The Concept of Pharmacovigillance – PST06211 Monitoring and Evaluation of Medicine Use

NTA Level 6 • Semester 2 • PST06211

The Concept of Pharmacovigillance

Monitoring and Evaluation of Medicine Use • Source Session/Topic 8
Full source-text version: all educational wording from the extracted learning source is retained; only presenter/tutor metadata and web-layout noise are removed, while formatting is improved for readability.

Session 8: The Concept of Pharmacovigillance:

Total Session Time: 120 minutes

Prerequisites

• None

Learning Tasks

By the end of this session students are expected to be able to:

• Explain pharmacovigillance
• Define terminologies used in pharmacovigillance
• List the aims of pharmacovigillance
• List key partners in pharmacovigillance
• Explain the importance of pharmacovigillance

Resources Needed:

• Flip charts, marker pens, and masking tape
• Black/white board and chalk/whiteboard markers
• Computer and LCD projector

SESSION OVERVIEW

Activity/

Step Time Content

Method

1 05 minutes Presentation Introduction, Learning Tasks

2 05 minutes Presentation Explanation of Pharmacovigillance

3 15 minutes Presentation Definition of Terms in Pharmacovigillance

15 minutes Presentation and

4 Aims of Pharmacovigillance

Buzzing

5 10 minutes Presentation Key Partners in Pharmacovigillance

50 minutes Presentation and

6 Importance of Pharmacovigillance

Group discussion

7 10 minutes Presentation Key Points

8 10 minutes Presentation Evaluation

PST 06211 Monitoring and Evaluation of Medicines Use NTA Level 6 Semester 2 Facilitator Guide

62

SESSION CONTENTS

STEP 1: Presentation of Session Title and Learning Tasks (5 minutes)

READ or ASK students to read the learning tasks and clarify

ASK students if they have any questions before continuing.

STEP 2: Pharmacovigillance(5 minutes)

• The etymological roots for the word "pharmacovigillance" are: pharmakon (Greek for drug)

and vigilare(Latin for to keep watch). As such, pharmacovigillance heavily focuses on

adverse drug reactions.

• Pharmacovigillance (PV) is defined as the science and activities relating to the detection,

assessment, understanding and prevention of adverse effects or any other drug-related

problem(According to WHO definition)

• Why Pharmacovigillance is needed?

The processes involved in the clinical development of medicines once put onto the market; a

medicine leaves the secure and protected scientific environment of clinical trials and is

legally set free for consumption by the general population. At this point, most medicines

will only have been tested for short-term safety and efficacy on a limited number of

carefully selected individuals.

STEP 3: Definition of Terms in Pharmacovigillance (15 minutes)

The following are some of pharmacovigillance terminologies as adopted in TFDA guideline:

• Adverse Drug Reactions (ADRs) a response to a medicinal product that is noxious or

potentially harmful and unintended and which occurs at doses normally used in human for

prophylaxis, diagnosis or therapy of a disease or for the modification of physiological

function in which individual factors may play an important role.

• Adverse eventAny unfavourable medical occurrence that in coincidence may present during

treatment with a pharmaceutical product, but which does not necessarily have a causal

relationship with the treatment.

• Benefit/risk analysis Examination of the favourable and unfavourable results of

undertaking a specific course of action.

• Life-threatening reaction isa reaction in which the patient was at risk of death at the time

of the event and does not refer to an event, which hypothetically might have caused death if

it was more severe.

• Serious adverse drug reaction A noxious and unintended response to a drug that at any

dose, may result in death, is life threatening (such as Stevens-Johnson Syndrome), requires

patient hospitalization or prolongation of existing hospitalization, causes a congenital

PST 06211 Monitoring and Evaluation of Medicines Use NTA Level 6 Semester 2 Facilitator Guide

63

anomaly or birth defect, results in persistent or significantly is ability or incapacity, or

require intervention to prevent permanent impairment or damage.

• Side effect any unintended effect of a pharmaceutical product occurring at doses used in

man for medical treatment which is related to the pharmacological properties of the product

and in which there is no deliberate overdose.

• Unexpected adverse drug reaction An adverse reaction, the nature or severity of which is

not mentioned in the summary of product characteristic or market authorization, or expected

from characteristics

• Biological products Medical products prepared from biological material of human, animal

or microbiologic origin (such as blood products, vaccines, insulin).

• Clinical trial A systematic study on pharmaceutical products in human subjects (including

patients and other volunteers) in order to discover or verify the effects of and/or identify any

adverse reaction to investigational products, and/or to study the absorption, distribution,

metabolism and excretion of the products with the objective of ascertaining their efficacy

and safety.

• Efficacy The ability of a drug to produce the intended effect as determined by scientific

methods, for example in pre-clinical research conditions (opposite of hazard).

• Potency is a measure of drug activity expressed in terms of the amount required to produce

an effect of given intensity.

• Individual case safety reports (ICSR)A report that contains ‗information describing a

suspected adverse drug reaction related to the administration of one or more medicinal

products to an individual patient.

• Post-marketing The stage when a drug is generally available on the market.
• Pre-marketing The stage before a drug is available for prescription or sale to the public.
• Poly-pharmacy The concomitant use of more than one drug, sometimes prescribed by

different practitioners.

• Placebo An inactive substance (often called a sugar pill) given to a group being studied to

compare results with the effects of the active drug.

• Cohort study – A study that identifies defined populations and follows them forward in

time, examining their rates of disease.

• National pharmacovigillance centre – A single, governmentally recognized centre within

a country with the clinical and scientific expertise to collect,

collate, analyse and give advice on all information related to drug safety.

PST 06211 Monitoring and Evaluation of Medicines Use NTA Level 6 Semester 2 Facilitator Guide

64

STEP 4: Aims of Pharmacovigillance (15 minutes)

Activity: Buzzing (5minutes)

ASK students to pair up and buzz on the following questions for 5 minutes

• What are the aims of pharmacovigillance?

ALLOW few pairs to respond and let other pairs add on points not mentioned

WRITE their response on the flip chart/board

CLARIFY and SUMMARIZE by using the content below

• The following are aims of pharmacovigillance:

o To improve patient care and safety in relation to the use of medicines, and all medical

and paramedical interventions;

o To improve public health and safety in relation to the use of medicines;

o To contribute to the assessment of benefit, harm, effectiveness and risk of medicines,

encouraging their safe, rational and more effective (including cost-effective) use;

o To promote understanding, education and clinical training in pharmacovigillance and its

effective communication to health professionals and the public

o To identify and quantifynew adverse drug reactions (ADRs)

o To identify risk factors and populations at risk

o To detect increase in frequency of known ADRs

o To detect drug interactions

o To monitorbenefit-risk profile of a medicines and ensure that they remain within

acceptable bounds

o ADR profile of medicines within therapeutic class

o To contribute to good clinical practice in pharmacotherapy

o To prevent patients from unnecessary harm

STEP 5: Key Partners in Pharmacovigillance (10 minutes)

• The management of the risks associated with the use of medicines demands close and

effective collaboration between the key players in the field of pharmacovigillance.

• Key partners are listed below

o Government

o Industry

o Hospitals and academia

PST 06211 Monitoring and Evaluation of Medicines Use NTA Level 6 Semester 2 Facilitator Guide

65

o Medical and pharmaceutical associations

o Poisons and medicines centres information

o Health professionals

o Patients

o The media

o World Health Organization

STEP 6: Importance of Pharmacovigillance (50 minutes)

Activity: Small group discussion (15minutes)

ASK student to form small groups and answer the following question for 15 minutes

• What is the importance of pharmacovigillance?

ALLOW students to discuss for 15 minutes

WRITE their responses to the flip chart/ board

CLARIFY and SUMMARIZE by using the content below

• The following are Importance of pharmacovigillance as a field of study (Safety monitoring

of medicinal products)

o Pharmacovigillance is important study to all partners of pharmacovigillance, since it

help to ensure; Equity of access to essential drugs Drug quality and safety

and rational use of drugs.

o Pharmacovigillance is important study to country‘s drug authority

a new medicine must pass three hurdles before its approval by the national drug

regulatory authority.

o It help to provide Sufficient evidence required to show the new drug to be of good

quality, effective, and safe for the purpose or purposes for which it is proposed.

o Pharmacovigillance is important study post marketing researchers

o It help to detect drug interactions measuring the environmental burden of

medicines used in large populations

o It help assess the contribution of ‗inactive‘ ingredients (excipients) to the safety

profile

o It help to compare safety profiles of similar medicines

o Pharmacovigillance is important study of train in health professionals

PST 06211 Monitoring and Evaluation of Medicines Use NTA Level 6 Semester 2 Facilitator Guide

66

STEP 7: Key Points (10 minutes)

• Pharmacovigillance is the science and activities relating to the detection, assessment,

understanding and prevention of adverse effects or any other drug-related problem.

• Key partners in PV include, Government, Industry, Hospitals and academia,

Poisons and medicines centres information, Health professionals, Patients and the media

• The aims of pharmacovigillance are to improve patient care and safety , to improve public

health and to promote understanding and education

• Adverse Drug Reactions (ADRs) a response to a medicinal product that is noxious or

potentially harmful and unintended and which occurs at doses normally used in human for

prophylaxis, diagnosis or therapy of a disease or for the modification of physiological

function in which individual factors may play an important role.

• Pharmacovigillance is important in post marketing researchers and country‘s drug authority.
• Pharmacovigillance is important source of drug information‘

STEP 8: Evaluation (10 minutes)

• What is pharmacovigillance?
• What is adverse drug reaction?
• What are the aims of pharmacovigillance?
• What are the key partners in pharmacovigillance?

PST 06211 Monitoring and Evaluation of Medicines Use NTA Level 6 Semester 2 Facilitator Guide

67

References

Quick, J. D. (1997). Managing drug supply the selection, procurement, distribution and use of

pharmaceuticals. West Hartford, CT: KumarianPress.Bartsch, S. (2007).

The Global Fund to Fight AIDS, Tuberculosis and Malaria. Global Health Governance and the

Fight Against HIV/AIDS,146-171. doi:10.1057/9780230591349

WHO Operational package for assessing, monitoring and evaluating country pharmaceutical

situations. (2015, November 20). Retrieved from

https://www.who.int/medicines/publications/WHO_TCM_2007.2/en/

PST 06211 Monitoring and Evaluation of Medicines Use NTA Level 6 Semester 2 Facilitator Guide

68

PDF / OFFLINE NOTES

Unataka kutumiwa notes hizi kupitia WhatsApp?Kwa notes zilizopangiliwa vizuri kwa kusoma offline au PDF, bonyeza kitufe hapa chini. Ujumbe wenye Level, Semester, Module na Topic utaandaliwa moja kwa moja.TUMIWA NOTES WHATSAPP

WhatsApp: 255620339260
banner
Scroll to Top