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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.
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Therapeutic Drug Monitoring: Overview and Classification01:16

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Therapeutic Drug Monitoring (TDM) is a clinical practice that measures specific drug levels in a patient's blood at designated intervals to ensure the drug concentration stays within a therapeutic range. This monitoring is crucial for optimizing individual dosage regimens, enhancing therapeutic efficacy, and minimizing drug-related toxicity. TDM is vital for drugs with narrow therapeutic windows, significant variability in pharmacokinetics, and a clear correlation between plasma levels and...
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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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Cost-saving medication therapy management for outpatients.

K Priya1, Mary Sreshta1, Sonin Philip1

  • 1Department of Clinical Pharmacy, Aster Medcity, Kochi, Kerala, India.

Perspectives in Clinical Research
|April 5, 2021
PubMed
Summary

Clinical pharmacists significantly reduced outpatient prescription costs by identifying errors like therapeutic duplication and drug interactions. These interventions saved substantial amounts, highlighting the value of clinical pharmacy in healthcare cost reduction.

Keywords:
Anticipated dose costclinical pharmacistcost-saving interventionsoutpatient prescription errorsprescription audit toolunit dose cost

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Area of Science:

  • Health Economics
  • Clinical Pharmacy Practice
  • Medication Management

Background:

  • Rising medication costs strain health system budgets.
  • Increasing prescription expenditures necessitate cost-saving strategies.

Purpose of the Study:

  • To assess the financial impact of clinical pharmacist interventions in an outpatient setting.
  • To identify the primary causes and monetary value of prescription cost savings.

Main Methods:

  • Random audit of outpatient prescriptions over 11 months (August 2017-June 2018).
  • Utilized a customized audit tool integrated with computerized physician order entry.
  • Documented drug-related problems and prescriber responses using PCNE classification.
  • Calculated unit dose and anticipated dose cost savings.

Main Results:

  • Achieved unit dose cost savings of INR 4875.73 and anticipated dose savings of INR 26890.8.
  • Therapeutic duplication (43.4%) and drug interactions (25.7%) were major error types, contributing INR 17812.65 in savings.
  • Cost reductions were prominent in antibiotics, proton-pump inhibitors, and analgesics.
  • Prescriber responses included stopping drugs (53%), changing brands (21%), and adjusting frequency (20%).

Conclusions:

  • Clinical pharmacists are crucial in detecting and resolving medication errors.
  • Developing clinical pharmacy services in outpatient settings can significantly reduce prescription errors.
  • These interventions lead to substantial healthcare cost savings.