The Department of Pharmacy Practice bridges Amrita School of
Pharmacy with Amrita hospital, a 1300 bed multi-specialty hospital
located in the same campus. It is a clinically oriented academic
department lo-cated in the hospital and provide excellent didactic and
experiential training necessary to become well-rounded practitioners.
The professional curriculum includes general, scientific, and patient
centered content that prepares pharmacy graduates to deliver efficient
and cost-effective pharmaceutical care. Department offers Master of
Pharmacy (M.Pharm) program in Pharmacy Practice and Doctor of Pharmacy
(Pharm D) program both regular and post baccalaurate (PB).
Subjects taught by the department at undergraduate (B-Pharm) level
include Hospital Pharmacy & Drug Store Management, Social and
Community Pharmacy and Clinical Pharmacy and Therapeutics.
Above subjects provide an understanding of the process involved in
providing primary healthcare, drug information and other clinical
pharmacy services in different practice environments. Subjects taught at
PG level include, Pharmacotherapeutics, Clinical Pharmacy, Clinical
Toxicology, Biopharmaceutics and Pharmacokinetics, Therapeutic Drug
Monitoring and Clinical Pharmacokinetics, Pharmacoeconomics,
Pharmacoepidemiology, Clinical Research and Hospital Pharmacy.
The faculty and students of the department of Pharmacy Practice work
in co-operation with physicians, nurses and other healthcare
professionals to ensure the provision of rational drug therapy and
provide direct patient care. The department provides services in various
clinical areas such as Internal Medicine, Cardiology, Gastro medicine
& Gastrointestinal Surgery and liver transplantation, Endocrinology,
Haematology and bone marrow transplantation, Neurology, Nephrology,
Oncology, Pulmonary Medicine, Pediatrics, Rheumatology, Stroke Medicine
etc.
Medication Therapy Management, Anticoagulation service, preparation
of IV admixtures of antibiotics and Chemotherapy Drugs etc. are
performed in addition to the active daily ward round participation. The
department is actively involved in Antibiotic Stewardship Program for
which AIMS hospital won the prestigious British Medical Journal award
(South Asia) in 2016.
The department has a well equipped drug information centre (DIC)
which is located in the AIMS hospital and is the primary site for
teaching drug information competencies including efficient retrieval
skills, critically analyzing information and accurate communication of
the appropriate response. The DIC has sufficient computers and drug
information resources like UpToDate® and Clinical Key®.
A patient counseling centre is functioning in the ground floor atrium
of AIMS hospital under the supervision and direct control of School of
Pharmacy and the department of Pharmacy Practice. Discharged patients
are counselled at the patient counselling centre. The patients discharge
summary is verified with the medical records available in the hospital
information system prior to counselling. In case of a medication error
being detected it is conveyed to the clinical pharmacist / nurse in
charge of the concerned department and he/she notifies it to the
respective doctor and gets rectified. The patient is counselled
regarding his/her disease, discharge medications, its storage and
required life style and dietary modifications.
Counseling is also given on general medication use; such as what to
do when a dose of drug is missed, importance of medication adherence
etc. The other clinical activities include:
- Conducting a complete patient interview, and patient’s medication history
- Medication reconciliation
- Review of drug therapy: Recognize and utilize relevant clinical and lab data to identify and resolve drug related problems.
- Provision of drug information on strength, availability of drug formulations, brand and their cost.
- Provision of drug information regarding empirical dosing of drugs in patients with impairment of renal or hepatic function.
- Provision of unbiased, up-to-date information on any aspect of drug use including those related to pregnancy and breast feeding
- Provide patient specific input regarding drug allergy.
- Ensure that reconstitution, dilution, stability, storage,
compatibility and administration of drugs are carried out appropriately.
- Monitor, evaluate and report adverse drug reactions (ADRs) and medication errors.
- Provide alert cards for selected patients who suffer from ADR or taking medications that require special warning/caution.
- Facilitate conversion of parenteral drugs to oral dosage forms when indicated.
- Active participation in physician rounds (General Medine, Stroke
Medicine, Paediatrics, Gastro- medicine, G I Surgey, Cardiology,
Oncology & Nephrology, Neurology, Endocrinology, Pulmonary Medicine
Departments) by giving patient specific inputs regarding drug therapy
Areas of Research: Clinical Pharmacy & Pharmacy Practice
This is an emerging area of pharmaceutical research in the Indian
scenario. With the multiplying number of diseases and newer and newer
medicines coming to the market, the role of a pharmacist in patient care
is becoming inevitable
The school has an active clinical pharmacy faculty team who work in
collaboration with the clinicians for improved patient care as well as
for clinical research in improving patient outcomes.
Some of the keen areas of research are clinical pharmacist’s
intervention to improve medication adherence and overall quality of life
in patients with chronic diseases like rheumatoid arthritis, epilepsy,
migraine, diabetes, and hypertension, drug usage evaluation studies in
diabetes mellitus and rheumatoid arthritis, study of various drug
related problems including adverse drug reactions, medication error and
drug interactions, studies on clinical pharmacist’s role in patient
education for management of chronic illness like hypertension and stroke
(patients on warfarin) and impact of clinical pharmacist initiated
educational programmes regarding antibiotic reconstitution, storage,
stability and incompatibility for nursing staff, study of
pharmacoeconomic aspects of treatment of chronic diseases and
comparative study of effectiveness and side effect profile of statins,
oral hypoglycemic agents and antihypertensives. Developmental studies on
newer markers of hepatotoxicity in rheumatoid arthritis patients who
are on methotrexate and implementation of pediatric drug information
software are also ongoing.
Collaborative research is also being undertaken to mitigate
chemotherapy induced nausea and vomiting and improve quality of life of
cancer patients, development and assessment of a software for improving
anticoagulation stewardship, use of colistin in multidrug resistant
urinary tract infections, and influence of genetic variation on
incidence of haematological toxicities of thiopurine drugs and impact of
antibiotic stewardship in promoting rational use of antibiotics in the
hospital.
During the last three years (2015-2017), the department has
contributed to the publication of over sixty research papers in Scopus
indexed journals.