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Table 1 Content of the Medication Review for LTC patients

From: Pharmacist-led medication reviews for geriatric residents in German long-term care facilities

DRP category Criteria for evaluation
Drug-drug interactions (DDI) • DDI categorized potentially severe • DDI categorized less severe but considered relevant, e.g. for the therapy’s effectiveness or due to additive adverse effects
Double medication • Double administration of the same active drugs or drug class if not considered plausible
Inappropriate dosage interval • Dosage interval not corresponding to the SPC if considered relevant, e.g. for the prevention of adverse drug effects
Inappropriate administration time • Administration time not corresponding to the SPC if considered relevant, e.g. for the therapy’s effectiveness
Potentially inappropriate medication (PIM) • Drug from the PRISCUS list [13] taking dose-dependence into account, and • drug effect mainly systemic, and • alternative drug available
Inappropriate dosage form • Product that is divided but not divisible according to the SPC
Inappropriate dosage • Dosage/strength not recommended for any indication or not age-adjusted according to the SPC and/or PRISCUS list
Inappropriate duration of use • Duration of use not recommended according to the SPC
Indication to start a drug treatment • Medication indicating the need for another drug, e.g. for the prevention of adverse drug effects
Contraindication comorbidity • Drug not generally recommended due to a comorbidity that is obvious from the medication
Others • e.g. use of a recalled product