1st August 2018

Evidence and tips on the use of medication compliance aids

#GPPharmacists What you need to know:

  • Medication compliance aids (MCAs) such as Dossett boxes are used to support people taking medication who may find it difficult because of cognitive impairment or the complexity of their regimen.
  • There is little evidence to say whether these devices improve compliance, safety, satisfaction, or convenience taking medication.
  • Many commonly prescribed medicines may not be suitable for long term storage in a multi-compartment MCA because they can break down or expire when outside the standard sealed packaging. Drugs that are taken only when needed or those subject to frequent changes in dosage schedule are also unsuitable for multi-compartment MCAs.
  • Multi-compartment MCAs are often prepared in advance—make sure any changes in the medication regimen are clearly communicated to the pharmacist preparing the MCA.
  • Offer an annual medication review to all patients who are dispensed their medications in a multi-compartment MCA to minimise the chance that people continue inappropriate medication

How can you review your MCA patients in your medication reviews? Do they even need to be on an MCA? Start to review your patients now! Read more via the following link:

https://www.bmj.com/content/362/bmj.k2801

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