Author: Anonymous

Safety Information to consider when looking for “Safety” MRP…

Safety Information to consider when looking for “Safety” MRPs in any patient (generally speaking): Has the patient noticed any side effects (you should ask about specific side effects, but this will depend on the patient’s medications)? Are there any clinically significant drug interactions that necessitate a change in therapy? Are there any renal or hepatic dosing considerations that are important for this patient? Are there any contraindications or warnings that pertain to this patient that should be addressed? Are there any drug allergies that should be considered?   Questions to ask this patient to identify possible “Safety” MRPs: NOTE: This is not all-inclusive. You may have come up with other information in addition to what is listed below. Any dizziness or lightheadedness? (lisinopril, metoprolol) Any cough? (lisinopril) Any unusual bruising or bleeding? (aspirin, clopidogrel) Any muscle pain? (atorvastatin, gemfibrozil) Any stomach upset or diarrhea? (Trulicity) Any painful urination or foul smelling urine (s/s UTI)? (Jardiance) Do you have any history of kidney or liver issues? Are you taking atorvastatin and gemfibrozil together? NOTE: the combination of Trulicity and Jardiance would NOT be expected to cause hypoglycemia. Although you could ask about lows, this is not a high priority question since the patient is not on insulin or a sulfonylurea.

The following patient profile will be important for the rema…

The following patient profile will be important for the remainder of this exercise. Please read it carefully before proceeding. Imagine that you are meeting with the patient below today for a Comprehensive Medication Review (CMR): Setting: Community Pharmacy Patient: Alberta Broadbent DOB: 1/5/1965 (59 years old) Allergies: NKDA Immunization History Date(s) Administered Hepatitis B (Recombivax HB) 2/1/19, 3/2/19, 8/6/19 Influenza (Fluzone Quadrivalent) 10/2/21, 10/6/22, 9/30/23, 9/1/24 PPSV23 (Pneumovax) 5/15/21 Tdap (Boostrix) 5/15/21 COVID-19 (Pfizer Vaccine) 5/2/21, 6/2/21, 12/1/21, 6/4/22, 7/4/23, 8/1/24 Zoster (Shingrix) 1/5/23, 3/8/23 PCV20 (Prevnar20) 8/11/24 Medication Profile (from past one year): Medication Date Filled Directions Quant Refill Left Prescriber Aspirin 81 mg tablet 9/2/24 Take one tablet by mouth once daily 90 1 G. Marshall Clopidogrel 75 mg tablet 9/2/24 Take one tablet by mouth once daily 90 1 G. Marshall Lisinopril 5 mg tablet 9/2/24 Take one tablet by mouth once daily 90 1 G. Marshall Trulicity 0.75 mg / 0.5 mL prefilled pen 9/2/24 Inject contents of one pen under skin weekly 6 mL 2 J. Robinson Metoprolol ER 100 mg tablet 9/2/24 Take one tablet by mouth once daily 90 1 G. Marshall Jardiance 25 mg tablet 9/2/24 Take one tablet by mouth once daily 90 2 J. Robinson Trulicity 0.75 mg / 0.5 mL prefilled pen 6/10/24 Inject contents of one pen under skin weekly 6 mL 3 J. Robinson Atorvastatin 80 mg tablet 6/5/24 Take one tablet by mouth once daily 90 2 G. Marshall Aspirin 81 mg tablet 6/5/24 Take one tablet by mouth once daily 90 2 G. Marshall Clopidogrel 75 mg tablet 6/5/24 Take one tablet by mouth once daily 90 2 G. Marshall Lisinopril 5 mg tablet 6/5/24 Take one tablet by mouth once daily 90 2 G. Marshall Metoprolol ER 100 mg tablet 6/5/24 Take one tablet by mouth once daily 90 2 G. Marshall Jardiance 25 mg tablet 6/5/24 Take one tablet by mouth once daily 90 3 J. Robinson Cephalexin 500 mg capsule 5/1/24 Take one capsule by mouth four times daily for 7 days 28 0 A. Williams Trulicity 0.75 mg / 0.5 mL prefilled pen 3/14/24 Inject contents of one pen under skin weekly 6 mL 0 J. Robinson Atorvastatin 80 mg tablet 3/6/24 Take one tablet by mouth once daily 90 3 G. Marshall Aspirin 81 mg tablet 3/6/24 Take one tablet by mouth once daily 90 3 G. Marshall Clopidogrel 75 mg tablet 3/6/24 Take one tablet by mouth once daily 90 3 G. Marshall Lisinopril 5 mg tablet 3/6/24 Take one tablet by mouth once daily 90 3 G. Marshall Metoprolol ER 100 mg tablet 3/6/24 Take one tablet by mouth once daily 90 3 G. Marshall Jardiance 10 mg tablet 3/6/24 Take one tablet by mouth once daily 90 0 J. Robinson Gemfibrozil 600 mg tablet 3/6/24 Take one tablet by mouth twice daily before meals 180 1 J. Robinson Trulicity 0.75 mg / 0.5 mL prefilled pen 12/18/23 Inject contents of one pen under skin weekly 6 mL 1 J. Robinson Atorvastatin 20 mg tablet 12/2/23 Take one tablet by mouth once daily 90 1 G. Marshall Jardiance 10 mg tablet 12/2/23 Take one tablet by mouth once daily 90 1 J. Robinson Gemfibrozil 600 mg tablet 12/2/23 Take one tablet by mouth twice daily before meals 180 2 J. Robinson