Abstract
Objective: Patients with medication-related problems will not be able to achieve the correct therapeutic endpoint which can ultimately result in further progression of disease and complications of the disease. The common risk factors of medication related problems are such as increased co morbidities, hepatic impairment, renal impairment, lack of certain biological enzymes such as glucose 6 phosphate dehydrogenase, the safety of medications that needs to be considered in specialised population such as pregnant and lactating women followed by infants, children, and elderly persons. Today in India there are lot of drug-related problems which goes unnoticed as most of the medical case sheets in hospitals are not properly screened due to lack of clinical pharmacy services which do not exist in most of the hospitals. To assess the medication-related problems among chronically ill patients.
 Methods: Patients who met study criteria were enrolled in this research study, followed by the standard operating procedure of home medicine review was applied to carry out this research study. Drug-related problems of enrolled patients were evaluated by applying Hepler and Strand drug-related problem scale.
 Results: The pharmacist intervention rate in this research study were found was 58%. The medication-related problems identified in this study were drug given without indication which was accountable for 32 % followed by drug duplication 5.21%, drug interactions 11% and adverse drug reactions 6.52 %.
 Conclusion: This research study concludes that prevalence of drug-related problems among elderly patients was accountable for 40.49 % among Home Medicine Review in Mysore city due to more comorbidity which had resulted in more number of medications with respect to the individual medical case. Elderly patients will have lot of confusion which makes difficult to follow strict directions of medications prescribed by the concerned consultant. The situation of elderly patients can make still more miserable when no family members are living with them. Therefore in this type of situation, the role of pharmacist can play an important role in creating more awareness of medications to elderly patients.
Highlights
Patients with medication-related problems will not be able to achieve the correct therapeutic endpoint which can result in further progression of disease and complications of disease
Any patient with more comorbidities will always be prescribed with more number of medications where each and every medication needs to be screened for medication related problems such as drug duplication will be labelled for drug found in any prescription if it meets following where two different brand names were prescribed having the same generic combination, drug given without indication, drug not given when there is indication, under dosing, overdosing, adverse drug reactions, drug interactions
This research study concludes that prevalence of drug-related problems among elderly patients was accountable for 40.49 % among Home Medicine Review in Mysore city due to more comorbidities which had resulted in more number of medications with respect to the individual medical case
Summary
Patients who met study criteria were enrolled in this research study, followed by standard operating procedure of home medicine review was applied to carry out this research study. Drug related problems of enrolled patients were evaluated by applying Hepler and Strand drug related problem scale
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