Medicine Use Review

By Gillian Yong (CARiNG Pharmacist) | Malaysia | Mon Jan 04, 2016 6:23pm

Medicine Use Review

1. What is Medicine Use Review (MUR)?
    MUR is where a pharmacist systematically discusses
    with a patient their medicines, both prescribed and
    non-prescribed, to check compliance and to assess
    any problems with current medicine and its administration.
    It is normally conducted at 12 monthly intervals.

2. Who should seek for Medicine Use Review

    Anyone is entitled to have a MUR on request.
    However, the priority is given to patients on multiple 
    medicines, or with long-term conditions. Diabetes,
    hypertension, asthma and rheumatoid arthritis are
    among the many examples of chronic conditions.

3. How does Medicine Use Review benefit the patient?

    There are many benefits from a well organized MUR for the patients
  •  Help patients understand their therapy
  •  Offer reassurance about their medicines
  •  Identify and address problems with medicines
  •  Reduce side-effects
  •  Improve safety
  •  Support self-care
Let me share a case scenario. A patient with under-active thyroid complains the side effects of taking thyroxine. She has not slept well ever since she’s on thyroxine. During the MUR, it transpires that thyroxine is taken at night as the doctor’s prescription read ‘’one daily’’. The pharmacist explains that thyroxine increases the metabolic rate, therefore increases the body and brain’s activity levels, hence the sleepless nights. Patient is advised to take thyroxine in the morning before breakfast and her sleeping issues resolved.
4. What happens during a Medicine Use Review consultation?
    MUR is normally conducted face-to-face with the patient. To make it effective, patients are advised to
    bring all their medicines with them. It is not uncommon that someone could not recall their medicines.
    Interventions made as part of a MUR will include: 
  •  Ensuring appropriate use of different medicine dosage forms (e.g. counseling on inhaler technique)
  •  Identification of unwanted medicines
  •  Identification of items without adequate dosage instructions
  •  Dealing with practical problems i.e. taking both generic and branded of the same medicine
  •  Advice on tolerability and side effects
    The above intervention list is by no means exhaustive as MUR is a service tailored to individual
    patient’s need.

5. Will my medical information be in safe hands?
    Yes. It is strictly private and confidential.  Informed consent will be obtained before commencing
    a MUR. A report of the review will be provided to the patient and their GP (with consent).

6. Is MUR equivalent to the doctor’s Medicine review?
    No. MUR is not a full clinical review as the pharmacist is not in possession of the full clinical notes.
    The aim of MUR is to help patients improve knowledge, concordance and to ensure correct use
    of medicines.

7. Where can patients get a MUR consultation?

    MUR service will be available in selected Caring outlets in the near future.  Pre-registration is required.

Gillian Yong
Caring Pharmacy, The Mines

Gillian graduated from University of Portsmouth, UK.  She has trained and practiced in both
hospital and community pharmacies in the UK, for more than 11 years. Her special interest
is in health care promotions and pharmaceutical services.




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