Agreement 70–80% | • Antipsychotic medication review • Polypharmacy medication review • Medication changed • New medication added • Medicines reconciliation performed |
Agreement 60–70% | • Medicines adherence checked • Advice about drug treatment • Advice about side effects of drug treatment • Medication review without patient • Anticoagulation medication review • Drug changed to cost effective alternative • Medication stopped • Medication stopped-side effect • Medication error |
Agreement 50–60% | • No drug side effect reported • Synchronisation of repeat medication • Contact with the local community pharmacy • Medicine Use Review (MUR) done by community pharmacist |