Atencion primaria
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Editorial Comment
[Review of the medication in polymedicated elderly patients].
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Randomized Controlled Trial Multicenter Study
[A review of the medication in polymedicated elderly with vascular risk: a randomised controlled trial].
To analyse the effectiveness of a medication review based on intervention directed at improving the appropriateness of drug treatments according to the established guidelines, as well as blood pressure, serum lipid and blood glucose control in elderly patients on multiple medication, and cardiovascular disease or high risk of cardiovascular disease. ⋯ Clinical medication review improves the appropriateness of antiplatelet treatment in the elderly on polypharmacy and with high risk of cardiovascular disease. No improvement in biochemistry measurements was found.
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To identify the consumption pathway and strategies of coping with antidepressants use from the patients perspective. ⋯ Understanding the evaluation process that the patient needs to go through, given the internal and external struggle in which they are immersed, can be useful to develop interventions that improve medication use. In fact, physicians have an important role, although not always explicitly sought in resolving the dilemma posed by patients using antidepressant drugs and, therefore, reducing the length of patient suffering.