EDLIZ 2015 mdpcz co zw

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EDLIZ 2015,Printed by, EDLIZ 2015,EDLIZ 7TH EDITION 2015. PUBLISHED BY , The National Medicine and Therapeutics Policy. Advisory Committee NMTPAC , Ministry of Health Child Care. Republic of Zimbabwe, Further copies may be obtained through the relevant Provincial Medical. Directorate City Health Directorate the NMTPAC Ministry of Health . Child Care MoHCC PO Box CY 1122 Causeway Harare Zimbabwe . or the MoHCC website www mohcc gov zw Copies of the text may be. obtained on soft copy if required for teaching purposes from email. address dps mohcc gov zw or nmtpac gmail com EDLIZ was. prepared using Microsoft Word , The information presented in these guidelines conforms to current.
medical nursing and pharmaceutical practice It is provided in good. faith Whilst every effort was made to ensure that medicine doses are. correct no responsibility can be taken for errors and omissions . EDLIZ Review Co ordinator, No part of this publication may be reproduced by any process without. the written permission of the copyright holder exception being made for. the purpose of private study research criticism or review or for. teaching but not for sale or other commercial use . Original Cover Design Regina Gapa and Charon Lessing. Cover redesign Layout Kim Hoppenworth,Cover redesign and layout 2015 Newman B Madzikwa. Copyright June 2015 Ministry of Health Child Care. EDLIZ 2015,EDLIZ REVIEW COMMITTEE,Apollo Tsitsi Samukange Emma. Borok Margaret Mujuru Hilda,Chakanyuka Christine C Mushavi Angela. Hove Ropafadzai Madzikwa Newman B ,Mungwadzi Godfrey Ndhlovu Chiratidzo E .
Bakasa Clemenciana Sifeku Florah N ,Mudzimu Forward Wellington Maureen. Torongo Mabel Vuragu Davison N ,Nyamayaro Raphael Maunganidze Aspect. Khoza Star Basopo Victor,Madziyire Mugove G Chidakwa Claitos. Bara Wilfred,ACKNOWLEDGEMENTS, We would like to thank all the individuals who made contributions. through colleagues or discussion forums or by communicating through. electronic mail We are grateful to all who made this edition a national. guide that serves as the standard for Zimbabwe Thank you to all the. healthcare workers for your support , The following attended our review workshops as well as being.
instrumental in current chapter reviews , Akinjide Obonyo Akindele P Dr Maunga Simbarashe Dr. Apollo Tsitsi Dr Maunganidze Aspect Dr,Bakasa Clemenciana Ms Mbuzi Tonnie Mr. Bare Blessing Mhazo Tichatyei Mr,Basopo Victor Mr Mhembere Josephine Dr. Bepe Tafadzwa Dr Midzi Stanley Dr,Borok Margaret Dr Misihairambwi Silence Ms. Burutsa Patricia Ms Mlilo Lindiwe Dr,Bwakura Tapiwanashe Dr Moyo Dothan Mr.
Cakana Andrew Prof Moyo Mluleki Mr,Chakanyuka Artmore Dr Moyo Sifiso Mr. Chakanyuka Christine C Dr Mudombi Wisdom Dr,Chari Godfrey Mudzimu Forward Mr. Charimari Lincoln Dr Mujuru Hilda A Dr,Chemhuru Milton Dr Mungwadzi Godfrey Dr. Chikanya Sonia Irene Ms Munjanja Stephen P Prof,Chimhini Gwendoline Dr Mushavi Angela Dr. EDLIZ 2015,Chirenje Mike Z Prof Musiya N Dr,Chiro Erick Mr Musungwa Alexio Mr.
Cowan Frances M Prof Musvipa Mary Ms,Deda Petunia Ms Mutsvairo Sitembile Ms. Dliwayo Thokozile Ms Mwaramba Charles Mr, Dube Siphathisiwe Noreen Mrs Mwonzora Muchaneta Mrs. Dube Tirivashoma Mr Nathoo Kusum J Prof ,Fana Golden Dr Ncube Phumuzile Ms. Gambanga Pauline Dr Ndamukwa Pikirai Mr,Glavintcheva Iskra L Dr Ndhlovu Chiratidzo E Prof. Gunguwo Hillary Dr Ndlovu Misheck Mr,Gwanzura Lovemore Prof Ndowa Francis Dr.
Gwata Beatrice Mrs Nembiri Tinashe Ms,Hove Ropafadzai Mrs Ngwende Gift W Dr. Kambarani Rose Prof Nkala Lee Mr,Kandawasvika Petronella Dr Nyadzayo Tasiana K Mr. Khoza Star Dr Nyakabau Anna M Dr,Khumalo Brian Mr Nyamayaro Raphael Dr. Khumalo Mhlawempi Nyaruwanga Albert Mr,Kufa Tarisai Dr Pasi Christopher Dr. Kusemwa Muyambi Preetyosa Ms Phiri Isaac Dr,Latif AS Prof Reid Andrew Dr.
Machisa Vimbainashe Ms Rimai Ruth Ms,Madhombiro Munyaradzi Dr Samukange Emma Mrs. Madzikwa Newman B Mr Sandy Charles Dr,Magombeyi Rudo Ms Sanyanga Arthur Mr. Magunda Farai Shumba Godfrey Mr,Mandimika Florence Sibanda Elopy N Prof. Mandire Joice Ms Sifeku Florah N Mrs,Mangezi Walter Dr Sithole Dorcas Ms. Mangoma Tariro Ms Tagwirei Dexter Prof,Mangwiro John C Dr Takaruza Kelvin Mr.
Masanganise Rangarirai Prof Tambudze Gaundencia Ms. Masendu Maureen Dr Tekasala Lumbu Jerry Mr,Mashinge Farayi Mr Ticklay Ismail Dr. Mashoko Tsungai Ms Vuragu Davison N Mr,Mashumba Azza Dr Wellington Maureen Dr. Maswaure Laucas Zaranyika Trust Dr,Matonhodze Alex Mr. Thank you , Mrs R F Hove Prof C E Ndhlovu, Director of Pharmacy Services NMTPAC Chairperson. EDLIZ 2015, It is the national objective that the health care needs of Zimbabweans.
are met through the provision and proper use of essential medicines . Sometimes we do not need to give medicines that is there is not. always a pill for every ill Thus there is need to use medicines. appropriately efficiently and effectively , The guidelines in EDLIZ have always reflected the consensus of local. experts and takes into consideration factors such as the Zimbabwean. setting prevailing economic climate practical experience as well as. evidence based therapeutics , This new EDLIZ has taken into account the dynamic changes in the. Burden of Disease as reflected by the inclusion of antiretroviral. medicines and treatment of other opportunistic infections other than. Tuberculosis TB Many of the therapeutic regimens of the previous. EDLIZ still hold true and remain the same and should reinforce the. confidence of the prescriber in making reliable therapeutic choices . I urge all health workers to familiarise themselves with the revised. guidelines to prescribe within the bounds of this publication and to. recognise the critical importance of providing a quality service to all. health care recipients through the rational use of medicines . EDLIZ REMAINS good medicine Use it , Hon Dr P D Parirenyatwa. Minister of Health Child Care, EDLIZ 2015,THE ESSENTIAL MEDICINES LIST FOR. ZIMBABWE EDLIZ 7TH EDITION, This 7th essential medicines list and standard treatment guidelines for.
the most common health conditions in Zimbabwe has been endorsed by. the National Medicine Therapeutics Policy Advisory Committee. NMTPAC It is the product of many years of combined efforts by. hundreds of health workers at all levels of the health care system in. Zimbabwe from the front line health care providers to the providers of. specialist care It has been refined over the years as a result of its. widespread use by our healthcare workers We continue to revise the. standard treatment guidelines and take into account medicine. developments and new healthcare problems Thus this latest edition has. included more essential medicines , The essential medicine list is based on the Essential Medicines. Concept Medicines in EDLIZ are chosen to meet the health care needs. of the majority of the population and should therefore always be. available and accessible at a price that both the patient and the nation. can afford ,Selection of medicines for inclusion, Selection of medicines for inclusion in EDLIZ has been based on the. following criteria with special emphasis on proven evidence for their use. in the Zimbabwean setting , relevance to prevalent diseases. proven efficacy and safety Safe, adequate scientific data in a variety of Efficacious. settings Quality, adequate quality Available, Affordable.
favourable cost benefit ratio, Accessible, desirable pharmacokinetics Rationally used. possibilities for local manufacture, available as single ingredient items. GENERIC MEDICINES, Every medicine has a chemical name and a generic name For. example paracetamol its chemical name is N 4 Hydroxyphenol . acetamide and the international non proprietary name INN or generic. name is paracetamol The INN is the medicine s official name. regardless of who manufactures or markets it An additional brand name. EDLIZ 2015, is chosen by the manufacturer to facilitate recognition and association of. the product with a particular manufacturer for marketing purposes . For most common medicines there are several branded products that all. contain the same active ingredient and therefore share the same INN . The use of generic names for medicine procurement as well as. prescribing carries considerations of clarity quality and price . Proponents of generic medicines procurement and prescribing point out. generic names are more informative than brand names and facilitate. purchasing of products from multiple suppliers whether as brand . name or as generic products , generic medicines are generally cheaper than products sold by.
brand name this is demonstrated very clearly when it comes to. antiretroviral medicines, generic prescribing also facilitates product substitution whenever. appropriate , Opponents argue that the quality of generic medicines is inferior to that. of brand innovator products However quality assurance and naming of. medicines are completely separate issues Generic medicines from. reliable suppliers are as safe effective and high in quality as medicines. with brand names At the same time branded medicines from a. manufacturer with inadequate procedures for quality control can be of. poor quality despite the brand name Also although any medicine can. be counterfeited there are more incentives for counterfeiting brand . name medicines than generic medicines Some pharmaceutical. companies also sell their branded products under the generic name for. a much lower price , Bio equivalence is often misused as an argument against the use of. generic equivalents For many medicines the variation in bioavailability. among individual patients is much larger than the variation among. products of different manufacturers In fact bioavailability is clinically. relevant for only a relatively small number of medicines such as. furosemide digoxin levodopa isoniazid theophylline and phenytoin . Zimbabwe has a well understood generic policy which requires that all. prescribing is in the generic name and the dispenser can make generic. substitutions unless bioavailability is an issue in which case the. prescriber should indicate accordingly ,ADVANTAGES OF EDLIZ. The benefits of the selection and use of a limited number of essential. medicines are , Improved medicines supply, More rational prescribing.
EDLIZ 2015, Lower costs, Improved patient use,IMPROVED MEDICINES SUPPLY. The regular supply of medicines is difficult in many countries and the. consequent health implications are many Improved medicines. availability should lead to improved clinical outcomes . With fewer essential medicines being,purchased the mechanisms and. logistics for procurement storage easier procurement . distribution will clearly be easier It is storage distribution. not practical for each clinic in lower holding stocks. Zimbabwe to attempt to procure lower losses, transport and warehouse all the better quality assurance. hundreds of items in EDLIZ , Conversely limiting the number of medicines available at the primary. health care level makes a regular supply of medicines more practical. and possible , With an improved supply the possibilities of holding lower quantities.
exist This has financial implications as well as reducing the likelihood of. medicines expiring or being damaged during storage . Quality assurance can be better managed when the number of. medicines is limited and quality checks can be performed more. frequently ,MORE RATIONAL focused more effective training. PRESCRIBING more experience with fewer medicines, no irrational treatment alternatives. In the absence of limited available,lists the large variety of. focused medicine information,products available on the. market contributes to better recognition of adverse medicine. inconsistent prescribing and reactions,consequently variation in.
clinical practice even within the same health care facility Irrational. prescribing may lead to therapeutic hazards and increased costs . When the number of medicines is limited training can be more focused. and the quality of care enhanced This is especially true when the list. represents a consensus of opinion on first choice of treatment such as. Using EDLIZ enables the prescriber to become more familiar with the. medicines they use and better able to recognise adverse effects . EDLIZ 2015, The use of EDLIZ also eliminates irrational products from being. available for prescribing and allows for more focused medicine. information to be provided on suitable essential medicines . LOWER COSTS,Improved effectiveness and efficiency in. patient treatment leads to lower health care more competition. costs The essential medicines concept is lower prices. increasingly being accepted as a universal,tool to promote both quality of care and cost. Essential medicines are usually available from multiple suppliers With. increased competition more favourable prices can be negotiated . By limiting the number of different medicines that can be used to treat a. particular clinical problem larger quantities of the selected medicine will. be needed with potential opportunities to achieve economies of scale . The guidelines in EDLIZ have always reflected the consensus of local experts and takes into consideration factors such as the Zimbabwean setting prevailing economic climate practical experience as well as evidence based therapeutics This new EDLIZ has taken into account the dynamic changes in the

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