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PHARMACY DEPARTMENT

WELCOME TO ................. PHARMACY..... DEPARTMENT..... OF..... AL.NOOR..... SPECIALIST..... HOSPITAL....HOLY MAKKAH . TEL. NO..... . 02-5583730 **************************************

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PHARMACY DEPARTMENT


PHARMACY STAFF **********************

PHARMACY DIRECTORY ************

PHARMACY BULLETIN *******************

PHARMACY URL **************************

EMERGENCY POISONING *************

PATIENT EDUCATION ******************

HOLY MAKKAH SAUDI PHARMACISTS *

CONTACT US ************************************
GUEST BOOK ***********************************

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* PHARMACY STAFF

- Abdullah M. Aloufi

- Ebtissam ba Dawoud

- Basmah S. Al Hamdan

- Laila A. Barhameen

- Falilat F. Kolawole

- Sarwat Razzak

- Eman A. Zagzog

- Hanan Magdy

- HananFaroog

- Rasha S.Fawzy

- Raida Abdullah

- Arpia Manan Aneigo

- Jalila B. Natangcop

- Mohd. Khalid Sedegi

- Sheik Shuja uldeen

- Raja M. Akhtar

- Jameel B. Ahmad

- Mohd Yonus

- Apipa Ali Ibrahim

- Potresham Pangadapun

- Rahma M. Ayoub

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* PHARMACY DIRECTORY

- Director pharmaceutical services 1177
- Inpatient pharmacy 1173
- Outpatient pharmacy 1631
- E.R . pharmacy 1192
- Drug information 1178
- Controlled drugs room 1059
- Drug store 1003

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* PHARMACY BULLETIN

DRUG-DRUG INTERACTION

WARFARIN-ACETAMINOPHIN

DANGEROUS INTERACTION

Warfarin is commonly used to prevent clotting in cardiovascular

diseases Warfarin has many drug interaction ,which may affect .

is activity and leading to serious side effects. Patients on warfarin

therapy easily may ingest acetaminophin ( paracetamol ) to relief

pain . Acetaminophin is without bleeding side effects like aspirin ,

but if acetaminophin is administered with warfarin it may increase

its bleeding effect .

In a prospective case control study , 289 outpatients 9 mean age 70 years

on warfarin therapy for at least one month ( target INR of 2.0-3.0 ) were

followed within 24 hrs. of the reported INR . Case patients were identif-

ied as those with INRs greater than 6.0 (n=39) and controls were rando-

mly selected from patients with acetaminophen , even a regular dose of

warfarin can result in dangerous hemorrhaging .

although the average weekly warfarin dose was similar between the two

groups , the INRs were higher in the case group whom was ingesting gr-

eater amounts of acetaminophin on weekly basis . The risk for elevated

INRs with concurrent acetaminophen therapy was dose dependent .

The authors concluded that acetaminophen is under recognized cause

of over-anticoagulation in outpatients taking warfarin . Although the

authors do not propose a mechanism of action , they encourage clinic-

ians to query patients about their use of acetaminophen and monitor

INRs closely in patients who take high chronic doses .

Editorial comments : we also encourage all colleages in pharmacies

to discuss this drug interaction with their patients especially in older

population. Patient education is one of patient's rights and will lead to

stop purchasing similar drugs from groceries .

Ref. DPIC newsletter vol. 18 may-jun 1999 .

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QUESTION

???????????

WHAT

DRUG

CAN BE USED

SAFELY

TO

CONTROL

HIGH

BLOOD

PRESSURE

IN

PREGNANCY ??

ANSWER

COMING SOON !!!!!

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* PHARMACY URL

URL DESCRIPTION
1- SAUDI PHARMACEUTICAL SOCITY

2- KING FAISAL SP. HOSPITAL& RC
3- U.S FOOD & DRUG ADMINIST.

4- WORLD HEALT ORGNIZATION

5- Dr.koop

DR. KOOP

6- merckmanual

DIAGNOSIS & THERAPY

7- TOXICOLOGY

LONDON TOXICOLOGY

8- PHARMACOTHERAPY THE ANNALS OF PHARMACOTHERAPY
9- U.S. PHARMACOPIA

UNITED STATE PHARMACOPIA

10- SAUDI PHARMACIST SITE

BY DR. MOHD ALKOLAYAH

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HOLY MAKKAH SAUDI PHARMACISTS

LOCATION ************************ ADRESS

AL NOOR SPECIALIST HOSPITAL

TEL. ( 02-5583730 )

- ABDULLAH M. AL OUFI******************** ( E-MAIL a_aloufi@yahoo.com)

- EBTISSAM M . BA DAWOUD *****( E-MAIL e_mb@hotmail.com )

- BASMAH S. AL HAMDAN

- LAILA A. BARHAMEEN

HERA GENERAL HOSPITAL

TEL. ( 02-5203535 )

- HUDA M. DUBBI

- AZZA SHABAN

- NADIAH SADAGAH

KING ABDULAZIZ HOSPITAL

- FAWZY AZZHARI

- THALAB AL HAZMI

KING FAISAL HOSPITAL

TEL. ( 02-5566411)

MOHAMMED URAIJAH

MAHA AL SULAIMANI

MATERNATY HOSPITAL

AHMAD NAWAWY

FERIAL AL AMOUDI

AJYAD HOSPITAL

MOHAMMED AL MALKI

YASIR BA MA GOOS

NAWAL AL NASSAR

IBN SENA HOSPITAL :

AGEEL AL AIDAROOS

TOXICOLOGY CENTRE

AHMAD EL IASS

ZAKKI SADAGAH

HASHIM M . TAYEB***********************( E-MAIL htayeb@yahoo.com )

ISMAEEL RAYES

NAJEEB BA LBAID

MARWAN MASHAT

SULAIMAN KALKATAWI

MEDIACAL SUPPLIES

TEL. ( 02-5564514 )

ABDULAHAD TURKESTANI

ISMAEEL SERDAR

MOHAMMED ALMALKI

HASSAN AL HARBI

ABDULAZIZ NAWAB

YEHIA BAKSH

HEALTH AFFAIRS

HAMZA ABDULMAJED

ABDULLAH BIN MAHFOOZ

HUSSAIN FAWAL

ABDULAZIZ HUAIT

TALAL HEMDY

GAZY MARAWEI

JAMEEL ABO ALSOOD

SECURITY FORCE HOSPITAL

ABDULWAHAB AL EDRESI

MOHAMMED AL KOLAYAH ******************************( alkelya@yahoo.com )

NAIF AL HAZMI


* CONTACT US

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GUESTBOOK

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