Case report

Examination

• Definitions of medicines optimisation
• Impact of multi-morbidity on medicines use
• Polypharmacy and de-prescribing
• Preventing or minimising adverse drug reactions
• High risk drugs
• Transfer of care
• Medicines use in the elderly
• Management of commonly encountered long-term conditions – the emphasis on individual conditions may change each year depending on emerging evidence and changes to national guidelines. The priority therapeutic areas will normally be:
: Cardiovascular disease – e.g. hypertension, stable angina
: Obesity
: Type 1 and type 2 diabetes
: Pain and musculoskeletal disorders – e.g. osteoarthritis, rheumatoid arthritis, osteoporosis and gout
: Mental health – e.g. dementia, anxiety, depression, schizophrenia, bipolar affective disorder
: Living with cancer
: Chronic kidney disease
: Gastrointestinal disorders – e.g. GORD
: Parkinson&#39;s disease
: Epilepsy

Principles of Medicines Optimisation - 7202CPPHAR

Principles of Medicines Optimisation

Assess the impact of multi-morbidity on medicines use in individual patients

Develop robust and realistic plans for the on-going management of long-term conditions when patients transfer between care settings

Critique patients’ medication regimes to identify examples of inappropriate polypharmacy and recommend safe strategies for de-prescribing

Choose (or make recommendations on), the most appropriate treatment(s) for commonly encountered long-term conditions by applying their knowledge of pharmacology, pharmacokinetics, published evidence and guidelines