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Taking a
drug history (Drug history (Sources of
information (Patient, GP…
Taking a
drug history
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Drug history
Current/recently prescribed drugs
(name, indication, formulation, dose, frequency, duration)
Current/recent non-prescribed drugs (OTC, herbal, illicit)
Check all e.g. tablets, eye drops, inhalers, creams, injections
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Adherance
(if a pt missed doses for a drug, may need
to re-titrate the dose e.g. clozapine)
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Sources of
information
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GP (records, referrals, repeat prescriptions)
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Patient
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Ideas, concerns, expectations
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Patient's
own drugs
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Things to
cheeck
Dispensing errors
(label, box, contents)
Self medication
(OTC, herbal, illicit)
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Monitored
dosage systems
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Check about non-prescribed drugs;
if filled by the pharmacy will only have prescribed drugs,
if filled by carer it may contain non-prescribed drugs
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The GP
Information
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Acute, current, previous tx
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Referral letters
Dose, schedule, strength,
duration of tx etc. often omitted
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Medical notes
Information
Drug strength, dose, frequency
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Carers
Nursing homes
Can see missed, omitted and refused doses
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Tertiary care
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Current drugs, regimens, doses, strengths, duration
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Relatives/carers
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Doses of problem drugs
(insulin, warfarin)
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Community pharmacist
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Medication use review
(allergies, ADRs, adherance)
Patient medication record
(acute, current and previous tx)
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Problem drugs
Insulin
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Interim tx
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Stable T2DM
Close BM monitoring, leave insulin
until doses confirmed
Warfarin
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Details needed
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INR
(target, current, who monitors,
how often monitored)
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Oral cytotoxics
Info needed
Name, strengh, dose,
formulation, frequency
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