May I intervene?

And now over to some of the interventions that we have made this week:

* The patient who was prescribed bromocriptine at ten tablets daily, who after further investigation, should have been prescribed a dose of two tablets daily.

* The number of patients who are prescribed the ramipril starter packs with no counselling what so ever. We always make sure that we open the box to show then the different strengths, and explain about the side effects and to take the first few doses at night. I know that this information is all contained in the PIL, but it’s a lot for patients to take in without some sort of verbal backup.

* The patient who was newly prescribed ISMN at a TDS dosage. I explained about the side effects and not to take the last dose after 4pm, but I was curious about the TDS dosage particularly when the patient would have had enough tablets to last to her follow up appointment if she took them at the correct BD dosage but not at the prescribed TDS dose. Therefore further investigation resulted in the patient taking them twice daily.