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In these pages are collected the stories from Bandolier relating to clinical pharmacy. Bandolier is grateful for an unrestricted educational grant from Janssen-Cilag UK to allow this to be started and extended. Some generally useful downloadable PDFs include: Combination analgesics , Topical analgesics , Acute pain , NSAIDs and bone healing

Adherence, Compliance, Concordance, Persistence

Adherence in juvenile rheumatoid arthritis Adherence to evidence-based therapies Adherence in juvenile rheumatoid arthritis Adherence update Antidepressant Drug Adherence Community pharmacists and adherence (systematic review) Discontinuation with new antihypertensive and lipid lowering therapy Discontinuation rates with newer antidepressants Dose regimens and compliance Dosing and compliance? Keep taking the medicine Improving compliance Interventions to improve adherence in older people Noncompliance with antihypertensives Patient Compliance with statins Persistence with bisphosphonates Persistence with inhaled corticosteroids Persistence with statins Physician compliance with published guidelines on lipid-lowering RCT of adherence in osteoporosis Statin adherence and outcomes
Treatment adherence in psychosis

Repeat prescribing

Better quality and lower cost in prescribing for reflux Correspondence on laxatives Improving the handling of repeat prescribing Systematic review of nursing home resident medicines

Combination therapies

Fixed-dose combinations and adherence Aspirin plus codeine in postoperative pain Easy targets aren't always the right ones Paracetamol plus tramadol for acute pain Paracetamol, aspirin and caffeine for tension type headache Paracetamol, aspirin and caffeine in combination (Excedrin) for acute migraine Paracetamol (acetaminophen) with codeine in postoperative pain Paracetamol plus dextropropoxyphene in postoperative pain 5-HT3 receptor antagonists for chemotherapy-induced vomiting Mindstretcher - being indirect Calcium and vitamin D for preventing hip fractures

Reduced prescribing

Audit of stimulant laxative prescribing in 21 shropshire practices Drug Watch-Benzodiazepines Pharmacists and prescribing Reducing antibiotic prescribing Reducing unnecessary laxative prescribing in a health authority

Pharmacy management

Better prescribing: Better practice Better prescribing of NSAIDs Cost of change - or why bother? Hospital Loss-Lead Prescribing: Reality Or Myth? Pharmacist case management of type 2 diabetes Pharmacy care in older patients
Shared approach to better prescribing Switching statins
Small practices taking big steps - together Using computers to manage hypertension in primary care


Do formularies work? Equal on average does not mean equal for everyone

Trusting what we are told

Nothing but the truth Bias guide

Patient issues

Reading and Rheumatoid Arthritis

Adverse drug events (general)

Adverse drug events in hospital patients (systematic review) pdf document Adverse drug reactions Computer systems prevent errors Drug induced agranulocytosis High rates of adverse drug events More on high risks of adverse drug events Reducing and preventing adverse drug events to decrease hospital costs When things go wrong

Specific adverse events

Antipsychotics and sudden cardiac death Coxibs and cardiovascular harm in arthritis Coxibs, aspirin, polyps, and cardiovascular harm Gastric acid suppression and pneumonia Myocardial infarction: aspirin, NSAIDs, and COXIBs Proton pump inhibitors and Clostridium difficile Quinolones and Achilles tendon rupture Rhabdomyolysis with statins

Drug issues

Alcohol dependence treatments Better quality and lower cost in prescribing for reflux Calculating the risk of NSAID GI hospital admission Chlamydial STD Treatment Getting thyroxine treatment right HRT and tooth loss Improving oral postoperative analgesia Increasing aspirin use for secondary prevention of IHD Interviews for drug exposure can be incorrect Low dose aspirin - harm and benefits NSAIDs, coxibs, smoking, and bone Prevalence of aspirin resistance
Price of aspirin Prophylactic antibiotics and meningitis in skull fracture Statins reduce risk of fractures Statin dose response in longer trials Salt and prescribing behaviour - a visual aid to change prescribing behaviour Treatment effectiveness and costs in reflux disease What pharmaceutical representatives say

Pharmacists' learning zone

Below are a series of (mainly) downloadable PDFs that are likely to be useful for pharmacists. You may also find these essays in Bandolier Extra, where there are also other essays.

Size Outputs and utility Quality and validity Primer on calculating NNTs NNT calculation sheet Bandolier bias guide On science and management On care pathways Systematic review of PPI and H2A in GORD

Other essays

Trust pdf document Initiatives to improve quality of care 1999 National Survey of NHS Patients: coronary heart disease