Pharmacotherapy history

The importance of an accurate pharmacotherapy history to the neurology pharmacy specialist cannot be overemphasized. When integrated with information from the community pharmacy, the outpatient clinic, and the laboratory, a careful assessment of the patient s recollection, together with that of family members, can often expedite... 

The clinical pharmacist specialist performs many functions for the hospitalized neurological patient. In addition to performing the pharmacotherapy history, review of systems, and neurological exam on new admissions to formulate a care plan, the pharmacist monitors the patient s progress and documents the therapeutic outcomes. Table 2 lists the common inpatient neurological diagnoses with the medications and monitoring parameters used by clinical pharmacists. 

Ciraulo DA, Jaffe JH Tricyclic antidepressants in the treatment of depression associated with alcoholism. Clin Psychopharmacol 1 146—150, 1981 Ciraulo DA, Nace E Benzodiazepine treatment of anxiety or insomnia in substance abuse patients. Am J Addict 9 276—284, 2000 Ciraulo DA, Barnhill JG, Jaffe JH, et al Intravenous pharmacokinetics of 2-hydroxy-imipramine in alcoholics and normal controls. J StudAlcohol 51 366-372, 1990 Ciraulo DA, Knapp CM, LoCastro J, et al A benzodiazepine mood effect scale reliability and validity determined for alcohol-dependent subjects and adults with a parental history of alcoholism. Am J Drug Alcohol Abuse 27 339—347, 2001 Collins MA Tetrahydropapaveroline in Parkinson s disease and alcoholism a look back in honor of Merton Sandler. Neurotoxicology 25 117-120, 2004 COMBINE Study Research Group Testing combined pharmacotherapies and behavioral interventions in alcohol dependence rationale and methods. Alcohol Clin Exp Res 27 1107-1122, 2003a... 

FIGURE 40-1 Scheme of the natural history of the (3-cell defect in type 1 diabetes mellitus. (Used, with permission, from DiPiro JT, Talbert RL, Yee GC, et al, (eds.) Pharmacotherapy A Pathophysiological Approach. 6th ed. New York McGraw-Hill 2005, Fig. 72M, p. 1339.) yr, year. 

Because immunotherapy is expensive, has potential risks, and requires a major time commitment from patients, it should only be considered in select patients. Good candidates include patients who have a strong history of severe symptoms unsuccessfully controlled by avoidance and pharmacotherapy and patients who have been unable to tolerate the adverse effects of drug therapy. Poor candidates include patients with medical conditions that would compromise the ability to tolerate an anaphylactic-type reaction, patients with impaired immune systems, and patients with a history of nonadherence to therapy. 

Patients who have a prior history of good response to ECT or a poor history of response to pharmacotherapy... 

There are no studies comparing the efficacy of SLIT and drugs. Such trials would be of interest to answer the question of how IT compares with pharmacotherapy. It is important, however, to reinforce the concept that both therapies are complementary and that very likely the combination of both strategies will provide the patient with better options for both symptom control and possibly for modification of the natural history of the disease [36]. 

Select When pharmacotherapy is necessary, and after review of an individual patient s history, medical status, presenting... 

Evaluates patients by means of interview and, when appropriate, physical assessment to determine past medical history, previous medication use, present medical history, present medication use, present medical condition, and response to therapy. The pharmacotherapy specialist performs accurate and reproducible physical examination in accordance with their formal training and experience. 

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