Z Gastroenterol 2015; 53 - A3
DOI: 10.1055/s-0035-1551845

Magistral development of medicaments in the treatment of diseases of the digestive tract

P Birinyi 1
  • 1Mikszáth Pharmacy

As a practising pharmacist I often experience that the general medication of patients is far from being perfect, their treatment is deficient. The cessation or the lack of the distribution of indicationally unique medication in Hungary must be responsible for this fact. So, in accordance with their treating doctors, I decided to find a solution for the medication of patients coming to the Mikszáth Pharmacy (Budapest, Mikszáth Square 4.), thus garanteeing the continuity of the distribution of medicines, and helping the recovery of our patients. In many cases the obvious solution seemed to be the magistral production of medications. I realize the qualitative and reproductive production of medicines by providing special equipments and unique conditions. I find it important to safeguard the quality of all medicines produced in the Mikszáth Pharmacy. So I have the ready made magistral medicines fully tested, by production units, according to the instructions of the Hungarian Pharmacopoeia. Thus I have the opportunity to sort out all the possible mistakes in producing the medicines, and change the protocol of production if necessary. Collaborating with their doctors I can declare that we have achieved very good results in the treatment of our patients with the experience of recent years, namely the following: in the second line therapy of Heliobacter pylori (Capsula bismuthi citras), in the therapy of Clostridium difficile (Capsula vancomycini), in the preparational treatment of colonoscopia (Solutio drasticum), in the therapy of the Wilson's disease (Comprimata zinci acetas), in the therapy of uveitis (Oculogutta prednisoloni, Oculentum prednisoloni), in the ophthalmological treatment of nephropatic cystinosis (Oculogutta cysteamini), in the therapy of eye dryness (Lipid substituting eyedrops). In every case we provided with public financing and N.H.S. treatment the recently introduced and utilized magistral agents (vancomycin, zinci acetas, bismuthi citras). All in all I can say that by the magistral development of medicines in the Mikszáth Pharmacy I could solve the problems of distributing medicines, problems that cropped up many times during the expeditory practice, in such a way that I could entirely keep myself to the strict rules of our profession, and fulfill the demands of the authorities in keeping with the standpoint of the Professional College of Public Health.