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Table 1 Extract from a pharmaceutical care plan completed in the feasibility study

From: Pharmaceutical care for elderly patients shared between community pharmacists and general practitioners: a randomised evaluation. RESPECT (Randomised Evaluation of Shared Prescribing for Elderly people in the Community over Time) [ISRCTN16932128]

Drug Dose, frequency, quantity Indication Potential drug related problems Suggested action For use by GP
Amiodarone tabs 100 mg, od, 28 ?arrhythmia Deposits in eye, SOB, peripheral neuropathy No change  
Aspirin tabs 75 mg, 2 od, 56 2° prevention CHD GI effects No change (could reduce to 75 mg od)  
Diclofenac tabs 50 mg, bd, 56 Pain GI effects, dizziness, vertigo Stop – no benefit  
Tylex® caps 2, qds,100 Pain Constipation Stop – no benefit  
Isphagula husk 3.5 g, bd, 30 Constipation Patient not taking sufficient fluid for effective use Stop – exacerbates dehydration, unpalatable, prefers senna  
Lactulose liq mdu, 300 ml Constipation Patient not taking sufficient fluid for effective use Stop – finds senna more effective  
Ranitidine tabs 150 mg, bd, 60 ?dyspepsia GI effects, dizziness, confusion, tiredness Leave existing stocks for use prn  
Tamsulosin MR tabs 400 mg, od, 30 Enlarged prostate Dizziness, hypotension, drowsiness No change