Role of the District Drug Store [DDS] in the Constitution of Patient-wise Boxes

When there is a modification in the Drug-resistant TB (DR-TB) regimen as suggested by the Drug-Resistant Tuberculosis Centre (DR-TBC), the district drug storekeeper/ pharmacist prepares the modified boxes from loose Second-line anti-TB Drugs (SLD) supplied from the State Drug Store (SDS). 

• The state shall provide the necessary support for capacity building of the District Drug Store (DDS) for carrying out the entire exercise of preparing standardized/ modified patient-wise drug boxes at the DDS level. 
• Whenever oral regimens are modified during the course of treatment, the DDS needs to ensure that the change in the regimen should be incorporated into the supply of subsequent boxes.
• A full-time DDS storekeeper/ pharmacist must be mandatorily recruited/ placed for a successful decentralized system of preparation of drug boxes at the DDS level. 
• District TB Officer (DTO) and Medical officer-DTC usually perform a random check to understand if there is any challenge in the constitution of patient-wise boxes.

Resources

• Guidelines for Programmatic Management of Drug-resistant Tuberculosis in India, March 2021.

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