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Return

  • Return is the process of returning the drug to the parent/ issuing store. This is generally followed whenever there are situations like lost to follow-up, transfer out, death, etc.
  • Ni-kshay Aushadhi is being used to record and report the process.
  • At present, the return of drugs from the patient/ treatment supporters is taking place in Ni-kshay (in Drug  Dispensation Module)
  • All the unconsumed drugs should be brought back by the treatment supporter to the Peripheral Health Institute (PHI)---->Tuberculosis Units (TU)---->District TB Centre (DTC) within the shortest possible time in order to ensure that they can be re-used in the future.​​​​​​
  • Return of Bedaquiline (Bdq): Partially used Bdq bottle should be sent back to State Drug Stores (SDS) wherein it will be accounted for.
  • Return of Delamanid (Dlm): Leftover Dlm tablets should be returned back to the District Drug Stores (DDS).

 

Reconstitution

  • Reconstitution is defined as the process of re-packaging the returned anti-TB drugs in the event of loss to follow-up/ death/ discontinuation for any reason, back into a full treatment course for issuing to other patients.  
  • If the expiry of the remaining drugs is less than six months, the same may be issued at the Nodal Drug-resistant TB Centre (NDR-TBC) for patients while they are admitted and later adjusted from the long expiry bottle that is issued on discharge.
  • The reconstitution exercise is carried out only for the Bedaquiline drug and is done at the SDS. 
  • First Expiry First Out (FEFO) principle should be strictly followed while issuing re-constituted drugs to the patients and also be cautious about the reconstituted drugs belonging to the different expiry batches. 
  • The reconstituted drugs should be accounted for and reported in Ni-kshay Aushadhi through the Box-preparation module under the Packaging/ Re-packaging service.

 

Resources

 

Assessment

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Where is the reconstitution of Bdq drugs carried out?

District Drug Store

State Drug Store 

Tuberculosis Unit

Peripheral Health Institute

The reconstitution of Bdq drugs should be carried out only at the State Drug Store.

    

   Yes

 Yes

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