Case scenario
Mrs Johnson, 72, visits your pharmacy seeking over-the-counter relief for her lower back pain. She shares that her GP has advised her to avoid certain analgesics due to her reduced kidney function, though she could not recall the specifics. You review her My Health Record, and assess her medical history. Mrs Johnson weighs 56 kg and has a blood pressure reading of 137/90 mmHg from your measurement in the pharmacy. Her recent My Health Record shows an eGFR of 52 mL/min/1.73 m2 and serum creatinine of 95 micromoL/L. Her current medications include apixaban (5 mg twice daily), fenofibrate (145 mg daily), sotalol (80 mg twice daily), metformin (1 g twice daily), rosuvastatin (5 mg daily), valproate (200 mg twice daily), thiamine (100 mg daily), candesartan (8 mg daily) and insulin glargine (18 units at bedtime).
Learning objectivesAfter reading this article, pharmacists should be able to:
Competency (2016) Standards addressed: 1.1, 1.4, 1.5, 2.2, 3.1, 3.2, 3.3, 3.5 Accreditation number: CAP2405CDMRC Accreditation expiry: 30/04/2027 |
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This CPD activity is sponsored by Reckitt. All content is the true, accurate and independent opinion of the speakers and the views expressed are entirely their own.[/caption]
Sources: Australasian College of Pharmacy. Management of reflux: a guideline for pharmacists. Queensland Health. Queensland Community Pharmacy Gastro-oesophageal Reflux and Gastro-oesophageal Reflux Disease – Clinical Practice Guideline. NSW Health. NSW Pharmacist Practice Standards for gastro-oesophageal reflux and gastro-oesophageal reflux disease.[/caption]

Dr Ming S Soh PhD, BPharm (Hons)[/caption]






DR Amy Page (she/her) PhD, MClinPharm, GradDipBiostat, GCertHProfEd, GAICD, GStat, FSHPA, FPS is a consultant pharmacist, biostatistician, and the director of the Centre for Optimisation of Medicines at UWA’s School of Allied Health.[/caption]

Hui Wen Quek (she/her) BPharm(Hons), GradCertAppPharmPrac is a pharmacist and PhD candidate at the University of Western Australia (UWA).[/caption]



