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C H A P T E R 6  Challenges to effective drug therapy

www.returnmed.com.au Returning Unwanted Medicine program. www.tga.gov.au Therapeutic Goods Administration, Australia. BIBLIOGRAPHY Braun, L. & Cohen, M. (2010). Herbs & Natural Supplements: An Evidence-based Guide . Sydney: Churchill Livingstone, Elsevier. Ghosh, D., Skinner, M. & Fergusson, L. (2006). The role of the Therapeutic Goods Administration and the Medicine and Medical Devices Safety Authority in evaluating complementary and alternative medicines in Australia and New Zealand. Toxicology, 221 , 88–94 Goodman, L. S., Brunton, L. L., Chabner, B. & Knollmann, B. C. (2011). Goodman and Gilman’s Pharmacological Basis of Therapeutics (12th edn). New York: McGraw-Hill. Kuo, G. M. (2003). Pharmcodynamic basis of herbal medicine. Annals of Pharmacotherapy, 37(2) , 308. Lucas, C. & Martin, J. (2013). Smoking and drug interactions. Australian Prescriber, 36(3) , 102–104. McFadden, R. & Peterson, N. (2011). Interactions between drugs and four common medicinal herbs. Nursing Standard, 25(19) , 65–68. McKenna, L. & Mirkov, S. (2014). McKenna’s Drug Handbook for Nursing and Midwifery (7th edn). Sydney: Lippincott Williams & Wilkins. Moses, G. M. & McGuire, T. M. (2010). Drug interactions with complementary medicines. Australian Prescriber, 33, 177–180. Pizzorno, J. E. & Murray, M. T. (2013). Textbook of Natural Medicine (4th edn) St Louis: Elsevier. Vernon, G. M. (2013). Sex, drugs and alcohol: Drug interactions of concern to consumers. Australian Prescriber, 36(2) , 46–48. 3. The home-based healthcare industry is booming because: a. there is a shortage of hospital beds. b. people feel safer at home and prefer to be cared for at home. c. people are going home sooner and becoming responsible for their own care sooner than in the past. d. staffing shortages make it difficult to care for people in hospitals. 4. The cost of drug therapy is a major consideration in most areas because: a. generic drugs are always cheaper. b. the high cost of drugs combined with more fixed- income consumers puts constraints on drug use. c. pharmacies usually carry only one drug from each class. d. people like to shop around and get the best drug for their money.

WEB LINKS

Healthcare providers and students may want to consult the following Internet sources: www.anztpa.org Australia New Zealand Therapeutic Products Agency (ANZTPA). www.health.gov.au/internet/main/publishing.nsf/ content/nmp-quality.htm Quality Use of Medicines, Department of Health and Ageing, Australia. www.medsafe.govt.nz Medsafe, New Zealand. http://nccam.nih.gov National Center for Complementary and Alternative Medicine, USA. www.ndp.govt.nz/moh.nsf/indexcm/ ndp-policyactionplans-policy New Zealand National Drug Policy. www.pbs.gov.au/pbs/home Pharmaceutical Benefits Scheme, Department of Health and Ageing, Australia. www.pharmac.health.nz PHARMAC, New Zealand. www.medicinesnz.co.nz Medicines New Zealand.

C H E C K Y O U R U N D E R S T A N D I N G

Answers to the questions in this chapter can be found in Appendix A at the back of this book.

MULTIPLE CHOICE Select the best answer to the following.

1. Herbal treatments and alternative therapies: a. are considered drugs and regulated by the TGA. b. are considered dietary supplements and are not regulated by the TGA. c. have no restrictions on claims and advertising. d. contain no drugs, only natural substances. 2. OTC drugs are drugs that are: a. deemed to be safe when used as directed. b. harmless to the public. c. too old to be tested. d. cheaper to use than prescription drugs.