Medicines Use Review
As qualified healthcare professionals, Darling’s Pharmacy can offer clinical advice and over-the-counter medicines for a range of minor illnesses, such as coughs, colds, sore throats, tummy trouble and aches and pains.
The MUR involves the pharmacist reviewing the patient’s use of their medication, ensuring they understand how their medicines should be used and why they have been prescribed, identifying any problems and then, where necessary, providing feedback to the prescriber. An MUR Feedback Form will be provided to the patient’s GP where there is an issue for them to consider. An MUR is not usually conducted more than once a year.
An MUR is a way to:
- Improve patients’ understanding of their medicines;
- Highlight problematic side effects and propose solutions where appropriate;
- Improve adherence; and
- Reduce medicines wastage, usually by encouraging the patient only to order the medicines they require.
What does it involve?
The pharmacist will normally ask the patient to bring their medication (including purchased medicines) with them to the review.
A set of suggested questions has been developed which pharmacists can use to guide the conversation with the patient; the use of the questions is not compulsory, but pharmacists may find them useful to obtain the maximum amount of information from the patient’s perspective as is possible.
What may the discussions with the patient include?
- what the patient thinks each medicine is for and when and how they take it;
- how compliant they are with the prescriber’s instructions;
- how and when they take medication labelled ‘as required’ or ‘as directed’;
- advice on tolerability and perceived side effects;
- dealing with practical problems in ordering, obtaining, taking and using medicines;
- identification of unwanted medicines, e.g. where the patient is no longer taking the medicine;
- identification of a potential change of dosage form to facilitate effective use with due regard to formularies and cost implications (the final decision lies with the patient’s GP); and
- proposals for dose or strength optimisation provided it does not impact on the patient’s clinical management.
Pharmacists have to record certain data about the MUR (the national MUR dataset), but they will generally keep additional clinical notes related to the MUR to support the continuing care of the patient.
Where there is an issue the patient’s GP needs to be made aware of or to consider they will be sent an MUR Feedback Form
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