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Fleischmann, Daniel ; Binder, Benedicta ; Huss, Muriel ; Elger, Tanja ; Wolf, Claudia ; Loibl, Johanna ; Tews, Hauke Christian ; Kandulski, Arne ; Schmid, Stephan ; Müller, Martina ; Kratzer, Alexander

Interprofessional approach to personalized medication management and therapy optimization in IBD care

Fleischmann, Daniel, Binder, Benedicta, Huss, Muriel, Elger, Tanja, Wolf, Claudia, Loibl, Johanna, Tews, Hauke Christian, Kandulski, Arne , Schmid, Stephan , Müller, Martina and Kratzer, Alexander (2025) Interprofessional approach to personalized medication management and therapy optimization in IBD care. Frontiers in Medicine 12.

Date of publication of this fulltext: 27 Feb 2025 12:44
Article
DOI to cite this document: 10.5283/epub.75086


Abstract

A considerable number of patients with chronic inflammatory bowel diseases (IBD) are required to manage extensive polypharmaceutical regimes, which significantly elevates the risk of drug–drug interactions. Also, the disease’s impact often leads to the consumption of additional self-medication by the patients such as naturopathic remedies to alleviate disease-induced suffering and nutritional ...

A considerable number of patients with chronic inflammatory bowel diseases (IBD)
are required to manage extensive polypharmaceutical regimes, which significantly
elevates the risk of drug–drug interactions. Also, the disease’s impact often leads to
the consumption of additional self-medication by the patients such as naturopathic
remedies to alleviate disease-induced suffering and nutritional supplements to
compensate for malabsorption syndromes inherent to the condition. There is
a well-established consensus that polymedication coupled with unregulated
supplementary intake can jeopardize the safety of drug therapy. Despite this,
pharmaceutical co-supervision—proven to mitigate adverse drug events and
enhance patient adherence to treatment—is generally lacking in routine clinical
settings. Furthermore, the assessment of individual therapy adherence, a crucial
predictive factor for therapeutic outcomes, is frequently suboptimal. In response
to these issues, this study implemented an interdisciplinary approach wherein
a team comprising medical and pharmaceutical professionals conducted a
comprehensive survey coupled with a medication review for patients attending
an IBD outpatient clinic. Employing an IBD-specific questionnaire alongside
the patients’ documented medication regimens enabled the identification and
subsequent discussion of current therapeutic concerns and potential medicationrelated
risks during follow-up consultations. This intervention aimed to bolster
individual patient satisfaction and enhance medication safety, ultimately fostering
sustained success in IBD management.



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    Details

    Item typeArticle
    Journal or Publication TitleFrontiers in Medicine
    Publisher:Frontiers
    Open Access Type:Gold (with APC)
    Volume:12
    Date29 January 2025
    InstitutionsUNSPECIFIED
    Identification Number
    ValueType
    10.3389/fmed.2025.1446695DOI
    Keywordsinflammatory bowel disease, patient safety, clinical pharmaceutical care, interprofessional collaboration, medication management
    Dewey Decimal Classification600 Technology > 610 Medical sciences Medicine
    StatusPublished
    RefereedYes, this version has been refereed
    Created at the University of RegensburgYes
    URN of the UB Regensburgurn:nbn:de:bvb:355-epub-750863
    Item ID75086

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