Classification and types of DTRPs | Identified N (%) | Not identified N (%) |
---|---|---|
Unnecessary drug therapy (Multiple drug products were prescribed when single drug therapy is required) | ||
Clopidogrel + aspirin | 25 (69.4) | 11 (30.6) |
Frusemide + hydrochlorothiazide | 16 (44.4) | 20 (55.6) |
Unnecessary drug therapy (No valid medication indication for drug at this time) | ||
Frusemide is not indicated since there was no oedema. | 15 (41.7) | 21 (58.3) |
Dosage too low (A drug interaction reduces the amount of drug available) | ||
Omeprazole decreases the level of clopidogrela | 2 (5.6) | 34 (94.4) |
Dose too high (The dose too high for the patient) | ||
Hydrochlorothiazide 25 mg twice daily | 6 (16.7) | 30 (83.3) |
Action taken to investigate DTRP | Action taken n (%) | Action not taken n (%) |
Checked for drug interactions. | 0 (0.0) | 36 (100.0) |
Asked the simulated patient for clarification on medication-related issues. | 13 (36.1) | 23 (63.9) |
Made clarification from the prescriber on the use of aspirin and clopidogrel together. | 17 (47.2) | 19 (52.8) |
Made clarification from the prescriber on the concomitant use of Hydrochlorothiazide and furosemide | 17 (47.2) | 19 (52.8) |
Recommendations made to resolve the DTRPs | Recommendation made n (%) | Recommendation not made n (%) |
Suggested to the physician the use of hydrochlorothiazide only instead of hydrochlorothiazide and frusemide together. | 14 (38.9) | 22 (61.1) |
Suggested the discontinuation of clopidogrel | 26 (72.2) | 10 (27.8) |
Suggested reduction in hydrochlorothiazide 25 mg frequency of use to once daily. | 12 (33.3) | 24 (66.7) |