MRP

Question 1

How would you determine the cause of an MRP

Answer 1

Information gathering
Reviewing Rex prior to dispensing
Clinical review

Question 2

What information do you need when reviewing the RX

Answer 2

Dose
Dosing schedule
Drug interactions
Adherence
New medications?

Question 3

How do you manage MRP

Answer 3

Advising - counselling and consultations
Change - change dose/ form

Question 4

Why don’t people take their medication and how to encourage

Answer 4

They don’t feel like it’s necessary so it’s necessary importance during consultation

Question 5

For are the 7 categories for MRP

Answer 5

Unrelated indication - consider full patient history
Drug with no indication - drug continued inappropriately
Improper drug selection - prescribing guidelines not considered
Too little/ too much drug - low dose of ACEi not enough drug
Non-adherence - inappropriate form

Question 6

Define medicine optimisation according to NICE

Answer 6

Ensuring people obtain the best possible outcome from their medicine and minimising harm

Question 7

What are MRPs

Answer 7

An event involving drug therapy that interfere with desired outcomes

Question 8

What are the 2 types of non-adherence

Answer 8

Unintentional - patients want to comply but forgot dosage instructions or misunderstand directions
Intentional - discontinuation due to side effects

Question 9

Define bioavailability

Answer 9

Proportion of a drug which enters circulation and is available to have an effect

Question 10

Define first pass metabolism

Answer 10

Conc of a drug is reduced before it reaches systemic circulation due to it being reabsorbed by the liver