Drug therapy problems

Drug therapy problems

Drug Therapy Problems is a categorization of drug problems, in the field of Pharmaceutical care. However it can also be used as a definition of the specific manners in which drug therapy can cause problems. These problems are then identified, prevented, and resolved by primarily Pharmacists, but it can be taken care of by any health-care provider providing pharmaceutical care.

According to page 73 Introduction to health care delivery: a primer for pharmacists Drug Therapy Problems(DTP) originated from Strand et al. (1990) who defined 8 problems that could result in poorer health outcomes in an attempt to categorize DTP. (http://www.theannals.com/cgi/content/abstract/24/11/1093). Helper and Strand later in 1990 stated the mission statement or raison d'etre of Pharmacists should be to correct these Drug Therapy Problems.

The original eight problems have now been condensed into seven categories of problems. As given by Shargel, they are:


1. Unnecessary drug therapy. This could occur when the patient has been placed on too many medications for their condition and the drug is simply not needed.

2. Wrong drug. This could occur when a patient a medication that does not treat the patients condition. Ex. A heart medication to treat an infection.

3. Dose too low. This could occur when a patient a medication is not strong enough to get beneficial or therapeutic effects.

4. Dose too high. This could occur when a patient a medication is too strong and is causing detrimental effects or is simply not necessary.

5. Adverse drug reaction. This could occur when a patient has an allergic response to a medication.

6. Inappropriate adherence. This could occur when a patient chooses not to take a medication or forgets.

7. Needs Additional Drug Therapy. This could occur when a patient needs more medication to treat their condition.

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[2]

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References

  1. ^ Shargel,Leon. Comprehensive Pharmacy Review 7th Edition p. 563
  2. ^ Pharmaceutical Care Practice: The Clinician's Guide, 2e chapter 1
  3. ^ Pharmacotherapy Casebook: A Patient-Focused Approach, 7e Chapter "Identification of Drug Therapy Problems"
  4. ^ http://www.theannals.com/cgi/content/abstract/30/2/119
  5. ^ . PMID 12952316. 
  6. ^ http://www.ashp.org/s_ashp/docs/files/advocacy/policy_alert/MN_MTM_1_14_08.pdf
  7. ^ http://eprints.usm.my/9696/1/DRUG_THERAPY_PROBLEMS_AND_QUALITY_OF_LIFE_IN_PATIENTS_WITH_CHRONIC_KIDNEY_DISEASE.pdf

See also


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