is noted. If after a reasonable period of time there is a lack of satisfactory clinical response, Hydrocortisone Tablets should be discontinued and the patient transferred to other appropriate therapy.

It should be emphasized that dosage requirements are variable and must be individualized on the basis of the disease under treatment and the response of the patients. After a favorable response is noted, the proper maintenance dosage should be determined by decreasing the initial drug dosage in small decrements at appropriate time intervals until the lowest dosage which will maintain an adequate clinical response. It should be kept in mind that constant monitoring is needed in regard to drug dosage. If, after long-term therapy, the drug is to be stopped, it is recommended that it be withdrawn gradually, rather than abruptly.

Injection:
Adult: By IM injection or slow IV injection or infusion. The initial dose of Hydrocortisone sterile powder is 100 mg to 500 mg, depending on the severity of the condition. This dose may be repeated at intervals of 2, 4, or 6 hours as indicated by the patient's response and clinical condition.
Children: By slow IV injection, up to 1 year 25 mg, 1-5 years 50 mg, 6-12 years 100 mg.

Interaction:
Drugs that induce hepatic enzymes such as Phenobarbital, Phenytoin, and Rifampin may increase the clearance of corticosteroids and may require increases in corticosteroid dose to achieve the desired response. Drugs such as Troleandomycin and Ketoconazole may inhibit the metabolism of corticosteroids and thus decrease their clearance. Therefore, the dose of corticosteroid should be titrated to avoid steroid toxicity.

Contraindications:
Hydrocortisone is contraindicated in severe systemic fungal infections and patients with known hypersensitivity to any component of this product.

Side Effects:
Hydrocortisone is generally well tolerated except in prolonged high doses. It may cause cardiac arrhythmia, esophageal candidiasis, menstrual irregularity, decreased carbohydrate & glucose tolerance, fluid retention, increased appetite, weight gain, euphoria, mood swings, depression, insomnia, acne, etc.

Pregnancy & Lactation:
This should be prescribed in pregnancy and lactation only if absolutely required.

Precautions & Warnings:
Hydrocortisone should be used with caution in patients with a history of peptic ulceration as it increases the incidence of peptic ulceration. This drug should be used with caution in patients with congestive heart failure, hypertension, glaucoma, diabetic Mellitus, and epilepsy.

Storage:
Keep below 30°C temperature, away from light & moisture. Keep out of the reach of children.