Thursday 28 June 2012

Ribena Pastille: A Story About Conscience

Today is my fifth day of attachment in a community pharmacy near my house. It was boring, but i did learn many thing during the attachment there. The pharmacy is next to a liquor shop (kedai arak) where many people drink outside the shop and they are druken.

This morning an Indian man i would say about 50 years old walk in into the pharmacy with his grandson which is about 3 years old. 

Being five days here, its the 3rd time i saw him walk in. He is smelly and he wear dirty and shabby clothes but his grandchildren look clean. He always come to buy Ribena Pastille for his grandson before he drinks outside the next shop near the corridor.

But today he dont have enough money, the Ribena Pastille cost 90 cents and he only have 40 cents. He promise he will come to pay another 50 cents tomorrow.


At first my pharmacist dont want to give, the man pleaded and he promise to pay tomorrow because his grandson really wants it and he start crying. Then the man walk out and just about when he want to walk out of the door, the pharmacist (a women about 30 years something) ask the staff to give the boy the Ribena Pastilles and she just take that 40 cents.

At first I thought my pharmacist is stingy. It is just 50 cents and the boy is crying for it. 

Then only learn from my pharmacist that the men always come, he always dont have enough money to buy something, always owe but rarely pay and yet he has money to buy liquor and some cigarette in the shop next door.

Even if my the pharmacist did not sell it, it was the man which has no conscience. He could afford to buy liquor but could'nt even buy his grandson that 90 cents item.

I look through the door. The man is at the corridor of the next shop look half conscious, drinking and smoking. His 3 years old grandson is sitting on the dirty floor eating the Ribena Pastille but look happy.



Tuesday 26 June 2012

Attachment, keterikatan.

It has been such a long time since I last post something on my blog. Just finished my third year and  on my boring community attachment in a community pharmacy near to my house. For those who didnt know, community pharmacy is retail pharmacy or in other word the kedai farmasi tepi2 jalan tu. Got it?

Talking about my community attachment, I did learn a few thing from her (my pharmacist or supervisor) which i did not learn in my lectures.

First thing in the morning on my first day, she told me that she would have accept me if not because she will be migrating to Australia. She told me she just wanted to help me, many retail pharmacist are not willing to take intern because they have been doing many thing not according to the law as absurd as not locking the shelf for poison for example.

My pharmacist used to get warning for not locking her shelf. For those who didnt know, actually there is 2 types of medicines, the supplements (not really medicine) such as vitamins, minerals and the other one is poison (not really poison) such as drugs for your blood pressure, antidiabetic drug et cetera.

My pharmacist also told me that there is a difference between a coursemate and a friend.  I agree with her because me myself has been labelling people as 'kenalan' and 'kawan'. Not all my the persons that I know are my friend.

She also told me that in this world, not everything are working as it should. Many things are running as its required. It is hard for a retail pharmacy to survive by following the law given that there is no dispensing separation in Malaysia. She asked me. "A patient come to your pharmacy asking for antibiotic and the person do not have a prescription from doctor, if you dont sell, the person might scold you or might simply walk out politely and go to other pharmacy just a few metres ahead".

It is hard to survive to make a living just on OTC medicine like Panadol and Cough syrup which is also sold by other kedai runcit which dont have to take 4 years degree like you. OTC stands for over the counter which refer to medicine that can be sold without prescription from doctor.

I asked why she left hospital service, she said she opted out because of racism. "This is Malaysia, people say there is no racism, but it does actually exist.

I do not agree with her all the time but i did agree with her most of the time. She teach me about business more than about pharmacy. I still bored me but at least not as boring as Pharmacy is concerned.

Actually im not planning to talk further about my community attachment when I want to write this article but its turned up like this.



Endnote:
Bukan semua yang lulus periksa itu betul cara fikirnya. Sistem ini ada kecacatannya -Dr MAZA-




Thursday 2 February 2012

Excellent Quotes By Warren Buffet


Warren Edward Buffett is the 3rd wealthiest person in the world. 

Friday 23 December 2011

Preformulation Studies In Pharmaceutical Product Development





Preformulation is a branch of pharmaceutical sciences that utilize biopharmaceutical principles in the determination of physicochemical properties of drug substance. It is the first step in the rational development of dosage forms of a drug substance. It can be defined as an investigation of physical and chemical properties of a drug substance alone and when combined with excipients.

Preformulation studies constitute the delicate connection between the two major groups of scientists that is those at the drug discovery end and those at the drug delivery end. It is for the drug discovery group to bring out a novel molecule. In drug discovery, the scientists identifies interesting drug compounds, drug target and delivery mechanism with the potential for development into products,characterize compound and their targets and also provide fundamental information on target biological system.

Drug discovery involve synthesis and extraction which is the process of identifying new molecules. After that, the chemical entity discovered enter biological screening and pharmacological testing to explore the pharmacological activity and therapeutic potential of compounds. Then the drug enter preclinical testing which involve toxicology and safety testing to determine the potential risk a compound poses to humans and the environment,involve use of animals, tissue culture or other test system. Preclinical drug development provide data on the safety and efficacy of the product.

Subsequently, the drug enter preformulation studies. The goals of preformulation studies are to choose correct form of drug substance, evaluate physical properties and generate a thorough understanding of the material’s stability under various conditions, leading to optimal drug delivery system.Steps in preformulation process of pharmaceutical research are evaluating stability, physicochemical properties, mechanical properties, dissolution properties, plasma protein binding and excipients compatibility.

In preformulation process,stability test is done to evaluate drug stability at elevated temperature,on exposure to light and humidity for solid state while for solution, the drug is tested in term of its stability in solvent, stability at varying pH range and also stability to the light. This stabilty data will be used in designing dosage form or formulation which is said to be stable and meet expected specification for identifying, purity, quality and strength throughout their defined storage period at specific storage condition.

Physicochemical properties of drugs are also evaluated such as the molecular structure and weight, color, odour, particle size,shape and cristallinity as well as melting point. Thermal analysis profile of drug is determined to measure the changes in chemical and physical properties of a sample as a function of temperature and the test employ thermogravimetry, differential scanning calorimetry or differential thermal analysis method.

Besides that, the hygroscopic potential of drug and the absorbance spectra using UV and IR is also determined. Next the solubility profile of drug is established as solubility is important for drug dissolution and subsequent absorption. It will affect the bioavailabilty of dosage form besides the ionisation constant and partition coefficient. The last aspect of physichochemical properties is polymorphism. Polymorphism is the ability of solid material to exist in more than one crystalline structure. Polymorphism will affect the stability of drug as drug with different polymorph has different physical and chemical properties and this will cause change in solubility and affect bioavailability. Many physicochemical properties change with the change in internal structure for example melting point, hardness, optical density, crystal shape, vapor pressure and et cetera.

After physicochemical properties, mechanical properties of drug is also determined such as the bulk density, compressibility and powder flow. This data will aid in designing solid dosage form later on in formulation aspect. Other than thats,steps in preformulation are to studies the dissolution properties, plasma protein binding and excipient compatibility of the drug. Dissolution properties will influence the bioavailability of drug while excipient compatibility study is crucial to aid the formulation scientist to determine the best excipients to be used in the formulation of drug to ensure the stability of the finished product.

Formulation group has the task to make the drug into deliverable form with the aid of the data provided by the preformulation scientists. Drug formulation involve the combination of drug substance or active ingredients with drugs excipients to get the desired drug products. Drug excipients are any inactive ingredient that is intentionally added to therapeutic product but not intended to exert therapeutic effects at the intended dosage. It is added to aid drug manufacturing process and to maintain drug stability. The desired drug product is then scaled up to be produced in large quantity.

The drug products then enter phase I,II and III clinical trials to astablish its safety, effectiveness, side effects,toxicity and the most appropriate dosage regimen by testing it in healthy volunteers and patient with the disorder being studied but before the drug is tested in human, the manufacturer must obtain and Investigational New Drug (IND) designation from FDA and the application is based on pre-clinical test data conducted in animal.. After the drug product has passed stage III clinical trial, the drug need to be registered through New Drug Application (NDA) or Biologics License Application.

Once the drug is approved and registered by FDA, it can be marketed but the clinical trial still continue in stage IV or post-marketing surveillance to identify any problems that did not occur in phase I,II or III, such as those that take a long time to appear and those that rarely occur.


Thursday 8 December 2011

Poyo or confident?

Yesterday I presented my ko-k activity and it was my second time presenting in Malay  in this 3 years of my study. I realise that it was very difficult to present in Malay compared to English, it seems to be difficult to find the correct word and speak proper Malay at the same time, if I could present in my Northern accent then it would have been a different story. Then I suddenly realised, do I speak English better than Malay nowadays? Haha. Poyo tak? Haha.

p/s: This is not 'poyo'. I would rather call it high self esteem! :P

Sunday 6 November 2011

Learn to dance in the rain


Many a time we wait for the time to pass to solve the problem but like it or not, our life has been charted with more problems to come after the existing one. So instead of waiting for the storm to pass, its better to learn how to dance in the rain. If you can find a path with no obstacle, it probably does'nt lead anywhere.




p/s: my friend used to tell me that life would be dull without adversities. There's some truth in it.