Skip to main content

Table 4 Pharmaceutical problem Related to side effects of medicine and Action Taken to resolve them

From: Exploring the extended role of the community pharmacist in improving blood pressure control among hypertensive patients in a developing setting

Safety (C) n (%) Recommendations and action taken to resolve it
Side effects of medicines
 Drowsiness and dizziness on taking methyldopa, nifedipine, lisinopril bendrofluazide 1 (1.33) Advised patient to take lisinopril and nifedipine at night if sleep disruptions are minimal or to take medication with meals.
 Blurred vision with hydrochlorothiazide 1(1.33) Recommended to clinician that hydrochlorothiazide changed to calcium channel blocker.
Hydrochlorothiazide changed to Nifedipine
 Headache due to Nifedipine 8(10.67) Advised patients:
To take paracetamol for headache
To take nifedipine at night
Referred two patients with persistent headache to clinician. Paracetamol prescribed for one and nifedipine substituted with amlodipine for other one.
 Sexual weakness with methyldopa 1(1.33) Recommended patient to clinician for change of antihypertensive
a Methyldopa not changed
 Cough due to lisinopril 3 (4.00) Recommended that Lisinopril should be changed to losartan.
Lisinopril changed to Bendrofluazide
Lisinopril changed to amlodipine
Lisinopril changed to losartan
 Frequent urination due to bendrofluazide 5(6.67) Advised patients to always take bendrofluazide in the morning
 Constipation with furosemide 1(1.33) Advised patient to take in lots of fluids and referred to clinician for change in therapy.
Furosemide substituted with bendrofluazide
  1. aAction taken by the physician italicized