E-DRUG: Many NSAID users who bleed ...... (cont'd)

[Tim Dodd <timdodd@brain.net.pk>]

E-drug: Many NSAID users who bleed ...... (cont'd)
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Further to the correspondence already on air, can I direct you to
Cunningham G et al. Drug related problems in patients admitted to
Tayside hospitals, methods for prevention and subsequent
re-assessment. Age & Ageing, 1997; 26: 375-382.

This was a big study carried out to look at drug related causes of
admission to hospital in elderly patients. NSAIDs were up there with
the best of them as a major cause of hospital admission. Strategies for
prevention included educational visits to GP's and GP seminars, but
also involved a patient information leaflet freely available through
community pharmacies and included in the specific counselling of
patients prescribed NSAIDs at the time of dispensing. The study was a
little ambitious and the numbers were not big enough to draw strong
conclusions but we firmly believe that this counselling process did
have an effect seen both in terms of admission due to NSAIDs and the
prescribing as judged against the overall prescribing in the rest of
Scotland.

Tim Dodd
Director of Pharmacy,
Shaukat Khanum Memorial Cancer Hospital, Lahore, Pakistan
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