Nonprescription drug-related problems and pharmacy interventions.

Objective: To document the number and types of drug-related problems (DRPs) identified in customers purchasing nonprescription products in Swedish pharmacies; describe the distribution of DRPs by customer's gender, age, underlying ailment, and class of drug; determine whether problems are identified...

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Publicado en:Annals of Pharmacotherapy Vol. 35; no. 11; pp. 1343 - 1350
Autores principales: Westerlund LOT, Marklund BRG, Handl WHA, Thunberg ME, Allebeck P, Westerlund, L T, Marklund, B R, Handl, W H, Thunberg, M E, Allebeck, P
Formato: research tables/charts Journal Article
Publicado: Sage Publications Inc. 2001 Nov
Acceso en línea:Ver este registro en EBSCOhost
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      dt: 2001 Nov
      vid: 35
      iid: 11
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      pub: Sage Publications Inc.
      place: Thousand Oaks, California
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        atl: Nonprescription drug-related problems and pharmacy interventions.
      aug:
        au:
          Westerlund LOT
          Marklund BRG
          Handl WHA
          Thunberg ME
          Allebeck P
          Westerlund, L T
          Marklund, B R
          Handl, W H
          Thunberg, M E
          Allebeck, P
        affil: National Corporation of Swedish Pharmacies (Apoteket AB) and Department of Social Medicine, Göteborg University
      sug:
        subj:
          Drugs, Non-Prescription Administration and Dosage
          Drugs, Non-Prescription Adverse Effects
          Pharmacy Service
          Self Medication
          Adolescence
          Adult
          Aged
          Chi Square Test
          Child
          Data Collection
          Female
          Funding Source
          Infant, Newborn
          Male
          Middle Age
          Sweden
          Human
          Adolescent: 13-18 years
          Adult: 19-44 years
          Aged: 65+ years
          Child: 6-12 years
          Infant, Newborn: birth-1 month
          Middle Aged: 45-64 years
          Female
          Male
      ab: Objective: To document the number and types of drug-related problems (DRPs) identified in customers purchasing nonprescription products in Swedish pharmacies; describe the distribution of DRPs by customer's gender, age, underlying ailment, and class of drug; determine whether problems are identified to the same extent in pharmacies with staffed nonprescription self-service departments as in pharmacies with over-the-counter sales; and document the number and types of pharmacy interventions to prevent or resolve DRPs, including reasons for drug switches and referrals to physicians.Methods: A computerized instrument for documentation of DRPs and pharmacy interventions was developed. The study was conducted in 45 volunteer pharmacies in Sweden during 10 weeks in late 1999.Results: A total of 1,425 problems and 2,040 interventions were recorded by 308 pharmacy practitioners. Relatively fewer DRPs were documented in pharmacies with self-service departments. The most common DRPs were uncertainty about the indication for the drug (33.5%) and therapy failure (19.5%). Dyspepsia was the most frequently specified symptom (11.4%). Consumers of dermatologic products had significantly higher rates of problems than expected in relation to sales volume. The most common ways of responding to a problem were with consumer drug counseling (61.1%), switching of drugs (43.9%), and referral to a physician (27.5%).Conclusions: The study has demonstrated a need for more professional attention and intervention by pharmacy staff to prevent and rectify DRPs in nonprescription consumers. It seems especially important to make sure that consumers receive the appropriate drugs for their current ailments.
      pubtype: Academic Journal
      doctype:
        research
        tables/charts
        Journal Article
      ougenre: Article
    language: English
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