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Table. 4.

Table. 4.

Some examples of DRPs among prescriptions involved in pharmacists’ interventions

Drug-related problem Before intervention Drug-related problems After intervention
Drugs interaction Edoxaban 60mg daily with dronedarone 400mg bid Dronedarone may increase the blood levels of edoxaban. Reducing edoxaban to 30mg
Contraindications Propranolol was prescribed by the psychiatrist Exacerbation of asthma in a patient with Asthma Propranolol was deleted.
Drug adverse effects Spironolactone Breast pain and gynecomastia Spironolactone was deleted.
Drug allergy Amoxicillin/clavulanate Rash Changing to cefdinir.
Overdose The combined use of vildagliptin 50mg/metformin 850 mg (1tab bid) and metformin 500 mg (1 tab bid) Exceeding the maximum daily dosage of 2550 mg Reducing metformin to 2200mg
The daily dose of famotidine was 20 mg 3 times a day Dosage regimen too frequent. Reducing famotidine dosage to twice a day
Exceeding the maximum daily dose of 40 mg
Therapeutic duplication Rosuvastatin/ezetimibe with atorvastatin/ezetimibe Statins duplication Atorvastatin/ezetimibe was deleted.
Korean J Clin Pharm 2024;34:62-70 https://doi.org/10.24304/kjcp.2024.34.1.62
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