Clinical pharmacy services in mental health in Europe: a commentary paper of the European Society of Clinical Pharmacy Special Interest Group on Mental Health
AbstractA large proportion of the world ’s disease burden is attributable to mental illnesses. Although effective interventions are available, many patients still have limited access to evidence-based treatments. Aside from access, treatment gaps, including inappropriate medication selection and monitoring, are also routinely recognised . Mental health clinical pharmacists can help address these gaps and enable patients to receive optimised pharmaceutical care, particularly appropriate medication selection and monitoring. The European Society of Clinical Pharmacy (ESCP) Special Interest Group on Mental Health was establi...
Source: International Journal of Clinical Pharmacy - September 27, 2023 Category: Drugs & Pharmacology Source Type: research

Guideline adherence for cardiometabolic monitoring of patients prescribed antipsychotic medications in primary care: a retrospective observational study
ConclusionCardiometabolic health monitoring was generally infrequent, irregular, and did not change in response to abnormal test results or antipsychotic treatment with high cardiometabolic risks, suggesting more efforts need to be made to ensure the guidelines for cardiometabolic monitoring are followed. Future studies should investigate practices by using a large UK primary care database. (Source: International Journal of Clinical Pharmacy)
Source: International Journal of Clinical Pharmacy - September 27, 2023 Category: Drugs & Pharmacology Source Type: research

How cultural competence is conceptualised, developed and delivered in pharmacy education: a systematic review
ConclusionThere is variation in how cultural competence is embedded in pharmacy programmes, which could be a reflection of the differences in how educators conceptualised cultural competence. Further research is needed to develop a unified understanding of the meaning of cultural competence and how it can be embedded in pharmacy education. (Source: International Journal of Clinical Pharmacy)
Source: International Journal of Clinical Pharmacy - September 27, 2023 Category: Drugs & Pharmacology Source Type: research

Association of silodosin, tamsulosin, and naftopidil with delirium: analysis of the pharmacovigilance database in Japan
ConclusionAnticholinergics or beta3-adrenergic receptor agonists to treat overactive bladder in patients receiving tamsulosin and naftopidil was strongly associated with delirium. Confirming the medical history and concomitant medications of patients receiving tamsulosin or naftopidil may contribute to preventing delirium in patients with benign prostatic hyperplasia and to improving their outcomes. (Source: International Journal of Clinical Pharmacy)
Source: International Journal of Clinical Pharmacy - September 15, 2023 Category: Drugs & Pharmacology Source Type: research

Pharmacists ’ contribution to benzodiazepine deprescribing in older outpatients: a systematic review and meta-analysis
ConclusionPharmacists may contribute to deprescribing benzodiazepines in older outpatients. Further studies are needed to increase the reliability of these findings.PROSPERO registration number: CRD42022358563. (Source: International Journal of Clinical Pharmacy)
Source: International Journal of Clinical Pharmacy - September 15, 2023 Category: Drugs & Pharmacology Source Type: research

External validity of an automated delirium prediction model (DEMO) and comparison to the manual VMS-questions: a retrospective cohort study
ConclusionThe DEMO showed acceptable performance for delirium prediction. Overall the DEMO predicted more delirium cases because the VMS-questions were missing in 20% of admissions. This study shows that automated instruments such as DEMO could play a key role in the efficient and timely deployment of measures to prevent delirium. (Source: International Journal of Clinical Pharmacy)
Source: International Journal of Clinical Pharmacy - September 15, 2023 Category: Drugs & Pharmacology Source Type: research

Association of silodosin, tamsulosin, and naftopidil with delirium: analysis of the pharmacovigilance database in Japan
ConclusionAnticholinergics or beta3-adrenergic receptor agonists to treat overactive bladder in patients receiving tamsulosin and naftopidil was strongly associated with delirium. Confirming the medical history and concomitant medications of patients receiving tamsulosin or naftopidil may contribute to preventing delirium in patients with benign prostatic hyperplasia and to improving their outcomes. (Source: International Journal of Clinical Pharmacy)
Source: International Journal of Clinical Pharmacy - September 15, 2023 Category: Drugs & Pharmacology Source Type: research

Pharmacists ’ contribution to benzodiazepine deprescribing in older outpatients: a systematic review and meta-analysis
ConclusionPharmacists may contribute to deprescribing benzodiazepines in older outpatients. Further studies are needed to increase the reliability of these findings.PROSPERO registration number: CRD42022358563. (Source: International Journal of Clinical Pharmacy)
Source: International Journal of Clinical Pharmacy - September 15, 2023 Category: Drugs & Pharmacology Source Type: research

External validity of an automated delirium prediction model (DEMO) and comparison to the manual VMS-questions: a retrospective cohort study
ConclusionThe DEMO showed acceptable performance for delirium prediction. Overall the DEMO predicted more delirium cases because the VMS-questions were missing in 20% of admissions. This study shows that automated instruments such as DEMO could play a key role in the efficient and timely deployment of measures to prevent delirium. (Source: International Journal of Clinical Pharmacy)
Source: International Journal of Clinical Pharmacy - September 15, 2023 Category: Drugs & Pharmacology Source Type: research

Evaluation of an online advanced suicide prevention training for pharmacists
ConclusionTraining is an effective means of improving pharmacists ’ suicide prevention knowledge, confidence, and attitudes. While personal barriers to suicide prevention improved, contextual and social barriers continue to impede pharmacists’ implementation of suicide prevention in practice. (Source: International Journal of Clinical Pharmacy)
Source: International Journal of Clinical Pharmacy - September 13, 2023 Category: Drugs & Pharmacology Source Type: research

The role of pharmacists in supporting service users to optimise antipsychotic medication
AbstractPharmacists have a contribution to make in improving optimising medication use for people on antipsychotic medication. The rates of prescribing antipsychotics have increased in England with an 18% rise from 2015 to 2020. People on antipsychotic medication are not treated as equal partners in conversations about their medications. This can leave people to make decisions about their antipsychotic medications without input from their prescribers which can have significant consequences for individuals. Involving people in the decision-making process, as experts on their own condition, has the potential to improve treat...
Source: International Journal of Clinical Pharmacy - September 13, 2023 Category: Drugs & Pharmacology Source Type: research

Evaluation of an online advanced suicide prevention training for pharmacists
ConclusionTraining is an effective means of improving pharmacists ’ suicide prevention knowledge, confidence, and attitudes. While personal barriers to suicide prevention improved, contextual and social barriers continue to impede pharmacists’ implementation of suicide prevention in practice. (Source: International Journal of Clinical Pharmacy)
Source: International Journal of Clinical Pharmacy - September 13, 2023 Category: Drugs & Pharmacology Source Type: research

The role of pharmacists in supporting service users to optimise antipsychotic medication
AbstractPharmacists have a contribution to make in improving optimising medication use for people on antipsychotic medication. The rates of prescribing antipsychotics have increased in England with an 18% rise from 2015 to 2020. People on antipsychotic medication are not treated as equal partners in conversations about their medications. This can leave people to make decisions about their antipsychotic medications without input from their prescribers which can have significant consequences for individuals. Involving people in the decision-making process, as experts on their own condition, has the potential to improve treat...
Source: International Journal of Clinical Pharmacy - September 13, 2023 Category: Drugs & Pharmacology Source Type: research

Knowledge, attitude, and readiness of pharmacists toward medication therapy management for patients with attention deficit hyperactivity disorder: a cross-sectional quantitative study
ConclusionThe findings of this study indicate that knowledge, attitudes, and readiness for MTM services for ADHD patients are inadequate. Therefore, there is an urgent need for effective educational strategies to better prepare pharmacists for their potential role in the community, particularly for providing MTM services to ADHD patients. (Source: International Journal of Clinical Pharmacy)
Source: International Journal of Clinical Pharmacy - September 11, 2023 Category: Drugs & Pharmacology Source Type: research