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Medication adherence following acute coronary syndrome: does one size fit all?

Guideline-based management of acute coronary syndrome (ACS) is well established, yet some may challenge that strict implementation of guideline recommendations can limit the individualization of therapy. The use of all recommended medications following ACS places a high burden of responsibility and cost on patients, particularly when these medications have not been previously prescribed. Without close attention to avoiding non-adherence to these medications, the full benefits of the guideline recommendations will not be realized in many patients. Using a case example, we discuss how the recognition of adherence barriers can be an effective and efficient process for identifying patients at risk of non-adherence following ACS. For those identified as at risk, the World Health Organization’s model of adherence barriers is explored as a potentially useful tool to assist with individualization of therapy and promotion of adherence.

History

Publication title

American Journal of Cardiovascular Drugs

Volume

16

Pagination

9-17

ISSN

1175-3277

Department/School

School of Pharmacy and Pharmacology

Publisher

Adis International Ltd

Place of publication

New Zealand

Rights statement

Copyright 2015 Springer International Publishing Switzerland

Repository Status

  • Restricted

Socio-economic Objectives

Other health not elsewhere classified

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