Barris Blundell Damià, Mousavi Homa
Farmacéutico comunitario. Farmacia Zarzuelo, Benalmádena (Málaga). España.
Farm Comunitarios. 2024 Mar 19;16(2):37-42. doi: 10.33620/FC.2173-9218.(2024).10. eCollection 2024 Apr 15.
78-year-old patient, polymedicated and enrolled in the medication compliance aids service. When she went to pick up her medication, she informed us that for a few months she has been suffering from fatigue, weakness, dizziness and confusion. A medication review is performed, focused on the dosage of renal metabolism or elimination medications, based on the patient's estimated Glomerular Filtration Rate (eGFR). A referral was made to the Primary Care Physician (PCP) through a report, in which the dose reduction of losartan and manidipine was recommended according to the patient's eGFR. The PCP reduced the dose of antihypertensives. A follow-up of the case was carried out, which allowed to observe that the patient stopped presenting the symptoms initially described.
78岁患者，服用多种药物，参加了药物依从性辅助服务。当她去取药时，告知我们几个月来一直感到疲劳、虚弱、头晕和困惑。根据患者的估算肾小球滤过率（eGFR）进行了药物审查，重点关注肾脏代谢或排泄药物的剂量。通过一份报告将患者转诊给初级保健医生（PCP），其中建议根据患者的eGFR降低氯沙坦和马尼地平的剂量。初级保健医生降低了抗高血压药物的剂量。对该病例进行了随访，发现患者不再出现最初描述的症状。
