The mean
(SD) age was found to be 58.4 (10.4) years. 65% were male and 35% were female patients with a mean
(SD) of 13.49 (5.62) medicines administered per patient. A total of 174 drug related problems were identified
during the study period, which were classified into drug interactions 86% (p-value 0.953), untreated indications
23% (p-value 0.727), adverse drug reactions 22%, improper drug selection 18% (p-value 0.431), therapeutic
duplication 15% (p-value 0.431), patient in need of TDM 6% and drug without indication 4% (p-value 0.917).
Among 100 patients 77% patients received correct therapy.