Adherence and Concordance

Question 1

If the cognitive impairment is as a result of drug therapy, which one of the following is the most likely cause

Amlodopine
Atorvostatin
Humulin M3 insulin
Oxybutnynin

Answer 1

If the cognitive impairment is as a result of drug therapy, which one of the following is the most likely cause

Amlodopine
Atorvostatin
Humulin M3 insulin
Oxybutnynin

Question 2

What is a key factor for non-adherence to drug tx? [1]

Answer 2

Cognitive impairment

Question 3

Answer 3

Question 4

Answer 4

Diclofenac:
- GI AES, e.g. dyspepsia also decreased appetite

Indapamide (thiazide like duiretic):
- causes hyperuricaemia: can contribute to gout

Lisinopril:
- ACEins cause intractable coughs

Prednisolone:
- alter mood and behaviour (more aggressive)

Prochlorperazine (anti-pysc):
- causes extra-pyramidal side effects like dystonia

Simvastatin:
- rhabdomyoysis

Question 5

How can you prevent AEs of long term NSAID prescription? [1]

Answer 5

Provide PPI

Question 6

Name two drug types that should not be restarted at optimal dose if ptx has not adhering to medication, as it may cause AEs? [2]

Answer 6

ACEin
Levothyroxine

Question 7

Name an AE of SSRIs and state when should take it to avoid this [2]

Answer 7

Cause insomnia; therefore take in the morning