Pharmaceutical Careの実践 : 薬物血中濃度解析と緑内障治療薬の薬剤経済性  [in Japanese] Practice of Pharmaceutical Care : Therapeutic Drug Monitoring and Pharmacoeconomics of Glaucoma  [in Japanese]

Clinical pharmacists now have many jobs in a hospital, including dispensing services, drug information, drug counseling for patients, therapeutic drug monitoring (TDM), and clinical research coordinating. These are important and essential jobs for a hospital pharmacist in his drug profession. During the performance of pharmaceutical services for patients and physicians, clinical pharmacists have an opportunity to change the medicine of a prescription. In this review, we outline the new developments in TDM and pharmacoeconomics achieved by pharmaceutical care at Hiroshima University Hospital. Pharmaceutical care is the professional practice in which the pharmacist takes charge of the needs of a patient related to his/her drugs. One of the aims was to investigate drug induced interaction in pharmacotherapy, and another was evaluation of the clinical efficacy of Bayesian analysis in detoxication treatments of overdoses using TDM. Pharmacoeconomics is an important aspect of the practice of pharmaceutical care. This review investigated the daily cost of ophthalmic solutions used in treating glaucoma and allergic conjunctivitis in Japan. It also summarizes the recent practice of pharmaceutical care in pharmacotherapy and pharmacoeconomics.