Page 126 - 633 102 Professional English for Pharmacists E-Course book
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•  Does this drug interact with other drugs, herbal products, or foods the patient takes?
               Those are definitely needed to be considered before you let that pass.


               History - Past Medical
               It is important when you are doing a medication review.
                   •  Past medical history
                   •  Patient's health status
                              Purpose of medication
                              Selection of medication/therapy
                              Detect drug-disease interactions
                   •  Symptoms/complaints
                   •  Allergies/intolerances
                              Description of reaction
                              When reaction occurred
                              Whether the reaction required treatment
                              Whether the patient has had a rechallenge

                   •  Renal and hepatic function
                   •  Pregnancy and breastfeeding status. If they are expecting a baby or they are
                       breastfeeding the medicine can go to the baby as well, not just only the mother.



               Past Medical History (PMH) Questions
               Tense is important in asking questions.
                   •  What medical conditions do you have or had in the past? (Present or past simple tense)
                   •  What medications are you currently taking? (Present continuous tense)
                              What are you taking them for?
                              How long have you taken the medication?
                              Have you had any side effects from the medication? Has it worsened?
                              Do you take any medications over-the-counter?
                              Do you take any herbals?
                   •  Do you have any allergies to any medications?
                              What was the reaction?
                              Have you tried it again? What happened?
                   •  Do you have any kidney problems?
                   •  Do you have any liver problems?
                   •  Are you pregnant or breastfeeding?
                              What trimester are you in?
               This is how you can ask them.



               History-Social
                       Social is dealing with your lifestyle include:



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