E7

Table E7.2. Techniques to improve medication compliance

Enlist patient participation

- Ask specifically about missed doses (number & reasons)

- Ask about medication-related problems - listen to answers

- Ask specifically about medication side-effects

- Ask about drug costs/payments Simplify regimen

- Prescribe more "forgiving" (longer acting) drugs

- Minimize number of daily doses (once-twice daily is best)

- Eliminate drugs not clearly needed at this time Observe / Investigate

- Randomly measure blood levels of drug (note -?erratic levels)

- Consider noncompliance when clinical picture is unusual (lack of clinical response to drugs at usual doses)

- Followup on unusual prescription refill patterns

- Followup on unexplained, missed clinic or laboratory visits

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