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Medication adherence issues in patients treated for COPD.

Restrepo RD, Alvarez MT, Wittnebel LD, Sorenson H, Wettstein R, Vines DL, Sikkema-Ortiz J, Gardner DD, Wilkins RL - Int J Chron Obstruct Pulmon Dis (2008)

Bottom Line: The effect of patient instruction on inhaler adherence and rescue medication utilization in patients with COPD does not seem to parallel the good results reported in patients with asthma.While use of a combined inhaler may facilitate adherence to medications and improve efficacy, pharmacoeconomic factors may influence patient's selection of both the device and the regimen.Patient's health beliefs, experiences, and behaviors play a significant role in adherence to pharmacological therapy.

View Article: PubMed Central - PubMed

Affiliation: Department of Respiratory Care, The University of Texas Health Science Center at San Antonio,Texas 78229, USA. restrepor@uthscsa.edu

ABSTRACT
Although medical treatment of COPD has advanced, nonadherence to medication regimens poses a significant barrier to optimal management. Underuse, overuse, and improper use continue to be the most common causes of poor adherence to therapy. An average of 40%-60% of patients with COPD adheres to the prescribed regimen and only 1 out of 10 patients with a metered dose inhaler performs all essential steps correctly. Adherence to therapy is multifactorial and involves both the patient and the primary care provider. The effect of patient instruction on inhaler adherence and rescue medication utilization in patients with COPD does not seem to parallel the good results reported in patients with asthma. While use of a combined inhaler may facilitate adherence to medications and improve efficacy, pharmacoeconomic factors may influence patient's selection of both the device and the regimen. Patient's health beliefs, experiences, and behaviors play a significant role in adherence to pharmacological therapy. This manuscript reviews important aspects associated with medication adherence in patients with COPD and identifies some predictors of poor adherence.

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Related in: MedlinePlus

Percentage of nonadherence to prescribed medication category.
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f1-copd-3-371: Percentage of nonadherence to prescribed medication category.

Mentions: Patients with COPD have the lowest adherence to a regimen that included inhaled anticholinergic agents followed in order by the inhaled sympathomimetics, theophylline, corticosteroids, and antibiotics (Dolce et al 1991) (Figure 1).


Medication adherence issues in patients treated for COPD.

Restrepo RD, Alvarez MT, Wittnebel LD, Sorenson H, Wettstein R, Vines DL, Sikkema-Ortiz J, Gardner DD, Wilkins RL - Int J Chron Obstruct Pulmon Dis (2008)

Percentage of nonadherence to prescribed medication category.
© Copyright Policy
Related In: Results  -  Collection

Show All Figures
getmorefigures.php?uid=PMC2629978&req=5

f1-copd-3-371: Percentage of nonadherence to prescribed medication category.
Mentions: Patients with COPD have the lowest adherence to a regimen that included inhaled anticholinergic agents followed in order by the inhaled sympathomimetics, theophylline, corticosteroids, and antibiotics (Dolce et al 1991) (Figure 1).

Bottom Line: The effect of patient instruction on inhaler adherence and rescue medication utilization in patients with COPD does not seem to parallel the good results reported in patients with asthma.While use of a combined inhaler may facilitate adherence to medications and improve efficacy, pharmacoeconomic factors may influence patient's selection of both the device and the regimen.Patient's health beliefs, experiences, and behaviors play a significant role in adherence to pharmacological therapy.

View Article: PubMed Central - PubMed

Affiliation: Department of Respiratory Care, The University of Texas Health Science Center at San Antonio,Texas 78229, USA. restrepor@uthscsa.edu

ABSTRACT
Although medical treatment of COPD has advanced, nonadherence to medication regimens poses a significant barrier to optimal management. Underuse, overuse, and improper use continue to be the most common causes of poor adherence to therapy. An average of 40%-60% of patients with COPD adheres to the prescribed regimen and only 1 out of 10 patients with a metered dose inhaler performs all essential steps correctly. Adherence to therapy is multifactorial and involves both the patient and the primary care provider. The effect of patient instruction on inhaler adherence and rescue medication utilization in patients with COPD does not seem to parallel the good results reported in patients with asthma. While use of a combined inhaler may facilitate adherence to medications and improve efficacy, pharmacoeconomic factors may influence patient's selection of both the device and the regimen. Patient's health beliefs, experiences, and behaviors play a significant role in adherence to pharmacological therapy. This manuscript reviews important aspects associated with medication adherence in patients with COPD and identifies some predictors of poor adherence.

Show MeSH
Related in: MedlinePlus