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PHARMACY MINISTRY OF HEALTH DRUG MONITORING Forepart drug failure and adverse reactions with medications and suspected counterfeit product An adverse reaction occurs when the patient outcome is: Death,
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How to fill out intensive drug monitoring form

01
To fill out the intensive drug monitoring form, follow these steps:
02
Begin by providing personal information such as your name, contact details, and demographic data.
03
Specify the medication being monitored, including its name, dosage, and frequency of use.
04
Describe the medical condition for which the medication is being taken, providing relevant details and any prior treatments.
05
Indicate the start and end dates of the monitoring period, ensuring accuracy.
06
Note down any adverse reactions or side effects experienced during the monitoring period.
07
Include any relevant laboratory test results or diagnostic findings.
08
Provide information on concomitant medications being taken alongside the monitored drug.
09
If applicable, state any changes made to the medication or dosage during the monitoring period.
10
Finally, sign and date the form to certify its accuracy and completeness.

Who needs intensive drug monitoring form?

01
The intensive drug monitoring form is required for individuals who meet certain criteria, such as:
02
- Patients participating in clinical trials or research studies involving medication
03
- Individuals starting a new medication with known risks or potential side effects
04
- Patients with certain medical conditions that require close monitoring of drug efficacy and safety
05
- Individuals experiencing frequent adverse reactions or suspected drug interactions
06
- Patients undergoing significant changes in dosage or treatment regimen
07
- Individuals for whom intensive drug monitoring is deemed necessary by healthcare professionals.
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Intensive drug monitoring form is a document used to track and report specific information about the use of certain medications.
Healthcare professionals or institutions that dispense or administer medications subject to intensive monitoring are required to file this form.
The form must be completed by providing accurate information about the patient, medication, dosage, frequency, and any side effects observed.
The purpose of intensive drug monitoring form is to ensure the safety and effectiveness of certain medications by monitoring their use and any adverse reactions.
Information such as patient details, medication name, dosage, frequency, duration of use, and any observed side effects must be reported on the form.
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