Document Detail


Medication use patterns in HIV-positive patients.
MedLine Citation:
PMID:  10128360     Owner:  NLM     Status:  MEDLINE    
Abstract/OtherAbstract:
Patients with HIV infection or AIDS often receive several medications for treatment or prevention of their primary disease and/or associated complications. The objective of this study was to document patterns of drug use in an HIV-positive, outpatient population. Data were collected via one-on-one interviews with 26 HIV-positive patients; prescription and non-prescription drug use, adverse drug reactions and drug allergies were recorded. Anti-retroviral therapy was received by over 90 % of the patients. Over 90% of patients were on anti-infective agents, commonly cotrimoxazole or dapsone, while 27% received acyclovir. At least 70% of patients used three or more prescription medications concurrently. Every patient reported self-medicating with at least one over-the-counter (OTC) product and over half used three or more OTC products concurrently. Adverse reactions, mainly attributable to zidovudine, were reported by over 80% of patients. Non-compliance was a common drug-related issue; over 70% of patients omitted drug doses. In conclusion, the use of multiple medications in the ambulatory HIV-positive patients presents the health care team with potential drug-related problems that may ultimately affect the efficacy and toxicity of therapy. Thus pharmacists may play an active role in the provision of direct care to these patients.
Authors:
R Chow; T Chin; I W Fong; R Bendayan
Publication Detail:
Type:  Journal Article    
Journal Detail:
Title:  The Canadian journal of hospital pharmacy     Volume:  46     ISSN:  0008-4123     ISO Abbreviation:  Can J Hosp Pharm     Publication Date:  1993 Aug 
Date Detail:
Created Date:  1993-10-15     Completed Date:  1993-10-15     Revised Date:  2009-10-12    
Medline Journal Info:
Nlm Unique ID:  0215645     Medline TA:  Can J Hosp Pharm     Country:  CANADA    
Other Details:
Languages:  eng     Pagination:  171-5     Citation Subset:  H; X    
Affiliation:
Princess Margaret Hospital, Toronto.
Export Citation:
APA/MLA Format     Download EndNote     Download BibTex
MeSH Terms
Descriptor/Qualifier:
Adult
Data Collection
Drug Prescriptions
Drug Therapy / utilization*
Evaluation Studies as Topic
HIV Infections / drug therapy*
Humans
Male
Middle Aged
Nonprescription Drugs
Ontario
Outpatient Clinics, Hospital
Outpatients / statistics & numerical data
Patient Compliance
Pharmacy Service, Hospital / statistics & numerical data*
Chemical
Reg. No./Substance:
0/Nonprescription Drugs

From MEDLINE®/PubMed®, a database of the U.S. National Library of Medicine


Previous Document:  Polyvinylchloride containers do not influence the hemodynamic response to intravenous nitroglycerin.
Next Document:  Laboratory systems failure: the enemy may be us.