Adverse Drug Reaction Reporting System in Pakistan

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Adverse Drug Reaction

Reporting System in Pakistan


Contents
 Basic Concepts
 Purpose of ADRs reporting system
 Need of ADRs reporting system
 Regulatory Bodies responsible for ADR reporting system
 Procedure for ADR reporting system
 Outcomes
 Conclusion
Adverse Drug Reaction
What is Pharmacovigilance
(PV)?
World Health Organization
The World Health Organization is a specialized agency of the United
Nations that is concerned with international public health. It was
established on 7 April 1948.
World Health Organization,
Uppsala Monitoring System
World Health Organization Programme for International Drug Monitoring
(WHO-PIDM) that was started in 1968 in the aftermath of thalidomide
tragedy.
Uppsala Monitoring Centre (UMC), Sweden is responsible to provide
operational support to WHO-PIDM.
In Pakistan, PNPC-DRAP is responsible to coordinate with WHO on the
matter of Pharmacovigilance.
Drug Regulatory Authority
of Pakistan
The Drug Regulatory Authority of Pakistan (DRAP) has been
established under the DRAP Act 2012 to provide effective coordination
and enforcement of the Drugs Act, 1976 and to bring harmony in inter-
provincial trade and commerce of therapeutic goods.
Purpose
 To operationalize the pharmacovigilance programme of Pakistan
 Monitoring the risk-benefit balance of therapeutic goods
 To encourage reporting of suspected ADRs
 Training
 Recommend regulatory actions
 Coordination
Regulatory Bodies responsible
for ADRs reporting system
Drug Regulatory Authority of
Pakistan

Division of Pharmacy Services

Pakistan National
Pharmacovigilance Centre (PNPC)

Provincial Pharmacovigilance
Centers (PPCs)
Organogram
Head of PNPC/ Chairman
PRAEC

In charge PNPC/ Focal Person


PV & Secretary PRAEC

Pharmacovigilance Officers
(Deputy Directors, Division of
Pharmacy services

Pharmacovigilance Officers
(Assistant Directors, Division
of
Pharmacy services
Responsibilities of Regulatory Bodies

DRAP PNPC PPC


Supervising PNPC Coordinate with WHO-
UMC Collection of
reports
Allocation of Budget
Coordinate with PPCs

Hiring/ Appointments
Submission of
reports to PNPC
Recommend regulatory
Implementation of actions to DRAP
policies
Awareness
Sharing of data to
Approval of guidelines vigibase campaign
Who can report?

Patient

Health care professionals

Public health programs

Registration holder of therapeutic


goods
Suspected ADR reporting Form

Patient

Medicine/ Vaccine/ Alternative


medicines

Reaction

Reporter Details
Where and How to report?
Health care
Patients can Registration
professional
report to holders
s
Health care
PPC PPC
professionals

Registration holders PNPC PNPC

Online submission Online submission Online submission


What to report?

Serious/ Non-serious ADRs

ADRs with medication errors

ADRs with quality problems


When to report?

Serious ADRs within 15 days of


reporting

Non-serious ADRs within 30 days of


reporting
Address of PNPC
In charge Pakistan National Pharmacovigilance Centre
Division of Pharmacy Services
Drug Regulatory Authority of Pakistan
3rd Floor, TF Complex,
7-Mauve Area
Islamabad.
Phone No: +92519107413, +92-51-9262182
Email Address: [email protected], [email protected]
Website : www.dra.gov.pk
What happened to report?
Hospitals

PHP

PPCs

PNPC
Assessment of ICSRs

Quality of documentation

Coding

Relevance

Identification of duplicate reports


OUTCOME
Communication of
Outcomes
 Direct Healthcare professionals communication
 Documents in lay language
 Websites
 Press communication
Failure to report ADR

Uncertain association

Awareness

Unavailability of report forms

Legal liability concerns


Use of Pharmacovigilance data
 Early detection of signal and strengthening
 Risk Management followed by coordinated and economical application
of resources
 Drug Regulation
 Risk communication and Information
“You can reduce the suffering and
save thousands of patients lives by
doing one thing”

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