EDUCATION (COUNSELLING AND DIGITAL UPDATE) BY CLINICAL PHARMACIST IN PATIENTS WITH POLYPHARMACY IN CHRONIC DISEASES IN THE DEPARTMENT OF GENERAL MEDICINE

Background: As chronic diseases require treatment with an expanding number of medications, the issue polypharmacy is getting more significant. Polypharmacy can lead to danger adverse events, drug interactions and medication non adherence. Objective: To improve patient compliance, check whether all drugs prescribed are safe appropriate use, knowledge about their medical state poly-pharmacy there any drug-drug interaction. Materials And Methods: A prospective observational study was carried in 200 patients. The collected data investigated for analyzed factors consequences associated poly-pharmacy. Patient information relevant collection form directly by clinical pharmacist interviewing follow-up done digital counseling provided using various sources such as chats, calls, videos. Result: This designed educate patients through counselling means. During six months period, a total among which Patients suffering from several have been consumed multiple medicines (8.52±3.58) compared two types (8.15±4.05) or single type disease (7.29±3.10), p 0.08. Knowledge assessment score improved after education (counseling update) (2.75±1.21 7.15±0.94, value 0.02). Morrisky Adherence scale (MMAS-8) significantly increased (2.83±1.79 7.60±0.66, 0.001). Quality lifeED-5D-5L (1.01±0.78 2.94±1.25, vale 0.003). We performed Pearson correlation coefficient test analyze between quality life (QOL), observed that, individuals who poly pharmacy were found decreased (r = -0.72 might be due side effects caused medications. Among WHATSAPP along Call E-mail 16% patients, WHATASPP 44% 2% 17% 21% satisfaction Direct 42% (9.02±3.90) Digital counseling58% (12.29±3.83). Conclusion: utilization has become inexorably well-known mode giving counselling. Nonetheless, little thought its effectiveness.This initial effectiveness on Participants had gotten phone evaluated viability relationship. Generally, respondents showed that useful participants happy they got. There improvement respect condition polypharmacy. understood significance adherence diseases. made mindful suspected reactions, drug-to-drug interaction, errors, redundancy, so on.