For older people and frail people, the long-term benefit of medicines reduces and the potential for harm from adverse effects increases. When the benefit–risk balance changes in this way, medicine review and optimisation are important to simplify the therapeutic regimen, reduce inappropriate medicines and minimise risks. In this article, pharmacist prescriber Linda Bryant uses two case studies to illustrate important considerations during medicine reviews
Prescribing the right anticoagulant after bariatric surgery, using all available evidence
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PRACTICE
Prescribing the right anticoagulant after bariatric surgery, using all available evidence
Wednesday 25 March 2020, 01:00 AM

Schematic of gastric bypass using a Roux-en-Y anastomosis
PHARMACOTHERAPY
The incidence of patients having bariatric surgery has increased. Here, we work through the options for a patient with a gastric bypass who would like to switch from warfarin to another anticoagulant
Penny Clark
Key points, Surgical modifications to the gastrointestinal tract can have significant effects on the pharmacokinetics and bioavailability of medicines.
If possi
Kia ora and welcome to New Zealand Doctor Rata Aotearoa
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