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I came across a situation in a hospital set up where the hospital and its retail pharmacy were finding difficulty in accounting for the huge stocks of drugs that have been accumulating due to:left over drugs due to change in the prescription, death of the patient or drugs left behind by the patient on discharge.
The hospital and the Pharmacy system is such drugs are given or administered strictly on documentation with respect to its full identity like Name, Batch No and Make.
The concern are:
1, The invaluable drug should not be wasted
2. There should not be double billing on the same stock
3. Pharmacy should not violate the law
4. Hospital cannot purchase these stocks from the patients

I look for a good professional discussion with no sidetracking to come out with an implementable legally acceptable solution.

About the Author

Ph. Bhagavan P S RPh's picture

I am Bhagavan ,Rtd. Dy Dir.(Pharmacy),Govt of Karnataka, India and currently serving as Registrar, KSPC, Bengaluru, India . I love to write on Hospital pharmacy series related topics out of my experience and observations. Check out my Pharmacist in the Hospital.


Prof. J. Vijaya Ratna's picture


You have suggested good points and I agree with you absolutely. But my knowledge about these is limited to what I learned from text books. From what little observation that I have made in one hospital, I can say this:

  • In OP, patients are given medicines very liberally, when painkillers are prescribed, patients get 10 tablets of diclofenac, similarly 10 tablets of pantoprazole and so on.
  • I assume only antibiotics and medicines like antidiabetics and anti hypertensives are fully utilised, others must be getting wasted.
  • I feel overprescription is there so wastage is there. We cannot expect patients to take pain medicine or fever medicine or cough medicine when the symptom has subsided with one or two pills.
  • We will feel the pain of wastage only when we pay for it.

It is one thing to talk about these issues from the cool confines of our rooms and another to expect the staff to do these things properly when faced with a crowd of restless people pressing on them with their demands.

I do not know what sort of action can prevent wastage. A long time ago, our police station started a counter where medicines not used were collected. But now it is not there. Such type of movements require the support of the people in general.

Vijaya Ratna

Ph. Bhagavan P S RPh's picture

Thank you madam,

Though the issue is different from what I had raised, It is a reality.

It can be addressed under Domestic Drugs management.

I think madam, you can get a small project done to assess drugs wastage on per patient, per doctor, per year basis and latter conduct a workshop among the students, faculty, regulatory officers, doctors, Chemist pharmacists and patients with journalist and social activists.

I wish some more people join the discussion on the hospital issue I have raised.

Bhagavan P.S. B Pharm

Rtd. Dy Dir.(Pharmacy),Govt of Karnataka, India
Ph. Bhagavan P S RPh's picture

The issue is also being discussed in face book:

Bhagavan P.S. B Pharm

Rtd. Dy Dir.(Pharmacy),Govt of Karnataka, India

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