Minghetti Paola, Pantano Doriana, Gennari Chiara Grazia Milena, Casiraghi Antonella
Department of Pharmaceutical Sciences, Università degli Studi di Milano, Via G. Colombo 71, 20133 Milan, Italy.
Health Policy. 2014 Sep;117(3):328-33. doi: 10.1016/j.healthpol.2014.07.010. Epub 2014 Jul 18.
Pharmaceutical preparations are medicines that the pharmacist makes for the special needs of the patients that the pharmaceutical industry cannot comply for economic and logistic reasons. Pharmacy compounding is still an important component of pharmacy practice and a valuable therapeutical service that is an integrant part of the modern health care system, but its legislation is not harmonized among European and US countries. In 2011 the Committee of Ministers of the Council of Europe has adopted a Resolution on quality and safety assurance requirements for medicinal products prepared in pharmacies for the special needs of patients. Aim of this resolution is to harmonize quality assurance and standards for pharmacy-made medicinal products among European countries and to pass the gap in quality assurance and standards between preparation in pharmacies and medicines prepared by the pharmaceutical industry. This article will analyze the actual rules and technical norms that regulate compounding activity and the expectations resultants from the new European and US laws.
药物制剂是药剂师根据患者的特殊需求配制的药品,而制药行业由于经济和物流原因无法满足这些需求。药房配药仍然是药学实践的重要组成部分,也是一项有价值的治疗服务,是现代医疗保健系统不可或缺的一部分,但其立法在欧洲和美国各国之间并不统一。2011年,欧洲委员会部长委员会通过了一项关于为满足患者特殊需求而在药房配制的药品的质量和安全保证要求的决议。该决议的目的是在欧洲各国之间统一药房配制药品的质量保证和标准,并弥合药房制剂与制药行业生产的药品在质量保证和标准方面的差距。本文将分析规范配药活动的现行规则和技术规范,以及新的欧洲和美国法律所带来的预期结果。