Audit of budesonide/formoterol prescribing for asthma in community pharmacy in the U.K

Anne C Boyter, Naomi H Ford, Leon Zlotos

Research output: Contribution to journalArticle

3 Citations (Scopus)

Abstract

The rapid action of the long acting beta agonist formoterol allows it to be used as both a preventer and reliever in the management of asthma. The Symbicort® SMART dosing regime has been shown to reduce the number of asthma exacerbations. The aim was to determine the current prescribing of Symbicort®, the prescribing of the SMART regimen and the co-prescribing of a short acting beta agonist with this regimen by means of an audit of prescriptions dispensed in a pharmacy multiple in the U.K. Anonymised data were collected on a standard form. Symbicort® prescribing data for six months were extracted from the pharmacy Patient Medication Record (PMR). Data were stratified by age and analysed to determine adherence with Symbicort® SMART prescribing as defined by the U.K. product license. Data were received from 51 of the 118 (43.2%) pharmacies contacted. Complete information from 2484 PMRs was included in the study. 2.81% (70/2484) of patients were prescribed SMART as defined by the U.K. summary of product characteristics. Of the 18-35 year age group 7.44% (27/363) were prescribed SMART correctly. However, Symbicort® was prescribed twice a day and when required, with either the co-prescription of a SABA, or at an unlicensed dose in 2.46% (61/2484) and 0.28% (7/2484) patients respectively. The incidence of Symbicort® SMART prescribing in this study is low but may be underestimated due to unclear dosing instructions.
Original languageEnglish
Pages (from-to)864-868
Number of pages5
JournalRespiratory Medicine
Volume105
Issue number6
DOIs
Publication statusPublished - Jun 2011

Keywords

  • adolescent
  • adrenal cortex hormones
  • adult
  • aged
  • asthma
  • budesonide
  • child
  • cost-benefit analysis
  • drug combinations
  • drug therapy combination
  • ethanolamines
  • female
  • Great Britain
  • humans
  • male
  • medical audit
  • middle aged
  • pharmacies
  • young adult

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