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Code : 19300-2135      Created Date : Tuesday, March 12, 2019   Update Date : Tuesday, March 12, 2019    Visit : 640

English Lecture Series: Dr. Fatemeh Soleymani

The first lecture of summer semester english lecture series (2019) was held by Dr. Fatemeh Soleymani on March 11, 2019 in the title of overview of rational medicine use in Iran (achievements, challenges).

Summary of the talk:

The major endeavors of various governing systems in almost all countries focused on improving public health situation. Therefore, prescription practice always considered as an undeniable factor. Ignoring irrational use of medicine results in globally or individually catastrophic phenomena. High burdens of antibiotic resistance, irreversible adverse effect of excessive use of injections, NSAIDs and corticosteroids in addition to polypharmacy and its undesired consequences merely are examples of inappropriate prescription practice. In many developing countries, imbalances between amount of medicine consumption and incidence of the related diseases observed.

With the aim of reducing undesired consequences of irrational use of medicines - through a committee which was held in Nairobi in 1985- WHO clarified the definition of rational use of medicines. According to this definition; rational use of medicines assures that "Patients receive medications appropriate to their clinical needs, in doses that meet their own individual requirements, for an adequate period of time, and at the lowest cost to them and their community".

Considering the critical role of rational use of medicines in improving public health situation, many efforts have been made through past decades in order to promote rational use of medicines.

Iran's Ministry of Health -as the most fundamental national health authority- developed an independent setting in order to provide required infrastructures to achieve its goals regarding promoting rational use of medicines. Results have indicated that the designed and implemented interventions resulted in precious achievements regarding promoting rational use of medicines. These interventions and plans were conducted by MOH of Iran under the direct supervision of the FDO and its related medical universities. In addition to overall improvement observed in WHO medicines use indicators, the mentioned strategies decreased the average medicine items per prescription as well as the proportion of prescriptions that include at least one injectable form of medicine, antibiotic and corticosteroid.

Rational use of medicine is a multidisciplinary issue that requires a wide range of cooperation and coordination between different organizations. Recent studies indicate such harmonization are lacking. Therefore, in order to design the most effective and cost-effective interventions approved strategic plan is recommended.

Subsequently when appropriate interventions designated and implemented, continues evaluation of implemented interventions regarding rational use of medicines and regular updating the standard guidelines would assure the goals of rational use of medicines promotion to be gained. 




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