{"id":9654,"date":"2026-08-10T09:13:17","date_gmt":"2026-08-10T09:13:17","guid":{"rendered":"https:\/\/majistraleczacilari.org.tr\/?post_type=docs&#038;p=1819"},"modified":"2026-08-21T11:40:37","modified_gmt":"2026-08-21T11:40:37","password":"","slug":"ad-augusta-per-angusta-to-the-heights-through-narrow-paths","status":"publish","type":"docs","link":"https:\/\/majistraleczacilari.org.tr\/en\/dokumanlar\/general-articles\/ad-augusta-per-angusta-to-the-heights-through-narrow-paths\/","title":{"rendered":"Ad augusta per angusta! To the heights through narrow paths!"},"content":{"rendered":"<p><span style=\"color: #202020;font-family: &#039;Fira Sans&#039;, sans-serif;font-size: 2.5rem;font-weight: 600\">Ad augusta per angusta!<\/span><\/p>\n<div class=\"majistral-vizyon-makalesi\">\n<div class=\"subtitle\">To the heights through narrow paths!<\/div>\n<div class=\"image-container\"><img fetchpriority=\"high\" decoding=\"async\" class=\"alignnone size-medium wp-image-1820\" src=\"https:\/\/majistraleczacilari.org.tr\/wp-content\/uploads\/2026\/08\/329_k_1662881100-300x169.png\" alt=\"\" width=\"300\" height=\"169\" srcset=\"https:\/\/majistraleczacilari.org.tr\/wp-content\/uploads\/2026\/08\/329_k_1662881100-300x169.png 300w, https:\/\/majistraleczacilari.org.tr\/wp-content\/uploads\/2026\/08\/329_k_1662881100.png 370w\" sizes=\"(max-width: 300px) 100vw, 300px\" \/><\/div>\n<p>The holiday is over\u2026 A demanding working period now awaits us. In the coming period, there are problems\u2014particularly concerning pharmacy economics\u2014that are difficult to solve, but not impossible. Of course, the challenges we face while practicing our profession will be present today just as they were yesterday; however, rather than falling into despair, I am among those who believe our problems will be overcome through unity and knowledge. For this reason, the title of my article consists of a Latin motto emphasizing reaching the summits through arduous, narrow paths.<\/p>\n<p>Dear Colleagues, I had highlighted the importance of knowledge in overcoming professional challenges. The significance of acting upon knowledge when providing pharmaceutical care services to our patients in our pharmacies is indisputable. To solve economic problems, rather than merely waiting for profit margins on SSI (Social Security Institution) prescriptions to be revised, pharmacists must refresh and advance their knowledge to correctly recommend non-prescription products\u2014namely dietary supplements and cosmetic-dermocosmetic products\u2014to patients. Furthermore, instead of simply saying &#8216;unavailable&#8217; for medications that cannot be found day by day in our country due to various reasons, it is our essential duty to remind physicians that many medicines can be prepared in pharmacy laboratories. To achieve this, we must also review our laboratories and our knowledge of magistral compounding accordingly.<\/p>\n<div class=\"highlight-box\">\n<p>The Compounding Pharmacists Association, which we established in 2020, aims to fill the current void in this field, bring compounding issues to the agenda, contribute to the resolution of problems, and elevate magistral production to the level of developed countries.<\/p>\n<\/div>\n<p>In this sense, on June 2\u20135, in Mardin, we successfully held our congress titled &#8220;Magistral Pharmacy Summit 2022&#8221; in collaboration with Eczac\u0131n\u0131n Sesi, with broad participation. For our members who could not attend the congress for various reasons, the presentations delivered at our congress by esteemed speakers on invaluable topics have been published in the password-protected section of our association&#8217;s website. In the upcoming period, our association will continue to bring magistral-themed congresses to life.<\/p>\n<p>Also in October, members of our association will attend and contribute to the event titled &#8220;7th Aegean Cosmetics Days&#8221;, organized by the Department of Pharmaceutical Technology at Ege University, where innovations in the field of cosmetics will be discussed alongside practical laboratory studies and presentations, allowing them to refresh their knowledge in cosmetics. The congress will conclude with an excursion to Bergama (Pergamon), the birthplace of Galen\u2014the Emperor of Physicians, one of the most prominent physicians of Ancient Rome, considered the father of pharmacy, the founder of experimental physiology, and the Roman world&#8217;s first sports physician.<\/p>\n<p>On October 20-21-22, 2022, at the Istanbul Congress Center (ICC), we will collectively envision the pharmacies of the future at the traditional &#8220;Future of Pharmacy&#8221; (Gelece\u011fin E Hali) congress, one of the largest pharmacy gatherings of our time, organized by the Pharmetic Entrepreneur Pharmacists Association. I will also be delivering a presentation titled &#8220;Magistral Pharmacies in the Future&#8221; at the congress as an invited speaker.<\/p>\n<p>As is known, on January 28, 2022, following the applications and negotiations carried out by our Professional Organization with the R.T. Ministry of Health and the Turkish Medicines and Medical Devices Agency for updating the Magistral Tariff used in determining the prices of magistral medicines prepared in our pharmacies; it was updated by applying the revaluation rates for 2017, 2018, 2019, 2020, and 2021 published by the Ministry of Treasury and Finance and specified in the General Communiqu\u00e9 on the Tax Procedure Law. The fact that the magistral tariff, which should be updated annually in January, was updated after a delay of a full 6 years\u2014even if insufficient\u2014was welcomed positively. However, the decision taken 7 months after this date, on September 3, 2022, to increase the prices in the &#8220;Tariff for Medicines Produced in Pharmacies&#8221; (Magistral Tariff) registered in the MEDULA system by 36.20%, and to have the necessary regulations made by the General Directorate of General Health Insurance, remains quite inadequate in our country where inflation figures stand around 115%. Moreover, the communiqu\u00e9 published on July 25, 2014 stated that &#8220;By decision of the Health Services Pricing Commission, magistral medication fees exceeding 500 TL will not be reimbursed as of July 25, 2014.&#8221; Therefore, necessary arrangements must be made in the Medula Pharmacy Provision system promptly, the 500 TL upper payment limit set in 2014 must be updated, and patient grievances must be addressed without delay.<\/p>\n<p>Dear Colleagues; &#8220;Magistral Compounding&#8221;, which observes public interest in economic terms and represents the art of the pharmacist by elevating the patient&#8217;s quality of care, is gaining more significance worldwide every day. When magistral compounding is evaluated in terms of drug cost, efficacy, and as a national project; we believe it possesses an aspect that can prevent unnecessary healthcare spending in our country and enhance patients&#8217; treatment quality.<\/p>\n<p>Today, as the number of orphan drugs increases with each passing day, redesigning pharmacy compounding laboratories and addressing magistral preparation within this framework is undoubtedly of paramount importance.<\/p>\n<p>Unquestionably, magistral drugs must be at least as effective, safe, and high-quality as commercially manufactured pharmaceuticals, and must be produced in appropriate premises and under suitable conditions. The preparation and delivery of magistral drugs to patients in a safe, effective, and high-quality manner falls within the duty and responsibility of pharmacists.<\/p>\n<p>Our association\u2014which contributes to improving the quality of magistral compounding activities in Turkey to an internationally competitive level, thereby aiming to bring together qualified pharmacists who grasp current and emerging technologies, are equipped with research-based knowledge and skills, adhere to ethical principles and attitudes, and embrace lifelong learning\u2014aims to ensure that pharmacy laboratories receive the necessary diligence in our country, just as in the rest of the world.<\/p>\n<p>Within the framework of all these justifications; in the compounding of magistral prescriptions written by physicians within pharmacy laboratories, in enhancing the safety and quality of formulations, and when necessary, preparing them under aseptic conditions using technological infrastructure in line with the standards specified in international formulation and stability compendia, we believe the time has come to discuss and implement cleanroom standards\u2014which are among the methods used in pharmaceutical manufacturing facilities to protect human health\u2014in pharmacy laboratories as well. In the upcoming period, which we refer to as the new era, we will witness the compounding of magistral prescriptions inside HEPA-filtered cleanrooms within pharmacy laboratories.<\/p>\n<div class=\"acknowledgements\">\n<p>Dear Colleagues; as you may recall, the &#8220;Magistral Pharmacy Summit 2022,&#8221; which we held in Mardin on June 2-5, 2022, in collaboration with Eczac\u0131n\u0131n Sesi, was successfully completed with great participation. We would like to extend our gratitude to our Scientists and Speakers who contributed with their valuable presentations to our congress, to Pharm. Fatih Oral, President of the Mardin Chamber of Pharmacists, for his flawless hospitality, to our Mardin Chamber of Pharmacists, and for their participation and contributions to;<\/p>\n<ul>\n<li>Pharm. Taner Ercanl\u0131, President of the Ankara Chamber of Pharmacists,<\/li>\n<li>Pharm. Adnan Bayhan, President of the Batman Chamber of Pharmacists,<\/li>\n<li>Pharm. Okan \u015eahin, President of the Bursa Chamber of Pharmacists,<\/li>\n<li>Pharm. Mahmut Sert, President of the Diyarbak\u0131r Chamber of Pharmacists,<\/li>\n<li>Pharm. Tuncay Say\u0131lkan, President of the Izmir Chamber of Pharmacists,<\/li>\n<li>Pharm. Bahtiyar Murat Aras, President of the Kahramanmara\u015f Chamber of Pharmacists,<\/li>\n<li>Pharm. Devrim Bali, President of the Manisa Chamber of Pharmacists,<\/li>\n<li>Pharm. S\u00fcleyman A\u00e7ar, President of the \u015eanl\u0131urfa Chamber of Pharmacists,<\/li>\n<li>Pharm. Hayrullah Fikret Baransel, President of the Van Chamber of Pharmacists,<\/li>\n<li>Pharm. Mehmet Emin Beyaz, Former Member of the TEB Central Committee and Former President of the Batman Chamber of Pharmacists,<\/li>\n<li>U\u011fur Elik, Member of the TEB Central Committee and Former President of the Mardin Chamber of Pharmacists,<\/li>\n<li>Pharm. Hakan Gen\u00e7osmano\u011flu, Chairman of the Board of Eczac\u0131n\u0131n Sesi,<\/li>\n<li>Pharm. Kaz\u0131m Aykanat, President of the Pharmetic Entrepreneur Pharmacists Association,<\/li>\n<li>Mr. Sonay G\u00fcrgen, Chairman of the Board of Sel\u00e7uk- As Ecza Deposu,<\/li>\n<li>Mr. Selim Ta\u015fo, General Manager of Alliance Healthcare,<\/li>\n<li>Berat Beran, Chairman of the Board of Berko \u0130la\u00e7 Sanayii A.\u015e.<\/li>\n<\/ul>\n<p>To all esteemed executives and representatives of our pharmaceutical industry,<\/p>\n<ul>\n<li>To Serenas Group, which took part in the organization of our congress,<\/li>\n<li>To our program host, Muhammet Fidan,<\/li>\n<\/ul>\n<p>For their valuable participation and contributions to:<\/p>\n<p>Abbott, Alvita, Aris, As Ecza Deposu, Bailleul, Berko \u0130la\u00e7, Biodal, Deva, Dinamis, Demokozmetik Okulu, Ecce, Eza\u015f, Farmatek, Galenik, Hekim \u0130la\u00e7, \u0130lko, \u0130nvotek, Kampotu, Lilyum, Majistral Farma, Menarini, Nature Nurture, Nestle, Nutrefor, Orzax, Oto Farma, \u00d6zkanlar, Perrigo, Phytoil, Sel\u00e7uk Ecza Deposu, SFA AR-GE, Zade Vital,<\/p>\n<p>I consider it a duty to express my deepest gratitude to my colleagues on the Board of Directors of the Magistral Pharmacists Association and to all my fellow pharmacists who came from all corners of our country to attend the congress.<\/p>\n<\/div>\n<div class=\"author-info\"><span class=\"date\">10.09.2022<\/span><br \/>\n<span class=\"author-name\">Specialist Pharmacist Ahmet Nezihi Pekcan<\/span><\/div>\n<\/div>\n","protected":false},"excerpt":{"rendered":"<p>Ad augusta per angusta! To the heights through narrow paths! The holiday is over\u2026 A demanding working period now awaits us. In the coming period, there are problems\u2014particularly concerning pharmacy [&hellip;]<\/p>\n","protected":false},"author":1,"featured_media":1820,"comment_status":"open","ping_status":"closed","template":"","meta":{"_acf_changed":false,"footnotes":"","_members_access_role":[],"_members_access_error":""},"doc_category":[159],"doc_tag":[],"class_list":["post-9654","docs","type-docs","status-publish","has-post-thumbnail","hentry","doc_category-general-articles"],"acf":[],"year_month":"2026-09","word_count":1449,"total_views":"1","reactions":{"happy":"0","normal":"0","sad":"0"},"author_info":{"name":"m921a","author_nicename":"m921a","author_url":"https:\/\/majistraleczacilari.org.tr\/en\/author\/m921a\/"},"doc_category_info":[{"term_name":"General Articles","term_url":"https:\/\/majistraleczacilari.org.tr\/en\/dokuman-kategori\/general-articles\/"}],"doc_tag_info":[],"knowledge_base_info":[],"knowledge_base_slug":[],"_links":{"self":[{"href":"https:\/\/majistraleczacilari.org.tr\/en\/wp-json\/wp\/v2\/docs\/9654","targetHints":{"allow":["GET"]}}],"collection":[{"href":"https:\/\/majistraleczacilari.org.tr\/en\/wp-json\/wp\/v2\/docs"}],"about":[{"href":"https:\/\/majistraleczacilari.org.tr\/en\/wp-json\/wp\/v2\/types\/docs"}],"author":[{"embeddable":true,"href":"https:\/\/majistraleczacilari.org.tr\/en\/wp-json\/wp\/v2\/users\/1"}],"replies":[{"embeddable":true,"href":"https:\/\/majistraleczacilari.org.tr\/en\/wp-json\/wp\/v2\/comments?post=9654"}],"version-history":[{"count":1,"href":"https:\/\/majistraleczacilari.org.tr\/en\/wp-json\/wp\/v2\/docs\/9654\/revisions"}],"predecessor-version":[{"id":9656,"href":"https:\/\/majistraleczacilari.org.tr\/en\/wp-json\/wp\/v2\/docs\/9654\/revisions\/9656"}],"wp:featuredmedia":[{"embeddable":true,"href":"https:\/\/majistraleczacilari.org.tr\/en\/wp-json\/wp\/v2\/media\/1820"}],"wp:attachment":[{"href":"https:\/\/majistraleczacilari.org.tr\/en\/wp-json\/wp\/v2\/media?parent=9654"}],"wp:term":[{"taxonomy":"doc_category","embeddable":true,"href":"https:\/\/majistraleczacilari.org.tr\/en\/wp-json\/wp\/v2\/doc_category?post=9654"},{"taxonomy":"doc_tag","embeddable":true,"href":"https:\/\/majistraleczacilari.org.tr\/en\/wp-json\/wp\/v2\/doc_tag?post=9654"}],"curies":[{"name":"wp","href":"https:\/\/api.w.org\/{rel}","templated":true}]}}