LEYLU D.

REPATO

PHARMACY III - A

Asynch Activity/ Assignment #1 on Medication Related Problems

Questions:

1. What is a medication- related problem?

Medication-Related Problem (MRP) An undesirable event experienced by a patient that

involves or is suspected to involve drug therapy and actually or potentially interferes with a
desired patient outcome

2. What are the types of Adverse Drug Reactions and explain briefly.

TYPE A (AUGMENTED) predicted from the known pharmacology of the drug. These reactions are
dose-dependent: examples are bleeding with anticoagulants.

TYPE B (BIZARRE) reactions are not predicted from the known pharmacology of the drug. They
appear (but they actually are nit) relatively dose-independent, as very small doses might already
elicit symptoms.

TYPE C (CHEMICAL/CHRONIC) which are related to the chemical structure and its metabolism

TYPE D (DELAYED) which appear after many years of treatment.

TYPE E (END OF TREATMENT) Occur after drug withdrawal e.g.seizures after stopping phenytoin.

3. Provide ways for Medication Adherence.

1. Educate patients about what to expect.

- The pharmacist has the opportunity to fill in any gaps and provide an additional level of service
to patients. The more time pharmacists spend with a patient to explain his or her condition, how
the drug works and why it is important to take the medication consistently, the greater the
likelihood that the patient will remain adherent to therapy.

2. Nurture relationships with patients

- Patients see and interact with their pharmacist much more often than with their prescriber.
Pharmacists and pharmacy staff should take at least a few minutes to talk and establish a
relationship with every patient who walks through the door. This

3. Team up with prescribers.

 - This has an added benefit of giving patients the important sense of belonging to a team that
regularly communicates about their care.

4. Engage the staff.

- A brief talk with the pharmacist may help prevent nonadherence down the road.

5. Learn about and use available technologies.

- Having systems in place to monitor and track patient adherence, proactively communicate and
document interactions can save pharmacies a lot of time and costs while improving patient
outcomes.

6. Help patients customize their support tools.

- Understanding the various adherence tools available and how they are positioned to meet an
individual patient’s preferences can have a measurable impact on adherence. Some patients
may embrace a new app for their smartphone, while others might find a simple daily pill box to
be just right.

7. Schedule appointments.

- Finding time to speak with patients about their medications and conducting medication
reviews, such as formal medication therapy management (MTM), can be a real challenge.

8. Synchronize medications.

- Coordinate all medication refills for patients to pick up at the same time each month. This
ensures a lack of interruptions in therapies and provides a better overall experience for patients
—no more walking out with missing scripts or partial fills.

9. Take advantage of MTM platforms and CMR opportunities.

- The MTM process and comprehensive medication review (CMR) summaries allow for more
one-on-one conversations with patients and will help uncover adherence issues. The education
provided with these consultations not only improves a patient’s health and well-being, but also
results in increased prescription volume and services.

REFERENCE:
● https://www.slideshare.net/wef/medication-related-problems#:~:text=Medication
%2DRelated%20Problem%20(MRP),5.%20%E2%80%9C
● https://www.researchgate.net/figure/Classification-of-Adverse-Drug-
Reactions_tbl3_23656865
● https://www.amerisourcebergen.com/insights/pharmacies/nine-tips-for-medication-
adherence
●