Table 7.
List of medicines which were later re-started following being stopped or amended in line with the pharmacist’s advice
| High-risk medicine combination | Number of times original medicine re-started |
|---|---|
| Aged >60 years plus anticholinergic | 3 |
| Aged >60 years plus antihypertensive and diuretic | 3 |
| Aged >60 years plus antipsychotic | 1 |
| Aged >60 years plus antipsychotic and hypnotic | 1 (hypnotic only) |
| Aged >60 years plus hypnotic | 9 |
| Aged >60 years plus tricyclic antidepressant | 7 |
| Heart failure plus tricyclic antidepressant | 1 |
| NSAID plus ACE inhibitor/ARB and diuretic | 7 |
| NSAID plus eGFR <60 mL/min | 2 |
| NSAID plus heart failure | 1 |
| Total | 35 |
ACE inhibitor angiotensin converting enzyme inhibitor ARB angiotensin-II receptor blocker, eGFR estimated glomerular filtration rate, NSAID non-steroidal anti-inflammatory drug