Complex medication review
Sponsored Links
This presentation is the property of its rightful owner.
1 / 11

Complex Medication Review PowerPoint PPT Presentation


  • 120 Views
  • Uploaded on
  • Presentation posted in: General

Complex Medication Review. Robert Hallworth Chair – Greater Manchester Non-Medical Prescribing Network. Oldham Primary Care Trust. The Levels of Medication Review. Level 3 – Clinical Medication Review. Level 2 – Concordance & Compliance Review.

Download Presentation

Complex Medication Review

An Image/Link below is provided (as is) to download presentation

Download Policy: Content on the Website is provided to you AS IS for your information and personal use and may not be sold / licensed / shared on other websites without getting consent from its author.While downloading, if for some reason you are not able to download a presentation, the publisher may have deleted the file from their server.


- - - - - - - - - - - - - - - - - - - - - - - - - - E N D - - - - - - - - - - - - - - - - - - - - - - - - - -

Presentation Transcript


Complex Medication Review

Robert Hallworth

Chair – Greater Manchester Non-Medical Prescribing Network

Oldham Primary Care Trust


The Levels of Medication Review

Level 3 – Clinical Medication Review

Level 2 – Concordance & Compliance Review

Level 1 – Prescription Review

Level 0 – Ad Hoc


Medication Review - particular risk groups identified in Older People NSF

  • Those on 4 or more medicines

  • Post-discharge from hospital

  • In care homes

  • Where medicine-related problems have been identified

  • Patients over 75

  • Following an adverse change in health


Patient CB

  • Paracetamol – under dose?

  • Gaviscon – under dose?

  • Prochlorperazine – under dose? Adverse effects?

  • Propranolol – interaction with diltiazem?

  • Pholcodine – under dose? Adverse effects?


Patient CB

  • Clopidogrel – indication? Adverse effects?

  • Dilitiazem – adverse effects?

  • Monomax – dose timing

  • Bezafibrate – use with a statin?

  • Quinine bisulphate – indication?

  • Metformin – what is the intended dose?


Patient CB

  • Lansoprazole Fastabs – Dose. Cost effectiveness

  • Furosemide – indication

  • Nicorandil – is it needed? Adverse effects?

  • Terbinafine – course length

  • Ferrous sulphate – indication. Adverse effects.


Patient RK

  • BP control

  • Diabetes control

  • Weight – orlistat?

  • GI symptoms

  • Nicorandil

  • Lipid modification

  • Smoking

  • Asthma


Patient RK

  • Angina

  • Depression / mental health

  • Pain

  • Monitoring – BP, HbA1C, BG, U&Es, lipids, LFTs, PEFR


The NO TEARS tool

Need and Indication

Open questions

Tests and Monitoring

Evidence and Guidelines

Adverse Events

Risk Reduction or Prevention

Simplification and Switches


Questions?

Thank you

[email protected]


  • Login