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Resource Guide for PharmacistsA SUPPLEMENT FOR PROFESSIONAL DEVELOPMENT

www.bcpharmacists.org

TABLE OF CONTENTSIntroductionAbout the Resource Guide Providing Pharmaceutical Care Overview of the Compendium of Pharmaceuticals and Specialties (CPS) 1 2 5

ResourcesAudio-Visual Resources Continuing Education Programs Disease Management Courses and Other Certifications Internet Sites Online Health Journals Presentation Resources Reference Texts Reference Texts - Suppliers/Distributors Resources for the Public Telephone Services for Pharmacists 9 11 13 17 24 26 28 33 35 37

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ABOUT THE RESOURCE GUIDEA clear, concise, easy-to-use resource guide for pharmacists to use in their daily practice As self-regulated professionals, pharmacists must respond to demands for increased accountability for lifelong learning and continuous professional development. Todays educated health care consumers are increasingly interested in the quality of care they receive from health care professionals. Consumer and government groups demand accountability. The public wants and deserves proof that we are maintaining our competence to practice throughout our careers, not just when we enter the profession. At the same time, the ability of pharmacists to continue to meet practice standards is being challenged by an expanding knowledge base, practice environment innovations and workplace issues such as new technology and increased workload. The purpose of this Resource Guide is to provide a reliable reference tool to assist pharmacists with learning and professional practice enhancement initiatives to: Ensure safe and effective pharmacy practice outcomes Promote continuous learning and professional development

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PROVIDING PHARMACEUTICAL CAREPharmaceutical CarePharmaceutical care is the responsible provision of drug therapy for the purpose of achieving definite outcomes that improve a patient's quality of life. These outcomes are to: Cure a disease, Eliminate or reduce a patients symptoms, Arrest or slow a disease process, or Prevent a disease or symptom(s) Pharmaceutical care involves the process through which a pharmacist collaborates directly with the patient or their caregiver and other professionals in designing, implementing, and monitoring a therapeutic plan that will produce specific therapeutic outcomes for the patient. This in turn involves three major functions: Identifying actual and potential drug-related problems, Resolving actual drug-related problems, and Preventing drug-related problems. Pharmaceutical care is a necessary element of health care and should be integrated with other elements. Pharmaceutical care is, however, provided for the direct benefit of the patient, and the pharmacist is responsible directly to the patient for the quality of that care. The fundamental relationship in pharmaceutical care is a mutually beneficial exchange in which the patient grants authority to the provider, and the provider gives competence and commitment (accepts responsibility) to the patient. The fundamental goals, processes, and relationships of pharmaceutical care exist regardless of the practice setting. 1 Hepler and Strand 1 proposed a systematic stepwise approach known as the pharmaceutical care process (see diagram below) to facilitate the provision of pharmaceutical care on a day-to-day basis.

1. Hepler, D.D. and Strand, L.M.: Opportunities and Responsibilities in Pharmaceutical Care. Am.J. Pharm.Educ. (1989); 53: 75-155.

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PROVIDING PHARMACEUTICAL CARE - contdThe Pharmaceutical Care Process is a patient-centered, outcomes oriented pharmacy practice whereby the pharmacist develops a therapeutic relationship with the patient, with the ultimate goal of optimizing the patients health-related quality of life and achieving positive therapeutic outcomes. To achieve this goal, the pharmacist must: 1. 2. 3. 4. 5. 6. 7. Develop a therapeutic relationship Interview the patient Integrate the patient information with knowledge to identify drug-related problems List and prioritize the drug-related problems identified Develop and implement a care plan to resolve actual and potential problems Provide the patient with the necessary education, intervention and monitoring plan Provide follow-up, document and assess for new problems

The Pharmaceutical Care Process is a continuous, dynamic process and intervention can occur at any step in the cycle. Each of these steps are described in further detail below: 1. Develop a therapeutic relationship The pharmacist must interact directly with the patient or their caregiver to ensure a relationship based upon caring, trust, open communication, cooperation and mutual decision-making is established and maintained. 2. Interview the patient Patient-specific medical information must be collected, organized, recorded and maintained as the basis for decision making and subsequent modification of drug therapy(ies). 3. Integrate the patient information with knowledge to identify drug-related problems Based on the information gathered, the pharmacist evaluates for actual or potential drug related problems. Taking into account the patient information, the pharmacist: Determines whether the patient has or is likely to develop problems with therapy Determines whether modifying the regimen is necessary 4. List and prioritize the drug-related problems identified The pharmacist documents the evaluation and actual or potential drug related problems in consultation with other health care providers, as necessary. Drug related problems can be classified into eight categories as follows:

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PROVIDING PHARMACEUTICAL CARE - contdDrug Related ProblemDrug Use Without Indication Untreated Indication

DescriptionThe patient is taking/receiving a drug for no medically valid reason (i.e. the patient does not need drug therapy) The patient needs pharmacotherapy but is not receiving it (i.e. is in need of drug therapy or needs additional drug therapy) The patient is taking/receiving the wrong drug (i.e. inappropriate for disease or other patient factors such as allergy, concomitant disease states which contraindicate the use of the drug) The patient is taking/receiving too little of the right drug The patient is taking/receiving too much of the right drug The patient is taking/receiving the drug inappropriately (i.e. noncompliance, wrong administration schedule/technique) The patient is experiencing an adverse drug reaction The patient is experiencing a drug interaction (i.e. drug-drug, drug-diet or drug-lab interaction)

Improper Drug Selection Sub-Therapeutic Dose Overdosage Inappropriate Drug Use Adverse Drug Reaction Drug Interaction

5. Develop and implement a care plan to resolve actual and potential problems Based on actual and/or potential drug-related problems identified, the pharmacist establishes a procedure to obtain information/data needed to monitor the patients progress to obtain the therapeutic objective. The procedure should include when and how the monitoring information/data will be collected and this plan is documented in the patient record. 6. Provide the patient with the necessary education, intervention and monitoring plan Based upon a thorough understanding of the patient, his/her condition or disease and its treatment, the pharmacist with the patient and other healthcare providers must develop an outcomes based care plan considering all aspects of the patients healthcare needs. The essential elements of the plan must be completely explained to the patient including any intervention and monitoring parameters at a level appropriate to their understanding. 7. Provide follow-up, document and assess for new problems The pharmacist is responsible for monitoring the patients progress in achieving the specific outcomes based on the care plan established. The pharmacist coordinates changes in the care plan with the patient or caregiver and other healthcare providers as necessary and appropriate, in order to maintain or enhance the safety and/or effectiveness of the therapy. Patient progress is accurately documented in the patient record and communicated to the patient and other healthcare providers, as needed.

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OVERVIEW OF THE COMPENDIUM OF PHARMACEUTICALS AND SPECIALTIES (CPS)OverviewThe CPS contains information on proprietary and nonproprietary products. Products are listed alphabetically by brand name. The CPS consists of several color-coded sections, making it easier to locate the section of interest. Each section focuses on a different area and the information and tables contained are well laid out and concise. The following is an overview of the various sections based on the 2003 edition of the CPS.

Product News (Peach Section)This section is divided into two sections: "The New and Revised Product Monographs" table contains information on new and revised product monographs that manufacturers have submitted since the release of the last edition. "Discontinued Products" table lists products that have been discontinued since the publication of the 2000, 2001 and 2002 editions as these products are no longer available on the market.

Brand and Generic Name Index (Green Section)This section of the CPS is an alphabetical listing of brand names and generic names of medication that are crossreferenced. Names in italics are generic names, Names in bold face and underlined indicate the availability of a detailed monograph, Names in bold face but not underlined indicate the availability of a shortened monograph.

Therapeutic Guide (Pink Section)The therapeutic categories and medications used in specific classes are listed alphabetically. Within the Therapeutic Category, drugs are further classified by therapeutic, pharmacological or chemical subheadings. All drugs are listed by their generic name. To find the corresponding brand name, refer to the Green Section of the CPS. When searching for a therapeutic category, check first in the therapeutic guide index at the beginning of the pink section to identify how the specific category is identified. This will facilitate your search of the appropriate category. This section is useful when searching for alternates to medications used in a specific therapeutic category. For example, if searching for an alternative product to timolol ophthalmic drops you would do the following: Go to the index of the therapeutic guide (pink pages) to locate eye preparations or ophthalmic preparations. You will note from the index that products are all located under the heading of ophthalmologicals. Next, go to the section under the head of ophthalmologicals and look under the sub-heading of Glaucoma Therapy, Ophthalmic Preparations. Under this subheading you will find another heading, Beta-blocking Agents where you will find three products listed (betaxolol, levobunolol and timolol).OF

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OVERVIEW OF THE COMPENDIUM OF PHARMACEUTICALS AND SPECIALTIES (CPS) contdProduct Identification Section (White Section)This section contains colour pictures of products including tablets, capsules and liquids.

Directory (Yellow Section)This section is further divided into three sections: Poison Control Centres which provides contact information for Poison Control Centres across Canada, arranged alphabetically by province/territory. Health Organizations which provides contact information for various health organizations that provide information for health professionals and/or consumers. The organizations are listed alphabetically by disease state or subject. Pharmaceutical Manufacturers/Distributors which provides contact information of manufacturers and Canadian distributors of pharmaceutical preparations listed in the CPS.

Clin-Info (Lilac Section)Following are highlights of some of the important Clin-Info sections. Dosing Tools: Body surface nomograms for adults and children

Clinical Monitoring Tools: Laboratory reference intervals Serum drug concentration monitoring Creatinine clearance formula Recommendations for serum drug concentration monitoring Conversion factors for serum drug concentrations

Management of Cardiac Arrest Drug Use Guides: Management of occupational exposure to blood borne pathogens Drug exposure during lactation Drug exposure during pregnancy Drugs in dentistry Bacterial endocarditis prevention Perioperative management of medications Routine immunization schedules for adults and infants and children

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OVERVIEW OF THE COMPENDIUM OF PHARMACEUTICALS AND SPECIALTIES (CPS) contdTherapeutic Summaries: Drugs and older individuals Hypertension prevention and control Malaria prevention

Drug Interactions: Cytochrome P450 drug interactions Drug administration and food Drug administration and grapefruit juice

Nutrient Requirements: Dietary supplementation Dietary reference intakes

Nonmedicinal Ingredients and Latex Content of Parenteral Products: Ethanol content of pharmaceuticals Gluten-containing pharmaceuticals Gluten-free drug manufacturers Lactose-containing pharmaceuticals Latex allergy and parenteral products Sulfite-containing pharmaceuticals Tartrazine-containing pharmaceuticals Tartrazine-free drug manufacturers

Index for the Clin-Info Section

Information for the Patient (Blue Section)This section contains detailed Information for the Patient monographs of various drugs for health professionals to use in keeping their patients informed. This practical information guide is well laid out, in language that is easy to understand.

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OVERVIEW OF THE COMPENDIUM OF PHARMACEUTICALS AND SPECIALTIES (CPS) contdMonographs (White section)As pharmacists, this section is the one used most frequently. Each monograph is broken down into standard sections, which include the following: Pharmacology Indications Contraindications Warnings Precautions Drug Interactions Adverse Effects Overdose Dosage Information for the Patient Supplied

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AUDIO-VISUAL RESOURCESResources for PharmacistsFramework of Professional Practice VideoThe College of Pharmacists of BC has prepared a video outlining the key aims of the Framework of Professional Practice. Role 1 - Provide pharmaceutical care Role 2 - Produce and distribute drug preparations and products Role 3 - Contribute to the effective operation of the pharmacy Role 4 - Maintain professional development and contribute to the professional development of others Role 5 - Contribute to the effectiveness of the health care system. Pharmacists from both community and hospital practice share the means through which they incorporate the above key roles into their area of practice.

Videotape LibraryThe College of Pharmacists of BC maintains a videotape library at their office. Pharmacists interested in finding out more about these resources can contact the College of Pharmacists at: Telephone: 604.733.2440 or 800.663.1940 E-mail: [email protected]

Prescription for Success: Communication Skills for Pharmacists (developed by Vancouver Community College)This resource is designed for non-native English speakers who wish to enhance their English vocabulary and communication skills in relation to pharmacy practice. Materials include a workbook and video. In order to provide pharmaceutical care, skills to enhance communication skills are emphasized. Part 1: Development of skills including paraphrasing, clarifying and non-verbal communication techniques Part 2: Development of close listening and note-taking skills. Contact the Open Learning Agency Marketing Department for further information (Product code CPUB178M). Telephone: 604.431.3210 or 800.663.1653 Facsimile: 604.431.3381 E-mail: [email protected] Website: www.ola.bc.ca (additional ESL resources)

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AUDIO-VISUAL RESOURCES contdiPharmacistiPharmacist is a practice enhancement program sponsored by Apotex. Using the hand held Palm, Apotex has configured a set of practice enhancement tools that will give pharmacists access to information databases. These include: Lexi-5MCC (Griffith's 5-Minute Clinical Consult) Lexi-Drugs Platinum (Drug Database) Lexi-Infectious Diseases Lexi-Interact (Drug Interaction Database) Lexi-Natural Products (Herbal Reference Guide) Pediatric Lexi-Drugs (Pediatric Dosage Handbook)

Contact your local Apotex representative for more information. Website: www.Apotex.com

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CONTINUING EDUCATION PROGRAMSContinuing Education is important in the continuous professional development and life long learning of a pharmacist. With new products constantly appearing on the market, new indications for existing products and conflicting information emerging from various sources, continuing education enables the pharmacist to remain progressive and self-informed in order to provide optimal care for their patients.

UBC Continuing Pharmacy EducationUBC Continuing Pharmacy Education (UBC-CPE) program brochures and Calendar of Events are mailed to every licensed pharmacist in BC. Program information (conferences, workshops, seminars, correspondence courses, web-based, etc.) and activity information (study groups, small-group learning activities, on-line discussion forum, etc.) are available on the UBC-CPE website at www.ubcpharmacy.org/cpe. Programs offered through the department of UBC-CPE are accredited. Guidelines for accreditation can be viewed at www.cccep.org.

Other Continuing Education programs:American College of Clinical Pharmacy www.accp.com American Society of health System Pharmacists www.ashp.com/public/ceonline/index.html Board of Pharmaceutical Specialties www.bpsweb.org Continuing Medical Education UBC www.cme.med.ubc.ca/scripts/index Continuing Pharmacy Education HELIX (Glaxo Welcome) www.helix.com Continuing Pharmacy Education University of Alberta www.pharmacy.ualberta.ca/ContEd/home.htm Continuing Education Ontario College of Pharmacists www.ocpinfo.com Inet Continuing Education www.inetce.org Online Continuing Pharmacy Education - Powerpak www.powerpak.com Pharmacists Guide to the Internet - Altimed www.pharmacyconnects.com

The BC Pharmacy Association (BCPhA)BCPhA hosts a twice yearly all day CE program. At these sessions, specialists in their related fields are invited to provide the latest information on topics that are pertinent to the profession. Telephone: 604.261.2092 Website: www.bcpharmacy.ca

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CONTINUING EDUCATION PROGRAMS contdCanadian Society of Hospital Pharmacists (CSHP)CSHP provides professional development programs for pharmacists in hospital practice and also offers programs of interest to consultant and community pharmacists. CSHP (BC Chapter): www.cshp-bc.com CSHP (National): www.cshp.ca

Canadian College of Clinical Pharmacy (CCCP)CCCP, a chapter of the American College of Clinical Pharmacy (ACCP), offers online education programs on the ACCP website. Website: www.accp.com

National Association of Provincial Regulatory Authorities (NAPRA)NAPRA offers various professional development resources. Website: www.napra.org

Apotex CE EssentialsThe CE essentials program is comprised of live workshops, print-based self-study and web formats. The topics for these accredited programs range from hypertension to breast cancer to arthritis. The live workshops run in over 60 locations across Canada. The series of self-study continuing education programs for pharmacists are offered as a quarterly subscription mailed directly to pharmacists. Each program provides a concise overview of the most current treatment options for a specific therapeutic area and is accredited by the Canadian Council on Continuing Education in Pharmacy (CCCEP) for 2.5 CEUs. The self-study programs are available to pharmacists in an expanded online version. Contact your local Apotex representative for more information. Website: www.apotex.com

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DISEASE MANAGEMENT COURSES AND OTHER CERTIFICATIONSMany pharmacists in British Columbia have already completed specialty programs in the fields of asthma, diabetes, compounding and home health care. Pharmacists are in an ideal position to raise awareness of health issues in the community and as the practice of pharmacy evolves, many pharmacists are incorporating speciality areas in their practices. The following contacts are provided to help interested pharmacists to pursue further education in their areas of interest and provide individualized services for their patients.

AsthmaAsthma Educator CertificationThe Canadian Network for Asthma Care (CNAC) currently administers the Asthma Educator Certification examination. A prerequisite prior to certification is the completion of a CNAC approved educator course; see below for courses that apply to BC pharmacists. Website www.cnac.net/english/certification.html. AsthmaTrec - Professional Asthma Training and Educator Course of the British Columbia Lung Association. British Columbia Lung Association 2675 Oak Street Vancouver, BC V6H 2K2 Telephone: 604.731.5864 Facsimile: 604.731.5810 Website: www.lung.ca/asthmatrec/asthmatrec.html Board of Pharmaceutical Specialties (BPS) Website: www.bpsweb.org Michener Institute for Applied Health Sciences Asthma Educator Program, Toronto. Website: www.michener.ca National Asthma & Respiratory Training Centre, Diploma in Asthma Care, Warwick England. Further information can be found at the Centre. Website www.nartc.org.uk UCC/ProCAM Online is an Online Asthma Educators Program developed by the University College of the Cariboo and the University of Alberta. Website: www.cariboo.bc.ca/schs/DIST_ED/ASTHMA/Asthma_Ed.HTM

Upon completion of one of these programs, applicants must sit for the Certification Examination. Information regarding the pre-study package content, examination costs and examination requirements can all be found at the CNAC website or telephone 416.224.9221

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DISEASE MANAGEMENT COURSES AND OTHER CERTIFICATIONS contdCanadian Clinical GuidelinesThese guidelines may be accessed through the Canadian Medical Association (CMA) Infobase at www.mdm.ca/cpgsnew/cpgs/index.asp under Asthma. Full-text is available in PDF format.

Patient ContactsAsthma Society of Canada Toll-free: 800.787.3880 www.asthma.ca BC Lung Association 2675 Oak Street, Vancouver BC, V6H 2K2 Telephone: 604.731.5864 or Toll-free in BC 800.665.5864 Facsimile: 604.731.5810

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DISEASE MANAGEMENT COURSES AND OTHER CERTIFICATIONS contdDiabetesDiabetes Educator CertificationThe Canadian Diabetes Education Certification Board (CDECB) has information for pharmacists interested in becoming diabetes educators at www.cdecb.ca. Diabetes educators who wish to be certified must apply to the Canadian Diabetes Educator Certification Board (CDECB) to ensure that they have the credentials and minimum requirements to write the exam. A handbook containing information about writing the exam and application form is available. Telephone: 905.838.4898 E-mail: [email protected]

Canadian Clinical GuidelinesThese guidelines may be accessed through the Canadian Medical Association (CMA) Infobase at www.mdm.ca/cpgsnew/cpgs/index.asp under Diabetes. Full-text is available in PDF format.

Canadian Diabetes Association website: www.diabetes.caThis website is one of the most comprehensive diabetes websites for Canadian health professionals. The site has a section specifically for health professionals that includes clinical practice guidelines and the glycemic index.

Novopharm: Reach Community Care Guide for the PharmacistThis kit is intended for pharmacists interested in making presentations to the public. One of the featured topics is diabetes. Materials include a pharmacist review guide, colour overheads, and a patient information sheet. For orders, please contact: Mr. Menno Froese Professional Affairs Contact Novopharm Telephone: 800.268.4127 Cellular: 604.557.6136 E-mail: [email protected]

Patient ContactsCanadian Diabetes Association (CDA), BC/Yukon Division 360-1385 West 8th Avenue, Vancouver, BC V6H 3V9 Telephone: 604.732.1331 or the Diabetic Resource Centre at 604.732.4636 Toll-free in BC: 800.268.4656 The CDA is a voluntary organization involved in the care and control of diabetes. The association focuses on public awareness, education and supports research efforts. Services include a traveling nurse educator, support groups, educational materials as well as a newsletter. Eli Lilly This website, designed for diabetic patients and caregivers, provides information on diabetes, diabetes products and management, nutrition and additional patient resources. Website: www.lillydiabetes.comCOLLEGEOF

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DISEASE MANAGEMENT COURSES AND OTHER CERTIFICATIONS contdCommission for Certification in Geriatric Pharmacy (CCGP)The CCGP has established a national voluntary certification program for pharmacists. The main focus of this certification program is Geriatric Pharmacy Practice. As part of this process, a written exam was developed (150 multiple choice questions, 3 hour duration) that candidates must pass to become a certified practitioner. A pharmacist who is certified in this field will receive the designation of Certified Geriatric Pharmacist (CGP). To become certified, registrants are expected to become familiar with the principles of geriatric drug therapy and the specific provision of pharmaceutical care to the geriatric population. Exams are held annually in April in several North American cities including Toronto and Seattle. To request a candidate handbook or to view general exam content, go to www.ccgp.org or call 703.535.3038 in Virginia.

Emergency Contraception Provider Program (ECP)Specially trained and registered pharmacists are allowed to independently prescribe emergency contraception (EC) in British Columbia. Pharmacists interested in providing Emergency Contraception under the program must receive ECP Provider training from the British Columbia Pharmacy Association and be certified with the College of Pharmacists of BC. The day provider training session covers patient care issues including documentation and referral, PharmaNet/drug benefit issues and commonly asked questions. Contact the BCPhA at 604.261.2092 or 800.663.2840 or go to www.bcpharmacy.ca.

Specialty CompoundingProfessional Compounding Centers of America (PCCA) provides independent pharmacists with a complete support system for compounding unique dosage forms. PCCA provides all of the bulk pharmaceuticals, equipment, devices, flavours, American Council on Pharmaceutical Education (ACPE)-accredited training classes and seminars, marketing support and technical consulting assistance needed to help pharmacists build successful compounding practices. PCCA provides ACPE-accredited Primary and Aseptic Compounding courses in its in-house training laboratories. These hands-on courses provide pharmacists and their pharmacy technicians with a forum for learning the latest innovations in compounding unique dosage forms. In addition, the curriculum includes discussion of quality and safety procedures; legal issues and marketing technique. For more information about the program, course schedules, or seminar schedules, go to www.pccarx.com

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INTERNET SITESThe internet has become a valuable resource for healthcare professionals. Websites can be evaluated using the following criteria to assist with determining the accuracy and reliability of the info: Website design is easy to read and to navigate Website content is peer-reviewed and well referenced Illustrations are used, where possible, to explain difficult concepts Information is regularly updated for accuracy Website is from a reputable organization, association Little, if any, professional bias is shown towards particular products Extensive links to other reputable sites or web databases are present

There are too many sites available to provide an exhaustive list; a selection of reputable and useful sites are listed below.

Search Engines Altavista www.altavista.com Google www.google.com Yahoo www.yahoo.com

Medical Literature Databases MEDLINE www.medlineplus.gov PubMed www.ncbi.nlm.nih.gov/entrez/query.fcgi

Alternative Medicine Complementary and Alternative Medicine on PubMed www.nlm.nih.gov/nccam/camonpubmed.html Herbal Materia Medica www.healthy.net/clinic/therapy/herbal/herbic/herbs/index.html Longwood Herbal Task Force www.mcp.edu/herbal Medical Herbalism www.medherb.com National Centre for Complementary and Alternative Medicine www.nccam.nih.gov

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INTERNET SITES contd Natural Medicines Comprehensive Database www.naturaldatabase.com Phytomedical and Ethnobotanical Databases www.ars-grin.gov/duke Quackwatch www.quackwatch.com Rx List The Internet Drug Index www.rxlist.com The Natural Pharmacist www.tnp.com US Office of Dietary Supplements www.dietary-supplements.info.nih.gov/

Disease StatesAIDS BC Persons with AIDS Society www.bcpwa.org/ Canadian Aids Society www.cdnaids.ca/ Centre for Excellence www.cfeweb.hivnet.ubc.ca Allergies Canadian Lung Association www.lung.ca Canadian Centre for Occupational Health and Safety www.ccohs.ca Canadian Society of Allergy and Clinical Immunology www.csaci.medical.org Arthritis Arthritis Foundation www.arthritis.org Canadian Arthritis Society www.arthritis.ca Canadian Health Network www.canadian-health-network.ca

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INTERNET SITES contdAsthma Asthma Educator Site www.asthmaeducator.ca Asthma Society of Canada www.asthma.ca Canadian Asthma Guidelines www.asthmaguidelines.com Cancer British Columbia Cancer Agency www.bccancer.bc.ca Canadian Cancer Society www.cancer.ca Canadian Hospice Palliative Care Association www.chpca.net/home.htm International Society of Oncology Pharmacy Practitioners www.isopp.net Depression Canadian Health Network www.canadian-health-network.ca/1mental_health.html Canadian Network for Mood and Anxiety Disorders www.canmat.org College of Psychiatric and Neurologic Pharmacists www.cpnp.net Health Canada www.hc-sc.gc.ca/hppb/mentalhealth Diabetes American Diabetes Association www.diabetes.org Canadian Diabetes Association www.diabetes.ca Juvenile Diabetes Research Foundation www.jdrf.ca

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INTERNET SITES contdHypertension/Dyslipidemia American Heart Association www.americanheart.org Canadian Cardiovascular Society www.ccs.ca Canadian Coalition for High Blood Pressure Prevention www.canadianbpcoalition.org Canadian Hypertension Society www.chs.md Healthy Heart Program St. Pauls Hospital www.healthyheart.org Heart and Stroke Foundation www.heartandstroke.ca Pregnancy Motherisk www.motherisk.org

Drug/Medical Information American College of Physicians (ACP) Journal Club www.acpjc.org British Columbia Cancer Agency www.bccancer.bc.ca Clinical Pharmacology On-Line www.cponline.gsm.com Cytochrome P450 Interactions www.drug-interactions.com Journal of Family Practice www.jfampract.com MD Consult www.mdconsult.com Medscape www.medscape.com RX List The Internet Drug Index www.rxlist.com Saskatchewan Drug Info www.sdh.sk.ca/rxfiles Therapeutics Initiative www.ti.ubc.ca

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INTERNET SITES contd Virtual Hospital www.vh.org WebMed Lit www.ovid.com/site/index.jsp

General Medical Conditions/Disease States BC Ministry of Health Chronic Disease Management www.healthservices.gov.bc.ca/cdm Centers for Disease Control Atlanta www.cdc.gov Centers for Disease Control British Columbia www.bccdc.org Dermatology On-Line Atlas (DOIA) www.dermis.net/bilddb/index_e.htm Dynamed Medical Literature Reference www.dynamicmedical.com Emergency Medicine On-Line www.emedicine.com/emerg/index.shtml Merck Manual of Diagnosis and Therapy www.merck.com Prevention Source BC www.preventionsource.bc.ca/home/index.html

Health-Related News Reuters Health www.reutershealth.com

Health-Related Organizations British Columbia Pharmacare www.hlth.gov.bc.ca/pharme Canada Health Protection Branch (HPB) www.hc-sc.gc.ca/hpb United States Federal Drug Agency (FDA) www.fda.gov World Health Organization (WHO) www.who.int/en/

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INTERNET SITES contdHealth-Related Websites with good links Health on the Net Foundation (HON) www.hon.ch/HONcode/Conduct.html Organizing Medical Networked Information (OMNI) www.omni.ac.uk

Medication Errors Canadian Institute for Health Information (CIHI) secure.cihi.ca/cihiweb/dispPage.jsp?cw_page=adevents_e National Coordinating Council for Medication Error Reporting and Prevention (NCC MERP) www.nccmerp.org The Institute for Safe Medication Practices (ISMP) Canada: www.ismp-canada.org USA: www.ismp.org

Pharmacy Practice Guidelines American Society of Health-System Pharmacists www.ashp.org Canadian Society of Hospital Pharmacists (CSHP) www.cshp.ca National Association of Pharmacy Regulatory Agencies (NAPRA) www.napra.org

Substance Abuse/Addiction BC Council for Families www.bccf.bc.ca Canadian Centre on Substance Abuse www.ccsa.ca Health Canada: Straight Facts about Drugs www.hc-sc.gc.ca/hecs-sesc/cds/splash.htm Prevention Source BC www.preventionsource.bc.ca

Therapeutic and Management Guidelines Agency for Health Care Policy & Research www.sis.nlm.nih.gov/aids/ahcpr.html American Heart Association www.americanheart.org BC Community Drug Utilization Program www.cdup.org

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INTERNET SITES contd Canadian Medical Association (CMA) Guidelines www.cma.ca/cpgs/index.asp Canadian Society of Hospital Pharmacists (CSHP) www.cshp.ca Infectious Diseases Society of America www.idsociety.org/pg/toc.htm MD Consult www.mdconsult.com National Guideline Clearinghouse www.guidelines.gov/index.asp The Cochrane Collaboration www.cochrane.org

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ONLINE HEALTH JOURNALSMany medical health journals are online and are excellent sources of primary information. They can be accessed through the UBC Faculty of Pharmaceutical Sciences Website Links Page at www.ubcpharmacy.org/Links/links.htm or directly at the websites listed below.

American Journal of Health-System Pharmacywww.ashp.org/public/pubs/ajhp/index

Annals of Internal Medicinewww.annals.org

Annals of Pharmacotherapywww.theannals.com

British Medical Journal (BMJ)www.bmj.com

Canadian Medical Association Journal (CMAJ)www.cmaj.ca

Emerging Infectious Diseases (CDC)www.cdc.gov/ncidod/eid/index.htm

Institute for Safe Medication Practices (ISMP)www.ismp-canada.org

International Journal of Pharmaceutical Compounding (IJPC)www.ijpc.com

Journal of Informed Pharmacotherapywww.informedpharmacotherapy.com

Journal of Pharmacy and Pharmaceutical Scienceswww.ualberta.ca/~csps/Journals/JPPS.htm

Journal of the American Medical Association (JAMA)www.jama.ama-assn.org

Journal of the American Pharmaceutical Association (APhA)www.aphanet.org/JAPhA/japha.html

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ONLINE HEALTH JOURNALS contdMorbidity and Mortality Weekly Report (MMWR)www.cdc.gov/mmwr/index.html

New England Journal of Medicine (NEJM)www.nejm.org

The Lancetwww.thelancet.com

Online TextsMerck Manualwww.merck.com/pubs/mmanual

On-line Medical Dictionarywww.cancerweb.ncl.ac.uk/omd

Online NewslettersCanadian Adverse Drug Reaction Newsletterwww.hc-sc.gc.ca/hpb-dgps/therapeut/htmleng/cadrnwsletter.html

Pharmacy Connectswww.pharmacyconnects.com/index4pc.cfm

The Learning Centrewww.ubcpharmacy.org/cpe/resources/highlights.html

Therapeutics Letterwww.ti.ubc.ca/pages/letter.html

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PRESENTATION RESOURCESApotex: Its Time to TeachThe community presentation series entitled It's Time to Teach! currently consists of five modules, which include the following topics: Asthma Arthritis Cholesterol Hypertension Your Medicines a general presentation for patients on how to effectively manage their drug therapy in conjunction with their pharmacist Each program includes a 12-page preparation booklet detailing how to plan and promote the presentation as well as providing tips on giving an effective presentation, suggested speaker's notes, workbook template for handout to audience, acetates for overhead projectors and a CD-ROM with a PowerPoint presentation. Contact your local Apotex representative for more information. Website: www.Apotex.com

Novopharm: REACH Community Care Guide for the PharmacistThis is a complete resource for pharmacists who would like to make a community presentation. The selected topics come with a pharmacist review guide, overheads for presentation use, and information handouts for patients. Promotion cards are provided for pharmacists to distribute to patients prior to the clinic. Topics covered are: Arthritis Breast Cancer Diabetes Menopause There is also a Getting Started section in the kit that discusses a sample organizational plan, ways to promote the clinic day in the community, and a self-evaluation form to be completed after the event. To obtain this kit, contact: Mr. Menno Froese Professional Affairs Contact Novopharm Tel: 800.268.4127 Cell: 604.557.6136 E-mail: [email protected]

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PRESENTATION RESOURCES contdThe British Columbia Pharmacy Association (BCPhA)The BCPhA has available on loan, for its members, the following pharmacist resource materials. Contact the Association at 604.261.2092 or 800.663.2840 or go to www.bcpharmacy.ca. Control Your Cholesterol This talk features a colour overhead presentation with speaker notes. A booklet, entitled Our Heart & Dyslipidemia, is given to all participants. National Medication Awareness Test (NMAT) The NMAT was designed for community groups in mind. A video section (30 minutes) comes with a multiplechoice quiz and a 10-15 minute question period follows. A certificate of Participation is given to participants. Self-Medication Awareness Test (SMAT) The SMAT was designed for community groups on self-medication products. A video section (30 minutes) comes first with a multiple-choice quiz and ends with a question period for 10-15 minutes afterwards. A Certificate of Participation is given to participants.

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REFERENCE TEXTSOften, a pharmacist will receive a question he/she is unable to answer. To assist pharmacists to find an appropriate answer, the following reference texts are all highly recommended. The following section categorizes the reference texts by therapeutic category/topic; the second section categorizes reference texts alphabetically by text name. The College of Pharmacists also has a Community Pharmacy Reference Library List of required texts. Access at: www.bcpharmacists.org/pdf/Required_Reference_List.pdf

List of References by Therapeutic Category/Topic:Adverse Drug Reactions American Hospital Formulary Service (ASHP) Compendium of Pharmaceuticals and Specialities, CPS (CPhA) Drug Information Reference, DIR (Cadario, Leathem) Drug manufacturers Martindale The Complete Drug Reference Compounding Extemporaneous Oral Liquid Dosage Formulations (CSHP) Handbook of Extemporaneous Formulations (ASHP) Paediatric Drug Formulations (Nahata)

DosingGeneral American Hospital Formulary Service (ASHP) Compendium of Pharmaceuticals and Specialties, CPS (CPhA) Drug Information Reference, DIR (Cadario, Leathem) Handbook of Clinical Drug Data (Anderson, Knoben, Troutman) Martindale The Complete Drug Reference Geriatrics Drug Information Reference, DIR (Cadario, Leathem) Geriatric Drug Dosage Handbook (Selma) Handbook of Clinical Drug Data (Anderson, Knoben, Troutman) Pediatrics BC Childrens Hospital Pediatric Dosage Guidelines Drug Information Reference, DIR (Cadario, Leathem) Handbook of Clinical Drug Data (Anderson, Knoben, Troutman) Pediatric Dosage Handbook (Taketomo) Pediatric Drug Dosage Handbook (CHSP, Winnipeg Health Sciences Centre)

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REFERENCE TEXTS contdRenal or Hepatic Failure American Hospital Formulary Service (ASHP) Drug Information Reference (Cadario, Leathem) Handbook of Clinical Drug Data (Anderson, Knoben, Troutman) Drug Identification and Availability Compendium of Pharmaceuticals and Specialties, CPS (CPhA) Compendium of Self-Care Products (CPhA) Drug Facts and Comparisons (Olin) Health Canada Drug Product Database www.hc-sc.gc.ca/hpb/drugs-dpd Martindale The Complete Drug Reference Merck Index (Merck) Drug Interactions Drug Interaction Facts (Facts and Comparisons) Evaluations of Drug Interactions, EDI (First Data Bank) Hansten and Horns Drug Interactions Analysis and Management (Facts and Comparisons) Stockleys Drug Interactions (The Pharmaceutical Press) Excipients (e.g. gluten, lactose sulfite, tartrazine, etc.) Compendium of Pharmaceuticals and Specialties (CPhA) Drug manufacturers Herbal Medicines Herbal Medicines A Guide for Healthcare Professionals (Barnes) Martindale The Complete Drug Reference Natural Medicines Comprehensive Database (Therapeutic Research Faculty) www.naturaldatabase.com Natural Therapeutics Pocket Guide (Krinsky) Infectious Disease Guide to Antimicrobial Therapy (Sanford) Medical Letter Handbook of Antimicrobial Therapy (Medical Letter) Lab Values/Parameters/Drug Monitoring ABC of Monitoring Drug Therapy (Aronson) Handbook of Clinical Drug Data (Anderson, Knoben, Troutman) Laboratory and Diagnostic Test Handbook (Jaffe, McVan)

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REFERENCE TEXTS contdPathology and Disease Merck Manual of Diagnosis and Therapy (Merck) Merck Manual of Geriatrics (Merck) Principles of Internal Medicine (Harrisons) Protocols in Primary Care Geriatrics (Sloan) Patient Monitoring Drug Information Reference, DIR (Cadario, Leathem) Handbook of Clinical Drug Data (Anderson, Knoben, Troutman) Pregnancy and Lactation American Hospital Formulary Service Drug Information (ASHP) Drug Information Reference, DIR (Cadario, Leathem) Drugs in Pregnancy and Lactation (Briggs) Handbook of Clinical Drug Data (Anderson, Knoben, Troutman) Therapeutics Applied Therapeutics (Koda-Kimble) Drug Information Reference, DIR (Cadario, Leathem) Handbook of Clinical Drug Data (Anderson, Knoben, Troutman) Merck Manual of Diagnosis and Therapy (Merck) Pharmacotherapy (Dipiro) The Pharmacological Basis of Therapeutics (Goodman, Gilman) Therapeutic Choices (Gray) Unapproved Uses of Drugs American Hospital Formulary Service Drug Information (ASHP) Drug Facts and Comparisons (Olin) Drug Information Reference, DIR (Cadario, Leathem) Drug manufacturers Handbook of Clinical Drug Data (Anderson, Knoben, Troutman) Martindale The Complete Drug Reference Useful Subscriptions Pharmacists Letter www.pharmacistsletter.com Pharmacy Practice Journal www.pharmacyconnects.com The Medical Letter www.medicalletter.com

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REFERENCE TEXTS contdThe following section lists references in alphabetical order. Where there is only one supplier for a particular reference text, the supplier is listed. A summary of major suppliers are listed in the Suppliers/Distributors of Reference Texts section.

American Hospital Formulary Service (AHFS) Drug Information (ASHP) American Society of Health-System Pharmacists Suite 2192, 7272 Wisconsin Ave., Bethesda MD 20814-1439 Website: www.ashp.com Applied Therapeutics (Koda-Kimble) BC Childrens Hospital Drug Dosage Guidelines and Formulary BC Childrens Hospital 604.875.2059 Compendium of Self-Care Products (CPhA) Compendium of Pharmaceuticals and Specialties (CPhA) Drug Information Reference (DIR) - (Cadario, Leatnem) Drug and Poison Information Centre (DPIC), St. Pauls Hospital Telephone: 604.806.9104 UBC Health Sciences Bookstore Drug Interaction Facts (Facts and Comparisons) Drug Interactions and Updates (Hansten & Horn) Drugs in Pregnancy and Lactation (Briggs) Geriatric Drug Dosage Handbook (Semla) Guide to Antimicrobial Therapy (Sanford) Telephone: 802.888.2855 Facsimile: 802.888.2874 E-mail: [email protected] Handbook of Clinical Drug Data (Anderson, Knoben, Troutman)

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REFERENCE TEXTS contdLaboratory and Diagnostic Test Handbook (Jaffe, McVan) Martindale The Complete Drug Reference Merck Manual of Diagnosis and Therapy (Merck) Natural Medicines Comprehensive Database (Therapeutic Research Faculty) Telephone: 209.472.2244 Facsimile: 209.472.2249 E-mail: [email protected] Website: www.naturaldatabase.com Pediatric Dosage Handbook (Taketomo) Pediatric Drug Dosage Handbook (CHSP) Website: www.chsp-bc.com Pharmacists Letter (Therapeutic Research Faculty) Telephone: 800.995.8712 Facsimile: 209.472.2249 E-mail: [email protected] Website: www.pharmacistsletter.com Pharmacotherapy (Dipiro) Therapeutic Choices (Gray)

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REFERENCE TEXTS - SUPPLIERS/DISTRIBUTORSThe following list outlines the major suppliers of reference texts mentioned in the Reference Texts section. Contact numbers for the major distributors and suppliers are listed after each reference. Pharmacists should contact the suppliers directly regarding pricing.

Major Suppliers:American Pharmacists Association Telephone: 202.628.4410 Facsimile: 202.783.2351 Website: www.aphanet.org BC Pharmacy Association Text books available to corporate members only Telephone: 604.261.2092 or 800.663.2840 Facsimile: 604.261.2097 E-mail: [email protected] Website: www.bcpharmacy.ca Canadian Pharmacists Association Telephone: 613.523.7877 or 800.917.9489 Facsimile: 613.523.0445 or 800.601.1904 E-mail: [email protected] Website: www.cdnpharm.ca Drug and Poison Information Centre (DPIC), St. Pauls Hospital Lower Mainland: 604.806.9104 Outside of Lower Mainland: 866.298.5909 Harcourt Canada Telephone/Facsimile: 416.255.4491 Toll-free: 800.387.7278 Website: www.harcourt.com Login Bros. Canada Telephone: 800.665.1148 Facsimile: 800.665.0103 Website: www.lb.com

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REFERENCE TEXTS - SUPPLIERS/DISTRIBUTORS contdMerck Website: www.merck.com Pharmasystems Telephone: 800.387.2500 Facsimile: 888.475.7155 E-mail: [email protected] Website: www.pharmasystems.com Therapeutic Research Faculty Telephone: 209.472.2240 Website: www.naturaldatabase.com UBC Health Sciences Bookstore Telephone: 604.875.5588 or 800.665.7119 Facsimile: 604.875.5590 Website: www.hsb.bookstore.ubc.ca

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RESOURCES FOR THE PUBLICMedication Info BCPharmacists can refer patients of any age who are BC residents to Medication Info BC regarding medication related enquiries involving any of the following: new medications herbal and complementary therapy foreign medications adverse drug reactions and contraindications complicated medication history Pharmacists are encouraged to ask patients to follow-up with them after the patient has consulted with Medication Info BC. Pharmacists at Medication Info BC also provide public lectures on a variety of medication topics. Pharmacists can utilize this service in their practice or refer any member of the public in the Lower Mainland who is seeking such presentations for a group of 30 people or more. Telephone: 604.822.1330 or 800.668.6233 Facsimile: 604.822.3035 Email: [email protected] Website: www.ubcpharmacy.org/MIBC/

Merck Frosst CanadaMerck Frosst publishes a vast amount of information for the lay public on disease state management. Audiovisual materials available to the public include videotapes on: Cholesterol Hypertension Osteoporosis Pharmacists are encouraged to either contact their local Merck Frosst representative or call the Customer Information Centre at 800.567.2594.

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RESOURCES FOR THE PUBLIC contdNovopharm Head Lice Resource KitThis kit contains an informative video for school students and parents regarding the management of head lice infestations. The video, entitled Head to Head with Lice, was developed by the Department of Health Care and Epidemiology at UBC. The kit also contains a take-home pamphlet called Fighting Head Lice Naturally, which provides information on the diagnosis and drug treatment of head lice. The video and pamphlet are well presented but do not mention newly recommended non-drug alternatives like the wet-combing method. Contact: Mr. Menno Froese Professional Affairs Contact- Novopharm Office: 800.268.4127 Cellular: 604.557.6136

Other drug companies also provide numerous audio-visual materials to the public. Contact them directly or through your local representative for more information.

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TELEPHONE SERVICES FOR PHARMACISTSCancer Information LinePharmacists can call the Cancer Information Line at the BC Cancer Agency, with queries on cancer pathophysiology, cancer medications and their adverse effects, and other cancer-related topics. Telephone: 604-877-6098, ext. 2288 or 800-663-3333 Facsimile: 604-877-6132 Pharmacists can also refer cancer patients to the Canadian Cancer Societys Cancer Information Service at 888939-3333 for personal consultations.

Diet and NutritionPharmacists and members of the public are encouraged to call Dial-A-Dietitian with questions regarding nutrition information, special diets, food safety, and weight management. Telephone: 604.732.9191 or 800.667.3438 Website: www.dialadietitian.org

Drug and Poison Information Centre (DPIC)Pharmacists and other health professionals throughout BC can contact DPIC with enquiries regarding new or unfamiliar drug products, as well as drug interactions and any other drug related information needs. This line is not intended for members of the public. Telephone: 604.806.9104 or 866.298.5909

Drug ManufacturersFor more information regarding indications, contraindications, adverse effects, interactions of a specific drug, pharmacists can call the Drug Information Department of a particular manufacturer directly. The telephone numbers of major drug manufacturers are found in the Manufacturers Index (Yellow Section) of the CPS.

Pediatric EnquiriesBC Childrens Hospital Pharmacy Department may be consulted for any general enquiries regarding compounding of pediatric formulations, or other matters relating to pediatrics. Telephone: 604.875.2059

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