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Related Concept Videos

Drug Therapy01:28

Drug Therapy

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The advent of drug therapy has profoundly shaped modern mental health care, providing targeted treatments for a range of psychological disorders. Psychotherapeutic drugs, classified into antianxiety, antidepressant, and antipsychotic medications, address symptoms across anxiety disorders, mood disorders, and schizophrenia. While these medications have transformed patient outcomes, they require careful management due to their potential side effects and limitations.
Antianxiety Medications
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Oral Drug Delivery Systems: Continuous-Release Systems01:26

Oral Drug Delivery Systems: Continuous-Release Systems

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Continuous-release drug delivery systems offer a strategic approach to maintaining therapeutic drug levels over extended periods following oral administration. By modulating the release rate of active pharmaceutical ingredients, these systems minimize fluctuations in plasma concentrations, which enhances clinical efficacy and reduces the need for frequent dosing. Such characteristics make them particularly advantageous in managing chronic diseases where patient adherence and stable drug...
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Drug Dosing: Geriatric Patients01:15

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Elderly individuals encompass a diverse population with varying degrees of age-related physiological changes. Defining the elderly presents challenges, as the geriatric population is often arbitrarily categorized as individuals older than 65. However, many individuals in this group lead active and healthy lives, with an increasing number surpassing 85 years and falling into the older elderly category. Physiological changes associated with aging impact performance capacity and homeostatic...
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Dosage Regimen: Fixed Dose01:01

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Fixed-dose regimens are a common approach to administer drugs to achieve and maintain desired levels of the drug in the body. In this dosing strategy, a specific amount of medication is given at regular intervals, often multiple times a day, to ensure a consistent drug concentration in the bloodstream.
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Rational Dosage Regimen: Maintenance Dose and Loading Dose01:24

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A rational dosage regimen considers a drug's pharmacokinetics, including its absorption, distribution, metabolism, and elimination from the body. By understanding these factors, the appropriate dosage can be determined, and the dosing schedule can be designed to achieve and maintain the desired therapeutic effect while minimizing adverse effects.
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Dosage Regimens: Designs and Approaches01:28

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Designing a dosage regimen, which refers to the manner of drug administration, is a complex process involving the selection of drug dose, route, and frequency. This process is underpinned by pharmacokinetic parameters derived from tests and population averages. These parameters are then tailored to patient-specific variables such as diagnosis, demographics, and allergy status. Once therapy commences, therapeutic response monitoring is critical and achieved through clinical and physical...
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Digital Home-Monitoring of Patients after Kidney Transplantation: The MACCS Platform
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Prescriber continuity and medication adherence for complex patients.

Richard A Hansen1, Corrine I Voils2, Joel F Farley3

  • 1Harrison School of Pharmacy Auburn University, AL, USA.

The Annals of Pharmacotherapy
|January 1, 2015
PubMed
Summary

Minimizing the number of healthcare providers may improve medication adherence for patients with hypertension and dyslipidemia. Managing complex patients with multiple cardiometabolic conditions requires careful coordination of care.

Keywords:
adherencecomorbiditycomplex patientmultimorbidityprescriberproviderveterans

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Area of Science:

  • Cardiology
  • Endocrinology
  • Pharmacology

Background:

  • Medication adherence is crucial for managing cardiometabolic conditions like diabetes, hypertension, and dyslipidemia.
  • Patients with multiple conditions and prescribers face higher risks of nonadherence.

Purpose of the Study:

  • To investigate the link between the number of prescribers, the number of cardiometabolic conditions, and oral medication refill adherence.
  • To analyze how these factors impact adherence in a veteran population.

Main Methods:

  • Retrospective cohort study of 7933 veterans with 1-4 cardiometabolic conditions.
  • Refill adherence measured using continuous multiple-interval gap (CMG) for diabetes, hypertension, and dyslipidemia medications.
  • Logistic regression models controlled for demographics, comorbidities, and drug classes.

Main Results:

  • Lower antihypertensive adherence observed with ≥4 prescribers (OR=0.69).
  • Lower antidyslipidemia adherence seen with 3 or ≥4 prescribers (OR=0.80, OR=0.77).
  • Improved antidyslipidemia adherence correlated with ≥3 conditions (OR=1.31); no significant predictors for diabetes medication adherence.

Conclusions:

  • Reducing the number of prescribers may enhance medication refill adherence for hypertension and dyslipidemia.
  • Effective care management for complex patients with multiple cardiometabolic conditions remains a challenge.