To err is…Drug? Patient? Doctor? Healthcare System?

Published on:November 2020
Indian Journal of Pharmacy Practice, 2020; 13(4):362-369
Case Report | doi:10.5530/ijopp.13.4.62

To err is…Drug? Patient? Doctor? Healthcare System?

Authors and affiliation (s):

Bhargavi Kumar1, Saravanan Thangavelu1,*, Aashiq Ahamed Shukkoor2, Nandhini Ramakrishnan Kanthimathi3

1Department of Medicine, PSG IMS& R, Coimbatore, Tamil Nadu, INDIA.

2Clinical Pharmacist, Department of Cardiology, PSG IMS& R, Coimbatore, Tamil Nadu, INDIA.

3Department of Pharmacy Practice, PSG College of Pharmacy, Coimbatore, Tamil Nadu, INDIA.


Medicine is a practicing art. This is because we evolve constantly with everyday learning. The core of the health care system is management of patients with pharmacological measures. However the role of the health care deliverers does not stop with prescribing drugs. It is of central importance to be aware of the potential side effects of the drug including the rarest of the complications. It is equally important to discuss with our patients the available choices, the risk - benefit ratio and counsel them accordingly regarding anticipated common and rare side effects. The patient must be repeatedly reinforced about the importance of periodic follow up with the doctor, need for regular laboratory monitoring and reporting of alarm signs without any delay. Thus patient education, awareness of drug characteristics and a detailed doctor prescription are central in avoiding as well as managing drug related adverse effects. Here we present a case series of 9 different patients presenting with varied drug related adverse effects.

Key words: Adverse drug reactions, Periodic Monitoring, Patient education, Warning signs, Physician role.


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