There is nothing provoking like selling to a client an expired drug without their consent and now they are back with the drug and receipts for a refund on the busiest day at your pharmacy. It can be worse especially if the drug was expensive and you are busy serving another client having in mind the queue is long and the have to wait before you attend to them. Most pharmacists will say an expired drug is still effective one or two months after the expiry date apart from extemporaneous preparations. I was surprised the other day to read that the effectiveness of a drug may decrease over time, but much of the original potency still remains even a decade after the expiration date. Excluding nitroglycerin, insulin, and liquid antibiotics read more at Harvard Health Publishing.
Is it good ethics to dispense an expired drug? First of all, why would someone want to buy an expired medicine… we have always looked for medicine to be an orderly field of knowledge and procedure which has proved the need for medics especially pharmacist to be very accurate. Most of my articles have been FIFO (first in first out), it is remarkable to find out that there is this one old post that you have been clicking daily since it appeared on this blog. Thank you for searching this one article, I wrote it long time ago before I even have a blog. One internet journey before we reach here is a very interesting story for another day, this is a promise I am making. I knew I wanted this space to express or rather share my ideas but that one post makes me feel I should deliver more especially in the area of skin and beauty. I remember a friend of mine years ago (old and very informed) told me the future of community pharmacy business is going to be beauty products and OTC (over the counter) medicines and truly that has taken shape five years later. The current trend is 80 percent of pharmacies have beauty sections, which are doing well. I will soon be forced to learn a few beauty tips so that I can write more about the same.
A lot has happened in the healthcare market, 2017 seems to have flown by. The biggest and perhaps the most positive change has been the expansion of NHIF and the free maternity program. NHIF has been covering both inpatient and outpatient services including full coverage of kidney dialysis and heart surgery costs until recently after elections when we had a hiccup with the insurance fund. It is not NHIF alone but most insurance companies find it difficult sometimes to manage expenditure from the premiums they collect. Apparently, NHIF had decided to impose limits on the number of hospital visits per year capping outpatient visits to four times a year and a max value of 6000shs per year, which appeared to be consumer unfriendly. Furious Kenyans took it to social media platform to complain about the move which was later recalled with no proper explanations given. The NHIF cover is still not that beneficial to Kenyans and it is sad that most people are still unable to afford healthcare services.
I still want to affirm 2017 has been an amazing year. There has always been demand for prescriptions to be filled as fast as possible to avoid long queues in pharmacies and this can only be solved by online pharmacies. We have seen potential game changer apps like livia app and mydawa app being tossed to the market to solve this issue with slow success. The best thing about this is we are heading somewhere, probably the best foundation and a nexus to ePrescrbing. These “online pharmacies” could be and may be an effective solution not only in improving the quality of healthcare but also reducing the cost of delivery. These online pharmacies have concentrated more on convenience while most people still focus more on cost rather than medication being delivered to where they are. There is still a bigger gap to be covered by this online apps for us to begin enjoying the fruits of online prescription dispensing.