ASHM Report Back
Clinical posts from members and guests of the Australasian Society for HIV, Viral Hepatitis and Sexual Health Medicine (ASHM) from various international medical and scientific conferences on HIV, AIDS, viral hepatitis, and sexual health.
Pharmacist Review of Medication for HIV Positive People seen in General Practice
As people living with HIV age, the risk of polypharmacy due to comorbidities rises. This presentation discussed whether medication review by experienced HIV pharmacists would assist GPs to manage the complexities of drug interactions, adverse affects and adherence issues of ART and other co-medications.
PROM-GP study is an ongoing nonrandomised prospective open study of 100 patients recruited from February 2016 to August 2016. The criteria was that patients had to have one or more of the following: be above 50 years old, on five or more medications including ARVs, have adherence issues or a recent hospital admission. A single 20 to 30 minute pharmacist/patient consultation occurred in the GP clinic. A report outlining medication related problems (MRP) and recommendations was provided to the GP. About 10% were reviewed by a panel. There was a follow-up at 3 to 4 months to assess whether the MRPs were resolved.
Results: 542 MRPs identified; 262 high/mod risk and 280 low risk. At 3-4 months 159 high/mod risk resolved and 162 low risk resolved. MRPs were varied with drug interactions, monitoring, education, toxicity, undertreated and compliance being the most common issues cited.
Panel review of 15 randomly selected patients (89 MRPs). Panel agreed with or even rated higher 73% of MRPs.
Summary: PROM-GP study identified 2 mod/high risk MRPs and 3 low risk MRPs per patient. 62% of high moderate risk MRPs were resolved at 3 to 4 months.
Patients were very satisfied with the service.
The speaker commented that pharmacists love answering questions so encourage patients to ask away!