Case scenario

Mrs Johnson, a 65-year-old patient with hypertension, comes to the pharmacy to fill her repeat prescriptions for perindopril 4 mg and amlodipine 5 mg. You notice that Mrs Johnson is getting her repeats dispensed irregularly and offer her a blood pressure (BP) check. Mrs Johnson mentions that her BP has been poorly controlled, and she often forgets to take her medicines.

Learning objectives

After reading this article, pharmacists should be able to:

  • Describe common reasons for missed or delayed medicine doses
  • Discuss circumstances where missed or delayed medicine doses may be
    more likely
  • Identify medicines most susceptible to negative impacts from a delayed or missed dose
  • Discuss necessary steps to address a missed or delayed dose
  • Explain strategies pharmacists can implement to prevent a missed or
    delayed dose.

Competency (2016) standards addressed: 1.1, 1.4, 1.5, 3.1, 3.5

Accreditation code: CAP2412SYPAQ

Accreditation expiry: 30/11/2027

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Introduction

Missed or delayed administration of prescribed doses is a common concern in clinical practice and can be viewed under the framework of non-adherence, either intentional or unintentional. Medication adherence refers to the extent to which a person’s behaviour matches with the agreed recommendations from a health care provider.1 Adherence to prescribed dosing regimens is crucial for achieving the best therapeutic outcome.

Understanding the implications of missed doses and how

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