Det går att minska D-interaktioner. Interaktioner åtgärdades ofta efter patientspecifika brev till allmänläkare
Engelsk titel: It is possible to reduce drug-drug interactions. Interactions were corrected frequently by patient-specific letters to general practitioners
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Författare:
Quittenbaum, Stephan
;
Cronberg, Olof
;
Nordquist, Cecilia
Email: olof.cronberg@ltkronoberg.se
Språk: Swe
Antal referenser: 9
Dokumenttyp:
Artikel
UI-nummer: 13127268
Sammanfattning
During 2012, one Swedish national goal for better health for elderly was to decrease drug-drug interactions. We performed an intervention, where the physicians in primary health care were alerted to which of their patients had a drug-drug interaction. The physicians received a letter with patient information and recommendations on how to act. They were requested to review if the interactions still were present and consider changing the medication. They were also asked to answer a questionnaire. The four interactions studied were: potassium-amiloride, warfarin-aspirin, warfarin-NSAIDs and clopidogrel-omeprazole. Less than half of the drug-drug interactions were intentional. More than half had appeared during the last year, although the drug prescription systems warn of the interactions. Two months after sending 261 interaction alert letters to the physicians 110 (42%) of the prescriptions were changed. However, during the same period 44 new interactions appeared.