What are medication-related problems?
"Medication-Related Problem" is a
term defined in 1990 to include 8 types of medication-related problems, one of which is
adverse drug reaction. The 8 types of medicated related problems can be
grouped into the categories below:
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1. Underuse of medications
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Untreated indications. The patient has a medical problem that requires drug therapy but is not receiving a drug for that indication
or condition.
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Subtherapeutic dosage. The patient has a medical problem
and is taking too little of the correct medication.
2. Overuse of medications
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Drug use without indication. The patient is taking a medication
without a valid indication or reason for use.
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Overdosage. The patient has a medical problem that is being treated with too much of the correct medication.
3. Use of inappropriate medications
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4. Lack of adherence to drug therapy (patient
non-compliance)
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Failure to receive medication. The patient has a medical problem that is the result of not receiving a medication due to economic, psychological, sociological, or pharmaceutical reasons.
5. Adverse drug reactions, including drug interactions
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Adverse drug reactions. The patient has a medical problem that is the result of an adverse drug reaction or adverse effect.
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Drug interactions. The patient has a medical problem that is the result of a drug-drug, drug-food, or drug-laboratory test interaction.
Definition of above terms
Some adverse drug reactions do not result in injury to a
patient, but may just be a minor annoyance.
Medication error is a separate term with its own
definition.
The National Coordinating Council on Medication Error Reporting and
Prevention has a standard definition.
Many of these terms overlap but they each have
distinct meanings.
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