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Table 1 DRP notifications not identified in the medication review

From: The support of medication reviews in hospitalised patients using a clinical decision support system

Potassium level—drugs inducing hypokalemia

Use of aspirin, dipyridamol, clopidogrel, prasugrel without a statin

Calcium channel blockers with chronic constipation

Atypical antipsychotics combined with oral blood glucose lowering drugs or insulin

Atypical antipsychotics combined with Alzheimer medication

Nitrate without aspirin or clopidogrel, prasugrel, ticagrelor

Metformin with unknown vitamin B12 level

Renal failure with amoxicillin (oral)

Atypical antipsychotics combined with antihypertensive medication

Nitrate without a beta blocker

Nortriptyline usage in elderly patients

Tricyclic antidepressants with constipation

Paracetamol in elderly patients in combination with risk factors

Gastric protection without prophylaxis

Gastric protection, prophylaxis dosage not high enough

Classical antipsychotics with anticholinergic effects—start alpha blockers may be related to this effect

Tricyclic antidepressants with cardiac conductive abnormalities

Use of rheumatoid arthritis drugs without a statin

Bisphosphonates, calcium and vitamin D supplementation: suggest prescribing calcium

Renal failure with metoclopramide