www.medicationxpert.com > Assessment Tools

If you are older than 65 and answer "Yes" to most of these questions, then you should consider making an appointment with a senior care pharmacist to determine what steps can be taken to decrease your risks of health-related problems. While these risks factors are not a definitive list, they have been found to correlate with the risk of medication-related problems.
1. Do you currently take 5 or more medications?	YES or NO
2. Do you take 12 or more medication doses each day?	YES or NO
3. Do you take any of the following medications? Carbamazepine (e.g.Tegretol®) lithium (e.g. Eskalith®) phenytoin (e.g. Dilantin®, Phenytek®) quinidine (e.g. Quinidex®) warfarin (e.g. Coumadin®) digoxin (e.g. Lanoxin®, Lanoxicaps®) phenobarbital procainamide (e.g. Procanabid®, Pronestyl®) theopylline (e.g. Theo-dur®, Theo-24®, Slo-bid™, Theospan®, Uniphyl®) alpha blockers (e.g. Cardura, Catapres, Hytrin, Flomax, etc.) levothyroid (e.g. Synthoid, etc.) Darvocet N 100 Statin Drugs (e.g. Zocor, Pravacor, Lopid, etc. Metformin (e.g. Glucophage) Glucotrol, Amaryl, Diabeta Hydrochlorthiazide Nutrofurantoin (e.g. Macrodantin) NSAIDS (e.g. Motrin, Aleve, etc.) NSAIDS (e.g. Motrin, Aleve, etc.) Antihistamines (e.g. Benadryl, Antivert, Tylenol PM, Sleep-Ezz, Dramamine, etc.) Cimetidine (e.g. Tagamet) Ketoconazole (all oral antifungal drugs)	YES or NO
4. Are you currently taking medications for three or more medical problems?	YES or NO
5. Have your medications or the instructions on how to take them been changed more than four times this past year?	YES or NO
6. Does more than one physician prescribe medications for you on a regular basis?	YES or NO
7. Do you get prescriptions filled at more than one pharmacy?	YES or NO
8. Does someone else, such as a delivery person from the pharmacy, a spouse, friend, or neighbor) bring any of your medications to your home for you?	YES or NO
9. Is it difficult for you to follow your medication regimen? If so, do you sometimes choose not to?	YES or NO
10. Of all of your medications, is there any perticular medication for which you do not know the reason for which you are taking it?	YES or NO
If you answered "Yes" to most of these questions, complete the forms on the Assessment Tools page and submit for a complete evaluation.