ISSN (Print) : 2249 –7226, ISSN (online) : 2230-7583
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Volume : 6 Issue :11 Month : November (2015)
A STUDY ON ROLE OF CLINICAL PHARMACIST IN IMPROVING QUALITY USE OF MEDICINES IN PATIENTS WITH HYPERTENSION AND OTHER CO-MORBID DISEASES BY HOME MEDICINE REVIEW : 11
Mohd Tahir Siddiqui*,
Current study was conducted to improve rational use of medicine by reviewing various medications used in their homes. The objectives of the study was to promote quality use of medicines, identify medication related problems (MRP’s) and to solve them, improve medication adherence, educate the patient regarding disease and medications to improve knowledge about both the disease and use of drugs, achieve safe, effective, and appropriate use of medicines by detecting and addressing medication-related problems, to determine Medication Appropriateness Index(MAI) .A total of 460 patients were recruited during the study period of 6 months. In the study, patients with Hypertension was 43.04%, with Hypertension + Diabetes Mellitus are 30.86%, with Hypertension + Dyslipidemia are 17.39%, with Diabetes Mellitus + Hypertension + Dyslipidemia are 8.69%.Medication Appropriateness Index Scale shows that the MAI score of Hypertension of 1st visit was 6.224 ±0.816 which improved in 3rd visit 8.012 ±0 .502 , MAI score of Hypertension + Diabetes Mellitus of 1st visit was 7.256 ± 0.636 which improved in 3rd visit 8.128 ± 0.276, MAI score of Hypertension + Dyslipidemia of 1st visit was 7.456 ± 0.615 which improved in 3rd visit 8.025 ± 0.697 , MAI score of Diabetes Mellitus + Hypertension + Dyslipidemia of 1st visit was 6.897 ± 0.607 which improved in 3rd visit 7.798 ± 0.422 . It was observed that drug related problems were identified in Hypertension are 44.9 % , Hypertension + Diabetes Mellitus are 72.5% , Hypertension + Dyslipidemia are 62.5%, Diabetes Mellitus+Hypertension + Dyslipidemia are 70%. Pharmacist’s involvement improved the quality use of medicines.Patient education regarding drugs, disease, lifestyle modifications and medication adherence by clinical pharmacist, significantly improved health status of patients by reducing various parameters. Key words:- Medication related problems, Medication Appropriateness Index, Home medicine review, Quality of life.
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