Audit of budesonide/formoterol prescribing for asthma in community pharmacy in the U.K

Boyter, Anne C and Ford, Naomi H and Zlotos, Leon (2011) Audit of budesonide/formoterol prescribing for asthma in community pharmacy in the U.K. Respiratory Medicine, 105 (6). pp. 864-868.

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Abstract

The rapid action of the long acting beta agonist formoterol allows it to be used as both a preventer and reliever in the management of asthma. The Symbicort® SMART dosing regime has been shown to reduce the number of asthma exacerbations. The aim was to determine the current prescribing of Symbicort®, the prescribing of the SMART regimen and the co-prescribing of a short acting beta agonist with this regimen by means of an audit of prescriptions dispensed in a pharmacy multiple in the U.K. Anonymised data were collected on a standard form. Symbicort® prescribing data for six months were extracted from the pharmacy Patient Medication Record (PMR). Data were stratified by age and analysed to determine adherence with Symbicort® SMART prescribing as defined by the U.K. product license. Data were received from 51 of the 118 (43.2%) pharmacies contacted. Complete information from 2484 PMRs was included in the study. 2.81% (70/2484) of patients were prescribed SMART as defined by the U.K. summary of product characteristics. Of the 18-35 year age group 7.44% (27/363) were prescribed SMART correctly. However, Symbicort® was prescribed twice a day and when required, with either the co-prescription of a SABA, or at an unlicensed dose in 2.46% (61/2484) and 0.28% (7/2484) patients respectively. The incidence of Symbicort® SMART prescribing in this study is low but may be underestimated due to unclear dosing instructions.

ORCID iDs

Boyter, Anne C ORCID logoORCID: https://orcid.org/0000-0002-6088-5571, Ford, Naomi H and Zlotos, Leon;
  • Item type:Article
    ID code:32468
    Dates:
    Date
    Event
    June 2011
    Published
    Notes:Copyright © 2010 Elsevier Ltd. All rights reserved.
    Keywords:adolescent, adrenal cortex hormones, adult, aged, asthma, budesonide, child, cost-benefit analysis, drug combinations, drug therapy combination, ethanolamines, female, Great Britain, humans, male, medical audit, middle aged, pharmacies, young adult, Pharmacy and materia medica, Pulmonary and Respiratory Medicine
    Subjects:Medicine > Pharmacy and materia medica
    Department:Faculty of Science > Strathclyde Institute of Pharmacy and Biomedical Sciences
    Depositing user: Pure Administrator
    Date deposited:09 Aug 2011 10:50
    Last modified:20 Jan 2021 19:28
    Related URLs:
    URI:https://strathprints.strath.ac.uk/id/eprint/32468
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