Concept of Medication Adherence

1. MEDICATION
ADHERENCE Community pharmacy
and management
Prepared by:-
BATAV PRASHANT
(S Y D pharm )
Guided by:-
Miss Disha khare

2. DEFINING ADHERENCE
“The extent to which a person’s behavior
(taking medication, following a diet, or
making healthy lifestyle changes)
corresponds with agreed-upon
recommendations from a health-care
provider”

3. FACTOR INFLUENCING MEDICATION NON ADHERENCE
• Daily lifestyle and related busy schedule
• Fear of medication
• High price of medicine
• Misunderstanding amount Medicine
• Multiple medication
• Lack of symptoms
• Worry
• Depression condition

4. DAILY LIFESTYLE AND RELATED BUSY SCHEDULES
PATIENT WHO HAVE ROUTINE WORK AND BUSY
SCHEDULE THEY FORGET TO TAKE THEIR MEDICATION
ACCORDING TO MEDICATION SCHEDULE. PATIENTS
WHO TAKES THE MEDICATIONS ACCORDING TO GIVING
DIRECTION LATER THEY MISS MEDICATION DOSES
BECAUSE OF ROUTINE

5. • Fear of Medication
• Patients may have be fear about getting potential side effects. They may
have also experienced previous side effects with the same or similar
medicine.
High price of Medicines
A major barrier to non-adherence is often the cost of the medicine
prescribed to the patient. The high cost may lead to patients not
buying their medications
Misunderstanding about Medicines
Non adherence also happens when a patient does not understand
the need for the medicine, the nature of side effects or the time it
takes to see results. This is especially true for patients with chronic
illness taking a medication every day to

6. • Multiple medications
• When a patient has several different medicines prescribed with higher dosing.
Frequency, the chances that they are non adherent increase. Physicians can try to
simplify a patient’s dosing schedule by adjusting medicines so they can be taken at
the same time of day. Choosing long-acting drugs can also help if the dosing burden
is too complex
Lack of symptoms
Non adherence might occur when there is a lack of symptoms. Patients who don't feel any
different when they start or stop their medicine might see no reason to take it. Additionally,
once a patient's condition is controlled, they may think the problem has resolved and may
discontinue using the medication. It is important to inform the patient that they may need to
take the medicine
Worry
If a patient is concerned about becoming dependent on a medicine, it can also lead to
non adherence. One way to overcome this is to improve patient-physician
communication. Inadequate communication can account for 55% of medication non
adherence, so there should be proper communication of patient and physician in
relation to medication so there will be proper adherence of medications by

7. Depression conditions
Patients who are depressed are less likely to take their medications as prescribed.
Physicians and other health professionals may be able to uncover this by sharing
issues and asking if the patient can relate to it. To reduce embarrassment, the
physicians and health professionals should explain patient that many patients
experience similar challenges during their treatment.
Side Effects of Medications
Some patients experience disorders and mild severity of the illness. This leads
them to purchase a variety of over-the-counter drugs for relief. But as they
experienced side effects from the multiple regime combinations, they decide to
discontinue the prescribed medication.
Spiritual healing throughts
Patients discontinue their medication-taking and start for spiritual
healing in the form of prayers, fasting and paranormal approaches.
The patients think that prayers work better than medication because
disease health is an act of God.

8. THE PROBLEM WITH NON-ADHERENCE
• Clinical/Health Outcomes
 Poor therapeutic outcomes
 Further disease progression
 Decreased quality of life
• Economic Outcomes
 Increased costs to healthcare system
 Increased hospitalization
 Increased frequency of Emergency Department visits
 Increased physician visits
 Loss of productivity

9. MOST COMMON REASONS FOR NON-
ADHERENCE
• Forgetfulness
• Concern about side effects
• High drug costs
• Perceived lack of efficacy
or low need

10. APPROACHES
• Education
• Motivational Interviewing
• Address Specific Barriers
• Self-Management Training
• Making Taking Medication a Habit

11. EDUCATION
Indication, Effectiveness, Safety & Adherence
• Indication Reason for taking medication
• Effectiveness What patient should expect
• Safety Potential side effects and/or interactions
• Adherence Cost, memory aids, swallowing problems

12. CHOOSING GOOD SELF-REINFORCEMENTS

13. MAKING TAKING MEDICATION A HABIT
• Help with organizing medications (i.e. pillbox)
• Encourage patient to store all medications together and
out of reach of children (i.e. bathroom or kitchen
cabinet)
• Attach the timing of taking the medication to an existing
habit
• With breakfast
• When brushing teeth (AM and PM)
• Before bedtime

14. THANK YOU