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Pharmacists have the tools and expertise to deliver personalized adherence coaching that improves therapeutic outcomes and reduces health care costs. Nonadherence takes many forms (Table 13) and statistics on the number of unfilled prescriptions are stunning. Medication nonadherence is linked to disease worsening, increased mortality, and increased health costs. Adherence rates are generally defined as the percentage of correct doses taken over a period of time. Adherence rates are generally higher for patients with acute conditions compared with adherence for those with chronic conditions. A Cochrane review concludes that no single strategy exists for improving adherence across all diseases, populations, or settings. Researchers are constantly evaluating improved treatments, but in the absence of new treatments, medication adherence has a significant impact on improving patient outcomes. To see our content at its best we recommend upgrading if you wish to continue using IE or using another browser such as Firefox, Safari or Google Chrome. An analysis of more than a million prescriptions, along with a patient survey, found that the confusion is leading to the misuse of medicine which in turn is putting strain on health services. It focused on patients with dyslipidaemia (high cholesterol), type 2 diabetes and hypothyroidism.
Washington, DC — Today, the National Consumers League (NCL) and its partners announced the awardees of the second annual Script Your Future Medication Adherence Team Challenge for health profession students. The Medication Adherence Team Challenge is part of the Script Your Future public awareness campaign launched in 2011 by NCL. Research shows that nearly three out of four Americans don’t take their medications as directed.
The Script Your Future Medication Adherence Team Challenge was a month-long outreach competition held in February 2013 to engage interdisciplinary student teams from pharmacy, medicine, nursing, and other health professions charged with tackling the problem of poor adherence.  The teams implemented innovative solutions and outreach in their communities to raise awareness and improve understanding about medication adherence using Script Your Future materials. More than 1,700 future health care professionals held 200 events in 35 states and the District of Columbia, counseling over 12,000 patients and reaching more than 3 million consumers nationwide. An engaged, inter-professional team of students and their faculty advisors from schools of pharmacy, medicine, physical therapy, and occupational therapy raised awareness of medication adherence through sustainable outreach in their communities. University of Charleston School of Pharmacy (UCSOP) created 12 new and innovative activities and resources for this year’s Challenge, reaching over 6,000 consumers in the Charleston, West Virginia community.
With a focus on diverse and underserved populations, the University of Pacific team reached a number of patients in the Stockton, California community. Touro University targeted underserved populations in their outreach efforts, including uninsured, Hispanic, African American, South and Southeast Asian populations.
The University of Mississippi School of Pharmacy partnered with public and private partners to focus on medication adherence in populations with cardiovascular disease. Although great care has been used to put together the content of this website, the National Consumers League (NCL) does not accept any responsibilities or liabilities for the consequences of Medicine Alerts not being complete or incorrect, nor for any non-receiving of NCL Medicine Alerts. NCL and its parents, affiliates, officers, directors, employees, suppliers and subcontractors are not responsible for (A) Any missed reminders, events, medications; or (B) repercussions or consequences, medical, health-related or otherwise, of missed reminders, events or medications relating to your use of the reminder service, including, without limitation, any message delivery or failed message delivery for any reason.
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We reserve the right to terminate your access to the Reminder Service or any portion of it at our sole discretion, without limitation, for any reason whatsoever, without liability, immediately upon the earlier of: (a) a message notice being sent to your telephone. If you are dissatisfied with any portion of the Reminder Service or with any of these Terms and Conditions, your remedy is to discontinue using the Reminder Service. The Czech Neuropsychiatrist, Ladislav Haskovec was the one who had coined the term, ‘Akathisia’ for a sensory syndrome that is characterized by a constant restless feeling that does not allow one to be motionless or still. Also known as Acasthisia, it is caused due to an increase in the neurotransmitter norepinephrine level that leads to increased levels of anxiety, aggression, arousal and alertness.
One may understand as to whether one suffers from acute akathisia or chronic akathisia, by the nature of symptoms that one exhibits. The most basic cause behind the occurrence of akathisia may be attributed to the side-effects of antipsychotic drugs. They are a class of compounds typically used as anti-depressants which may by virtue of their side-effects cause SSRI Akathisia. Beyond anti-psychopathic drugs and SSRIs, Antidepressants like tricycles, venlafaxine (Effexor) and venlafaxine may also trigger symptoms of akathisia. Dopamine blockers like prochlorperazine (Compazine), promethazine and metoclopramide (Reglan) are responsible for causing Reglan akathisia.
Diphenhydramines and other cyproheptadines are some of the most potent antihistamines that cause akathisia.


Withdrawal from different kinds of physical addictives such as barbiturates, cocaine, opioid, alcohol, benzodiazepine, and cannabis may cause withdrawal akathisia. Amphetamines under the brand names Vyvanse, Adderall, ProCentra, Dexedrine, Benzedrine, Dextrostat and Desoxyn and other stimulants such as tea or coffee may perpetuate the condition related to akathisia. This is a condition that causes pain at the front of the knees and usually affects young boys and girls who are into athletics and sports. Akathisia may also caused by a brain disorder that has shows symptoms such as movement or locomotion disorders, difficulty in coordination, dementia, anxiety and body tremors.
Deficiency of iron in the body may also cause akathisia and other related syndromes such as restless leg syndrome, fibromyalgia, etc. Along with the aforementioned, akathisia may also be caused by dysphoria, hyperkinesis, and other syndromes or disorders related to kidney and neuropathic problems. Since the symptoms of akathisia are quite similar to many a related diseases and syndromes such as Restless Leg Syndrome (RLS), Fibromyalgia, Nocturnal Myoclonus, etc. The basic objective behind the treatment of akathisia is to prevent the proliferation of its effects and to control the same. However, those suffering from neuroleptic-induced akathisia must have food rich in vitamin B6 as it helps in reducing the harmful repercussions of the disorder. However, akathisia can be fatal if kept unchecked because it may perpetuate to cause paralysis or other nerve disorders. If you’ve watched TV in the last few weeks, you may have seen commercials about the dangers of Xarelto – but what exactly is it? What you may not know is Xarelto has been associated with some very serious side effects, including uncontrollable internal bleeding. Medical emergencies caused by sudden uncontrollable bleeding often cause serious financial hardships. The information provided on this site is for informational purposes only, and does not constitute legal advice. Please contact Axelrod & Associates to discuss your particular circumstances and whether we may be able to help you. One large-scale study found 22% of prescriptions go unfilled, a statistic that climbs to 28% for new prescriptions. Strategies with the strongest evidence include self-monitoring and self-management, simplified dosing, and direct pharmacy involvement.
Direct pharmacy involvement definitely improves adherence and patient outcomes.10 Each patient must be evaluated to understand the barriers preventing the patient from adherence. SC Cooperative for Healthy Aging in Minority Populations Resource Centers for Minority Aging Research. This year, the students also submitted entries in the categories of health disparity outreach, chronic condition outreach, and creative inter-professional team. This is why the National Community Pharmacists Association is proud to be a sponsor of the Script Your Future team challenge, as it recognizes the indispensable role of each member of a patient’s health care team, and encourages each to be the best patient advocate they can be,” said NCPA CEO B.
The team included a unique composition of students from the University of Charleston Pharmacy School, Physician Assistant Program, Athletic Training Education Program, and the Regional Tobacco and Substance Abuse Prevention Program. The University of the Pacific worked with the Script Your Future Sacramento coalition to translate resources into a variety of languages including Spanish, Vietnamese, Korean and Chinese. Noting the high prevalence of chronic disease, non-adherence and barriers to accessing health care for these populations, 80% of the Challenge month events targeted under-represented communities, reaching over 1200 patients. Mississippi has the highest cardiovascular disease mortality rate in the nation.  The team used Script Your Future materials to hold a number of health fairs at a local medical mall in Jackson, MS, designed to keep participants engaged with a series of activities and stations. We will not collect any personal or private medical or health information for this service. This means that you, not us, are entirely responsible for setting up the messages you send using the Reminder Service.
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The causes of akathisia may also include calcium channel blockers, buspirones, metoclopramides, and dopamine agents.
Among these, zuclopenthixol (Cisordinol) and chlorpromazines such as Largactil are less sedating in nature.
SSRIs like paroxetine (Paxil), Zoloft, Xanax and fluoxetine (Prozac) are the main cause behind the suicidal tendencies that occur in case of Prozac akathisia. Moreover, trazodone akathisia may also be caused when one uses trazodone by the name of Desyrel. It is basically caused by adverse drug reaction and may lead to cognitive, somatic and autonomic effects including akathisia.
Parkinson’s disease may be blamed for causing chronic akathisia and the associated neurological disorders that may be triggered by the same. There is a high possibility for a misdiagnosis of akathisia in case of antipsychotic neuroleptic-induced akathisia.
Akathisia management also includes physical exercises to relax the muscles and reduce stress.
Food and Drug Administration (FDA) for the treatment of atrial fibrillation (heart arrhythmia), deep vein thrombosis (DVT) or pulmonary embolism (blood clots in the lungs).
According to the FDA, Xeralto bleeding or hemorrhaging is one of the most common side effects when taking this drug.
While this is effective in treating certain medical conditions, it was also prevent blood from clotting around a wound.


If you or a loved one have been prescribed Xarelto and experienced any of these dangerous side effects, don’t wait – contact the committed legal team at Axelrod & Associates.
Nonadherence rates were even higher for pain medications, where only 45% of new prescriptions were filled. For example, because poor adherence is linked to increased viral load,7 those working with HIV patients emphasize 95% to 100% medication adherence. Rx adherence hits the ignorance wall: why pharma and payers must put more muscle behind drug compliance. Standard care impact on effects of highly active antiretroviral therapy adherence interventions: A meta-analysis of randomized controlled trials. Consumer-oriented interventions for evidence-based prescribing and medicines use: an overview of systematic reviews. Louis College of Pharmacy, University of Charleston School of Pharmacy, University of the Pacific Thomas J. Improved medication adherence leads to better health outcomes and reduced total healthcare costs. Louis College of Pharmacy conducted two-dozen events throughout the Challenge month, with a particular focus on cardiovascular disease. To showcase the activities during the month, UCSOP engaged in social media by creating a Facebook page and YouTube channel, and also created a cartoon strip contest for fellow students.
The inter-professional students took to the airways and produced a weekly, hour-long radio show on medication adherence. The team conducted blood glucose and blood pressure screenings and referred a number of patients to seek further care due to high blood pressure. Students from nursing, medicine, pharmacy and physical therapy conducted health screens and education with patients. However, please note that certain text messaging, wireless, and cellular phone service providers may charge a per message fee depending on your feature package. You are entirely responsible for any and all activities which occur on your telephone, wireless device, or computer. It can vary in its intensity from mild to severe depending on the cause and extent of the disorder. One may also suffer from pacing in the knees, insomnia, nausea, and labile effect like weeping, poor concentration or attention, impatience and dysphoria which in case of acute akathisia may even force one to commit suicides. They possess antihistaminergic and anticholinergic qualities which aid to fight against akathisia. These methods include either reducing the dose of the causative medication or even withdrawing from the medication or administering other drugs. So an early diagnosis and treatment of the disorder is necessary to thwart the perilous effects that may even cripple one’s life permanently.
Long School of Pharmacy & Health Sciences, Touro University College of Pharmacy California, and The University of Mississippi School of Pharmacy. The team printed unique QR codes on all materials created during the Challenge that linked to original medication adherence videos.
The team of students from medicine, pharmacy and physical therapy worked with local clinics to provide adherence information to Filipino, Hispanic, and rural populations. Learning from this outreach, Touro plans to work with partners to offer prescription assistance, health screenings and continued health literacy and cultural competency training with student-providers. An evaluation of patients who attended the fairs unearthed interesting population trends and led to a number of referrals for follow-up visits.  All involved in the outreach, from students to faculty to patients, recognized the importance and strength of inter-professional collaboration when addressing chronic diseases.
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It is important to note that the symptoms of akathisia may worsen when one is suffers from emotional upheavals or stress related problems. However, one can detect the presence and the severity of akathisia with the help of Barnes Akathisia Scale, which is also called akathisia rating scale. The drugs that are normally prescribed are propranolol, clonazepam, benzodiazepines, benzatropine, cryproheptadine, Benadryl and trihexyphenidyl. It’s also approved for patients who have undergone hip or knee replacement surgery to prevent clots from forming. Students appeared on morning television shows with the help of Miss Missouri USA, engaged with the public at every Metro stop in St.
UCSOP events included a Teen Expo at a local high school where teens were counseled on healthy lifestyles and adherence.  This team used campaign messages to create outreach tailored to their community for a lasting impact in Charleston, West Virginia.
Participation in the Challenge has led to continuing partnerships with medical student-run clinics to incorporate medication adherence into the services offered and a collaboration with a university-led Medicare Part D program to provide adherence data on this unique population. The team adapted Script Your Future materials to create a cohesive message “See it, Hear it, Write it, Understand it, Share it,” in which each profession describes how patients can improve adherence, adding their unique perspective. Akathisia may be of a few types such as neuroleptic-induced akathisia, late-persisting or tardive akathisia and akathisia tardive dyskinesia. Blood tests such as Serum ferritin and CBC may also be prescribed for detecting the possibility of iron deficiency in blood. Propranolol akathisia may be caused due to the administration of propranolol along with beta-blockers like metopropol. All blood thinners carry this risk; however, unlike Coumadin or Warfarin, there is no antidote that will reverse the bleeding in case of emergency.
Louis, and staffed local pharmacies and workplaces to offer medication management, health screenings and tips on how to maintain a healthy lifestyle. To capitalize on their adherence efforts, the team trained staff from local pharmacies on medication adherence, leaving a lasting impression on their community. Louis Talks, involved physical and occupational therapy students educating commuters about adherence at every metro stop in St.



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