Presentation on theme: "Complex Medication Review Robert Hallworth Chair – Greater Manchester Non-Medical Prescribing Network Oldham Primary Care Trust."— Presentation transcript:
Complex Medication Review Robert Hallworth Chair – Greater Manchester Non-Medical Prescribing Network Oldham Primary Care Trust
The Levels of Medication Review Level 0 – Ad Hoc Level 1 – Prescription Review Level 2 – Concordance & Compliance Review Level 3 – Clinical Medication Review
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?