Drug Optimization Sample Clauses

Drug Optimization. Dose adjustments for drug optimization are commonly supported by clinical guidelines for patients with uncontrolled disease states. As point-of-care laboratory testing becomes more common in community pharmacies, pharma- cists have the opportunity to identify uncon- trolled disease states and optimize therapy be- tween a patient’s visits with their physician. “My doctor can’t see me again for 3 months.” Xx. Xxxxxxxxxx was diagnosed with diabetes type 2 two weeks ago with fasting blood glucose greater than 500 mg/ dL. He was started on metformin 500mg twice daily and Lan- tus 10 units at bedtime. Despite taking his medications as prescribed without significant side effects, he continues to experience symptoms of hyperglycemia and fasting blood glu- cose readings in the 400s. Upon discussing the lack of control of his diabetes with his pharmacist, Xx. Xxxxxxxxxx expresses frustration that his doc- tor is not available to see him again for 3 months. To improve his diabetes control and prevent a potential hospital admis- sion, the pharmacist utilizes the CPA to increase his metformin dose. For instance, titrations for anti-diabetic medi- cations are often recommended over a few weeks, but patients are often only able to visit their physicians every 3-6 months. This delay in follow-up results in prolonged peri- ods without diabe- t e s c o n t r o l . Through a CPA based on clinical guidelines, pharma- cists can perform drug optimization interventions to ensure more effi- cient disease state control for chronic conditions, like dia- betes, hypertension, or hyperlipidemia.
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