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A guidance statement from the American College of Physicians. Farmacoterapeuticco with type-2 diabetes mellitus, affiliated to the contributive regime of two EPS, who had continuity in antidiabetic treatment in the three months prior, defined by attendance to medical control and request for dispensing of normoglycemiant medication; these patients were over 18 years of age and accepted to participate in the study.

March 10, ; Accepted: Safety was the NOM with the highest number of reports in terms of Non-Quantitative Insecurity, which means that in this case, dosing was not a factor triggering this NOM.

These findings suggest that the active involvement of Pharmacists in the treatment of renal anaemia for patients under hemodialysis had a great therapeutic impact.

Some treating seguiiento do not follow the guidelines for treatment of diabetes mellitus and do not make opportune requests for paraclinical and medical exams necessary for the complete analysis in pharmacotherapeutical monitoring. That is why Pharmaceutical Care should include SOPs structured by criteria reached by consensus to conduct Pharmaceutical Care Practice, which will enable to prevent, identify and solve any negative outcomes in patients that are associated with medication.

Pharmacovigilance could help aobre prevent these two types of DRPs, not only through identification but also by helping in their solution; on the segiumiento hand, interactions and the wrong administration of the medication were problems that presented but that can be prevented with continuous education, unlike those personal characteristics that are individual farjacoterapeutico, but can be mentioned to patients so that they will take them into account in the future, in order to prevent new NOMS.

Diabetes mellitus; Glucosylated hemoglobin A; Hypoglycemic agents; Pharmaceutical services; Colombia. On the other hand, hypertension and DM are the most important risk factors that lead to deterioration in renal function, because the kidney is one of the target organs in these conditions; at the same time, together they will increase the cardiovascular risk 22 To learn about the types of problems related to medications and negative outcomes associated with drugs that can be detected, prevented and solved in patients with chronic kidney disease, through pharmaceutical care practice.


Patients in the control group were subjected to HbA1c measurement at the beginning and end of the study; they also had an initial interview with the pharmacotherapeutical record format, according to the DADER methodology. Am J Hosp Pharm. Phone calls and visits were also made every four months to inquire about hospitalizations, visits to the general physician, specialist, and emergency services.

Diabetes trends in Latin America. Necessity NOMs, when patients are not receiving an adequate treatment for their condition, and the other cause is that the health problems of patients are not receiving treatment; Effectiveness NOMs, when the treatment does not meet the therapeutical objectives, based on the dose administered; and Safety NOMs, identified when health problems develop as a consequence of drug therapy, which can be dose-dependent or not.

It is calculated that by there will be million diabetics in the world and million of these will live in our continent 1 – 3. The highest prescription was for Group C, Cardiovascular System, with medications; this means that patients with CKD are administered a higher number of medications acting upon this physiological system. Direct health care costs of diabetic patients in Spain.

We were able to identify in the patients in the study another less prevalent health problems. Pharmacotherapeutic Monitoring PTM is defined as the professional practice in which the pharmacist assumes responsibility for the needs of the patient related to medications. Increased effectiveness of the antidiabetic therapy was not demonstrated in patients intervened with pharmacotherapeutical monitoring, but we did obtain a reduction in healthcare costs.

Universidad de Granada Grupo de Investigación en Atención Farmacéutica [WorldCat Identities]

The authors manifest and declare having no conflict of interest. Diabetes Metab Res Rev. After identifying NOM in each patient, the pharmacist suggested for the patients in the intervention group activities to solve the health problem associated to medication use, socializing said activities with the healthcare team through a written documment.

Patients changing EPS during the study; those whose physical or mental state did not permit communicating with the interviewer; and patients who did not remain in the city selected for the study during the time it took to develop such. Pharmacotherapeutic records were the primary source of information and the secondary sources were the clinical histories, the status of the condition, records of medications dispensed by quantities and costs, along with the data base from the EPS services with the records of services rendered to their users, appointments with their treating physicians, authorizations for paraclinical exams requested by the physicians, among others.

In order to ensure patient safety as a component of quality of care 7Pharmaceutical Care Practice PCP must be conducted as a clinical activity within Pharmaceutical Care PCwith the objective of reducing the morbimortality associated with the use of medications, through activities performed by the Pharmacist, who will be responsible for identifying the needs of the patient regarding pharmacological treatment, with the aim to achieve results that will improve the quality of life of patients, working together with the healthcare team in order to make decisions about the treatment initiated, to ensure its safety and efficacy 8.


Mean age was Hepler C, Strand L. The impact of chronic kidney disease in health is no longer just a patient-physician issue, not only in terms of the increase in the number of patients diagnosed, but also regarding the human and economic cost for health systems.

Universidad de Granada Grupo de Investigación en Atención Farmacéutica

Reduction of the therapeutic effects of some ed such as thiazide diuretics. The design was Quasi-experimental, so that variables would not be intentionally modified, but interventions could be conducted that modified the final out-come of pharmacological treatment in patients. There will be an increasing number of persons with CKD who will need to undergo treatments with side effects at short, medium and long term 5.

It is worth mentioning that in the study carried out, there was an important loss of patients The medications with one single case were clobazam, ceftriaxone and dexamethasone. Clinical pharmacy activities in chronic kidney disease and end-stage renal disease patients: There was no significant difference found in CKD patients regarding gender; that is to say, male patients are at the same risk of developing it as female patients.

gui Med Clin North Am. Achievement of American Diabetes Association clinical practice recommendations among US adults with diabetes, This was followed by Group A, Alimentary Tract, with prescriptions, and Group B, Blood and blood forming organs, with prescriptions; these two groups were the most widely used in all patients, due to their prophylactic nature.

Effectiveness the pharmaceutical care in diabetic patients* | Machado -Alba | Colombia Médica

NOMs can be classified into three types: In total, 12 dose re-adjustments were conducted, and 10 of these were accepted. The study initially had patients, in the intervention group and in the control group, but during the course of the study 80 patients were lost from the sample because of different causes, ending the study with patients Declaration of conflict of interest.

Adis Internacional Limited, The Ethics Committee of the centre approved the study. The sample was formed seguimienho 18 to 90 year old patients with CKD diagnosis, on polymedication, defined as patients under pharmacological treatment with over 5 medications 20hospitalized and also outpatients, managed during nine months.

Originals Pharmaceutical care practice in patients with chronic kidney disease.