Table 4. Drug Therapy Problems Identified and the Most Common Medication Recommendations (n = 223)
Drug Therapy Problem (n)Most Common Medication Recommendation (n)
Needs additional therapy (118)Vaccine (62)
HMG-CoA reductase inhibitor (31)
Blood pressure–lowering agent (6)
Antidiabetic agent (4)
Unnecessary drug (31)ER niacin or ezetimibe not needed (10)
Triglyceride lowering not needed (7)
Wrong dose (24)Blood pressure drug dose too high/low (17)
Diabetes drug dose too high/low (3)
Cost (13)Brand switched to different generic (8)
Potentially inappropriate drug (10)Unsafe in patient ≥65 years old (10)
Duplicate therapy (7)Aspirin/clopidogrel when not indicated (2)
Laboratory test needed (6)Vitamin D (2)
Wrong drug (5)Five different drugs identified (5)
Adverse drug reaction (4)Four different reactions identified (4)
Drug interaction (4)Simvastatin interaction (4)
Other (1)Nonadherence (1)
  • ER, extended release.