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Primary Care

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Personalising evidence-based medicine to reduce polypharmacy

17 December 2024An insight on principles of patient centred structured medication reviews; using the current evidence and shared decision making to facilitate de-prescribing.

Personalised evidence-based medicine to minimise polypharmacy

17 December 2024A consultant pharmacist will use case studies to illustrate a patient-centered approach to deprescribing in patients with problematic polypharmacy.

Advising how to crush or disperse tablets and open capsules

17 December 2024How to disperse tablets in water, crush tablets and open capsules safely for oral administration in adults.

Choosing medicines formulations in swallowing difficulties

17 December 2024Some adults cannot swallow tablets or capsules safely. We describe a process for choosing suitable formulations, including crushing tablets.

Checking if medicines can be given with food

17 December 2024Many medicines can be given safely with a spoonful of soft food. Use the suggested resources and clinical considerations to support decision-making.

Checking if tablets can be crushed or capsules opened

17 December 2024We suggest information resources and points to consider before crushing tablets or opening capsules.

Why and how medicines are given with soft food or thickened fluid

17 December 2024Giving medicines with food or fluid may be needed for people with swallowing difficulties or for covert administration. Practical advice is provided.

Thickeners and thickened fluids

17 December 2024Follow specific product information when using thickeners. Avoid mixing starch-based thickeners with macrogol (polyethylene glycol) laxatives.

Medicines suitable for adults with swallowing difficulties

17 December 2024A number of licensed and unlicensed products in different therapeutic classes are available that are suitable for use in adults with swallowing difficulties.

Using statins in liver impairment

8 November 2024We outline key clinical considerations when initiating statins in patients with liver disease or liver impairment.
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