Dear Andreas S. Panagiotis Explaining the use of drugs, side effects and drug interactions, for the patient, is the legal duty and conscientiousness of the pharmacist.
Yes, a doctor should first take into account patient history , any allergies, medication history and other concurrent diseases . He should prescribe while taking these things into account and explain the same to the patient or patient's attendant.
In my perspective it is YES. A doctor must know at least the common or expected drug interactions of his prescribed medications and explain it to the patient because if at all the patient has any other medications to take he ll be cautious and will explain the drug history in detail.
sometimes patient do take homemade or natural products which might interact with the drugs prescribed.
Though it the duty of the pharmacist to explain the queries regarding the medication prescribed still it would be better if the doctor takes out a little time to explain the DDI to the patient. That makes a better impact on the patient and adhesion to the therapy while reducing the side effects of the drugs.
Yes , i think doctors must explain drug interactions of the prescribed drugs because some of these interactions may be fatal and its not the dutey of the pharmacist.
In my perspective doctors they do not have enough mastery on the Chemistry part of the drugs, but they can spot a few drugs interactions.But this is solely the duty of the Pharmacist to manage and rectify any drug interactions from patient's prescriptions before dispensing.
In today's practice the most commonly ignored issue is drug-drug interaction and the information hardly reaches patient. The fault lies with the doctor alone not the pharmacist. Due to lack of time in most of the cases, doctor ignores. However, there were fatal/LT events reported because of DDI.
Definitely it is the pharmacist's job, for major rapid drug interactions with a fair reliability, the pharmacist holds the Rx and fax the drug interaction to the prescriber and recommends another therapeutic alternative.
The pharmacist should be the one explaining the drug interactions with the patients. Pharmacists specialise to be able to determine all possible drug effects on the human body. Though physicians or doctors are knowledgeable on drugs, their specialisation would be on the diagnosis of the disease and provide the treatment whether to have surgery or use medications. Pharmacists, on the other hand, may have knowledge on disease diagnosis but not as extensive as physicians. So if someone is ill, the best thing to do is be diagnosed by a physician and be given treatment. If the disease is treated with medications, ask the pharmacists about the medicines prescribed. The physician and the pharmacist will do their best to provide the best medical treatment for the patient.
In a perfect world the patients‘ physician would have suspected this drug interaction and switched the medication to something more accommodating before the Rx script reaches the Pharmacist.
Unfortunately this does not happen regularly so the pharmacist must keep their guard up in every script and be prepared to do what they have been practicing to do, which is to ensure and protect patient safety.
Yes. Doctors must explain drug interactions of the prescribed drugs as at times it may result in a fatality if not ever mentioned to the patient of possible interactions. It is not the sole duty of the pharmacist. For instance in some countries doctors are allowed to diagnose and treat/prescribe and allowed to keep "dispensaries" the size of pharmacies from where they dispense the treatment as well to the patient without doing the proper explanation of possible drug interactions with regard to the medication dispensed as adequately as a pharmacist should. In other instances, in rural communities, there are no pharmacists at the health facilities or no pharmacies nearby -only the physician and a nurse- who would do the treating, prescribing and dispensing thus the doctors, as a health professional, must be able to explain drug interactions of the drug prescribed/dispensed and should do so as at times they are the only health personnel/ professional coming in contact with the patient.
I think it's quite necessary. Most patients may ingest drugs without informing the doctor about previous drug intake that may trigger interaction. Doctors should provide this information without patient's demand in order to guide the latter.