A1+-+Case+Study+3

=Case Study Three=

Mr JB is a 55-year-old patient who is well known to the community pharmacist from whom he obtains all his prescription medicines and a detailed medication history is therefore available. He was recently admitted to hospital and some of his medications were changed. His GP considers than an HMR would be appropriate given the recent hospital admission and his increasing number of medications since his recent asthma exacerbation.

Mr JB uses his Ventolin inhaler four to five times a day. Mr JB sometimes uses his wife's Celebrex and more recently tried a sample of Mobic that her GP gave his wife. He only occasionally uses the Hyperiforte.

Mr JB is a smoker. He has tried NicabateCQ 2 mg lozenges but found them to be not useful.


 * **Hx** || **Date** ||
 * Asthma || 1970 ||
 * OA || 2000 ||
 * HTN || 2003 ||
 * depression || 2006 ||
 * **Current Medications** || **Dose** ||
 * Venlafaxine || 150mg once daily ||
 * Tritace //ramipril// || 10 mg mane ||
 * Stilnox //zolpidem// || 5 mg at bedtime ||
 * Panafcortelone //prednisolone// || 5 mg mane (cease in one week) ||
 * Flixotide Accuhaler //fluticasone// || 250 mcg bd ||
 * Serevent Accuhaler //salmeterol// || 50 mcg bd ||
 * Ventolin CFC-Free //salbutamol// || 200 mcg q4h prn ||
 * Panamax //paracetamol// || 1 g q4h prn (maximum of 4 g/day) ||
 * Naprosyn //naproxen// || 500 mg bd prn ||
 * Mobic //meloxicam// || 7.5 mg mane prn ||
 * Hyperiforte //St John's Wort// || 1 tds ||
 * Hyperiforte //St John's Wort// || 1 tds ||

Problems

 * Current symptoms:**


 * Test results:**


 * Current Medications:**


 * Other problems:**

What to do

 * **Drug Related Problem** || **Current Treatment** || **Comments** ||
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