Improvement of adherence and health status of a young patient with pluripathology by means of SPD follow-up service in community pharmacy

A 36-year-old woman suffering from various pathologies of varying complexity, with 19 active medications in her medication plan and the result of her Morisky-Green test is that of a non-adherent patient, to whom we offer the monitoring service with monitored dosage systems (MDS).

From the initial interview, we obtained the following information about her health status: she feels constantly tired, sleepy, sad, and unmotivated. She lives with her parents and hardly leaves her home.

10 moderate clinically relevant interactions are detected, 8 of which can lead to clinical situations that match the patient’s description.

After 6 months, the patient only needs 1 opioid analgesic, instead of 3, has reduced the use of other drugs, and her health status has significantly improved.

At 20 months, she has gone from using 19 drugs regularly to taking only 10 drugs. In addition, her social relationships have improved, and she no longer spends her days locked at home.

The patient is very grateful to the pharmacy. For us, it is a satisfaction to provide this service and help many patients improve adherence to their treatments and health status.