Table 4.

Summary of the outcomes of 440 recommendations made by pharmacist for high-risk medicines to be stopped or amended

Initial review	After 1 year
214 recommendations accepted by GP	128 medicines stopped	76 % remained stopped with no adverse consequences 12 % original medicine re-started 12 % safer medicine re-started
	86 medicines amended	69 % remained amended with no adverse consequences 22 % original medicine re-started 9 % safer medicine re-started
226 recommendations rejected by GP		66 % medicines continued with no adverse events 24 % later action taken to reduce risk of an adverse event 10 % an adverse event occurred