Lack of understanding of hypertension and its prevention in the community and still lack of health checks such as blood pressure and cholesterol checks so that the need and importance of community service in order to prevent comorbid diseases Covid-19. One way to prevent Covid-19 comorbid disease is to educate about hypertension, symptoms / signs and prevention against hypertension so that the public knows more about hypertension and can prevent suffering from hypertension, as well as free health checks that include blood pressure and cholesterol checks in the community in Jati Karya village, North Binjai sub-district and this is the purpose of this community service activity. Active Participant Community Based conducted in the form of training with the Active Participants Learning method and conducted health examinations including blood pressure and cholesterol checks, as well as monitoring and evaluation activities of community service. The results of the pre-test and post-test analysis based on the T-test showed a significant increase in patient knowledge (p<0.05).

Based on various field studies it is known that many members of the community still lack sufficient knowledge and attitudes to carry out swamedications. Self-medication or self-medication is defined as the use of drugs without professional supervision, to treat health problems with symptoms that are self-identified, recurrent illnesses or minor health problems. Community service is aimed at increasing public knowledge and attitudes about self -ication through counseling. Counseling is addressed to administrators, employees, teachers, and students of the Al Razi Sinar Harapan Education Foundation, having its address at Jl. Eka Rasmi, Melinjo I No. 19 Medan. The counseling activities involved 50 participants, starting with the provision of knowledge materials and attitudes about self-medication, demonstration of various markings on pharmaceutical preparations, introduction of pharmacist figures as community guides in various drug-related problems and their proper use, closed with a question and answer session with prizes. To find out the benefits of counseling in increasing knowledge and attitudes about self-medication, before and after counseling, participants were asked to fill out a questionnaire. Based on the evaluation of filling out the questionnaire before and after counseling, it is known that in general there was an increase in the average points (criteria) of knowledge and attitudes from the previous 44.71 and 41.76 (less) to 56.47 and 52.94 (enough). In more detail, the increase in the mean points (criteria) of knowledge and attitudes of the foundation management group and teachers increased from points 57.14 and 40 (less) to 77.14 (good) and 62.86 (sufficient). From the group of high school students increased from 31.11 and 42.22 points (less) to 60.00 and 64.44 (enough). And from the group of junior high school students increased from 44.71 and 41.76 points (less) to 56.47 and 52.94 (enough). From the results of the evaluation it can be concluded that the extension activities are proven to be able to increase the knowledge and attitudes of the community in conducting self-authentication.

Objective: The purpose of this study is to find out what percentage of pharmacies that provide and report drug classes and narcotics with psychotropic SIPNAP and find out why. Materials and Methods:This research use descriptive method using questionnaire instrument to 85 pharmacists in charge of pharmacy (APA) and 85 owners of pharmacy capital (PMA), then data are processed using SPPS windows. Results:The results of the questionnaire on the answers of respondents APA and PMA showed pharmacies that provide drugs class of narcotics and psychotropic in Medan 67 (43.51%), which provides narcotics only 2 (1.30%), which provides psychotropic drugs only 21 (13.64%) and pharmacies that do not provide drugs class of narcotics and psychotropic 64 (41.56%). The most common reason for narcotics and psychotropic drugs is the demand for prescription drugs at pharmacies 38 (86.36%), whereas the most reason for not providing narcotics and psychotropic drugs is that there are no or very few prescriptions of narcotics and psychopathic drugs that go into pharmacies 31 (75.61%). Conclusion:While reporting the result that reported drug with narcotic program online (SIPNAP) 46 (29.87%) with the reason most because not understand how to make and send report SIPNAP 41 (85.42%).

Patients with hypertension usually experience chronic comorbidities and complications that require complex treatment (polypharmacy), which can further cause drug-related problems (DRPs) and interfere with the required clinical outcomes. This study, by using a case-control prospective cross-sectional, aimed to analyze the association between DRPs and blood pressures (BPs) of hypertensive patients admitted to Universitas Sumatera Utara (USU) hospital from July to September 2021. The incidence of DRPs was analyzed and classified according to the Cipolle classification system and reliable literature. Blood pressures of the patients were classified into controlled and uncontrolled BPs. The association between DRPs and BP was analyzed using the Chi-Square test. Most of the patients (57.5%) were female. Their mean age was 59±9.94 (years). The mean incidence of DRPs experienced by the patients was 1.78±0.79. The most frequently occurred DRPs were drug interactions. There was a significant association between the number of DRPs experienced by the patients and their BPs (p=0.02). DRPs are the contributing factor to the uncontrolled BPs of hypertensive patients.