Effectiveness of Medication Notebooks Distributed to Health Insurance Pharmacies in Yamagata prefecture

Ojima, Fumiyoshi; Sakurai, Kazutoshi; Itoh, Junko; Okazaki, Chikako; Takeda, Naoko; Handa, Mitsuyasu; Takeda, Mamiko; Aihara, Yuka; Mineta, Jun; Shoji, Tohru; Nakagawa, Yoshito; Watanabe, Yasuhiro

doi:10.5649/jjphcs.31.290

Cited by 7 publications

(1 citation statement)

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“…4) However, problems with the proper use of the drug proˆle book have been pointed out recently; for instance, the sticker has not been a‹xed, and some patients have received multiple drug proˆle books from each medical facility. 5,6) In 2013, we conducted a survey to clarify how frequently each patient taking the antihypertensive brought the drug proˆle book to the pharmacy; how frequently the patient a‹xed the sticker for the drug proˆle book; and the correlated factors thereof. The survey indicated that utilization of the drug proˆle book is related to patient's recognition of its role and its sense of utility.…”

Section: Introductionmentioning

confidence: 99%

How Patient-Pharmacist Communication Using the Drug Profile Book Relates to Patient's Behavior regarding Its Use

Shoji

Iwade²,

Fujii³

et al. 2016

YAKUGAKU ZASSHI

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This survey aimed to examine how patient-pharmacist communication using the drug proˆle book relates patient's behavior regarding its use. Among patients who visited one of theˆve pharmacies during the 4 months between July and October of 2013, 245 patients who had been prescribed antihypertensives were asked to complete a questionnaire. Items included patient attributes, whether the patient thought the drug proˆle book was useful to them (``sense of utility''), whether the patient has ever been questioned by a pharmacist while showing the drug proˆle book (``experience of being questioned by a pharmacist while showing the drug proˆle book''), and whether the patient has ever shown the drug proˆle book to the physician (``experience of showing the drug proˆle book to the physician''). In addition, pharmacists counted the frequency of patients bringing the drug proˆle book, and if so, the frequency of the sticker a‹x during the last 5 visits. 34.3％ of responding patients answered that they had the``experience of being questioned while showing the drug proˆle book''. Response rates of``frequency of bringing the drug proˆle book'',``sense of utility'', and``experience of showing the drug proˆle book to the physician'' in the group with``experience of being questioned while showing the drug proˆle book'' were signiˆcantly higher than those in the group without such experience. This survey indicated that experience of being questioned by a pharmacist while showing the drug proˆle book related patient's behavior regarding its use.

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Section: Introductionmentioning

confidence: 99%

How Patient-Pharmacist Communication Using the Drug Profile Book Relates to Patient's Behavior regarding Its Use

Shoji

Iwade²,

Fujii³

et al. 2016

YAKUGAKU ZASSHI

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Opioid analgesics increase incidence of somnolence and dizziness as adverse effects of pregabalin: a retrospective study

Ohishi

Chisaki

Hira

et al. 2015

J Pharm Health Care Sci

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BackgroundPregabalin, a gabapentinoid, is an adjuvant analgesic for treatment of neuropathic pain, but it has serious adverse effects such as somnolence and dizziness, particularly in elderly patients. Although decreased renal function is considered to the contributing factor for high frequency of these adverse effects in elder patients, only a few systematic clinical investigations, especially for hospitalized patients, have been performed on factors that might affect the incidence of its adverse effects. In this study, we performed a retrospective study on the effect of concomitant drugs on induction of somnolence and dizziness as adverse effects of pregabalin in hospitalized patients.MethodsThe subjects were all pregabalin-administered patients in Shiga University of Medical Science Hospital from September 2010 to September 2012, and the subject number was 195. Multivariate logistic regression analysis was performed to determine predictors of the adverse effects, creatinine clearance, duration of pregabalin therapy, initial and maintenance doses of pregabalin, and concomitant drugs, including hypoglycemic drugs, anti-hypertensive ones, non-steroidal anti-inflammatory ones, opioids and central nervous system depressants, being used as independent variables.ResultsThe median initial doses of pregabalin in each renal function group were the same with the case of the defined dose. Although renal function is a well-known factor for prediction of development of adverse effects of pregabalin, we did not detect significant contribution of it. Alternatively, it was demonstrated that concomitant administration of opioids was the significant factor of the incidence of somnolence and dizziness. The first onset date of the adverse effects was frequently detected in the early days of the pregabalin therapy.ConclusionsThe fine tuning of pregabalin dosage schedule based on the renal function appeared to be critical for prevention of development of its adverse effects. Adverse effects tended to develop in the initial phase of pregabalin therapy. Concomitant administration of opioids with pregabalin has the potential to increase the incidence of adverse effects, and thus much more careful attention has to be paid especially in those situations.

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Investigation of the Usefulness of Medication Notebooks No.4: Questionnaire on Awareness of Medication Notebooks and Their Usage Among Doctors in Yamagata City

文良¹,

直子²,

真美子³

et al. 2007

Jpn. J. Pharm. Health Care Sci.

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Effectiveness of Medication Notebooks Distributed to Health Insurance Pharmacies in Yamagata prefecture

Cited by 7 publications

References 0 publications

How Patient-Pharmacist Communication Using the Drug Profile Book Relates to Patient's Behavior regarding Its Use

How Patient-Pharmacist Communication Using the Drug Profile Book Relates to Patient's Behavior regarding Its Use

Opioid analgesics increase incidence of somnolence and dizziness as adverse effects of pregabalin: a retrospective study

Investigation of the Usefulness of Medication Notebooks No.4: Questionnaire on Awareness of Medication Notebooks and Their Usage Among Doctors in Yamagata City

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