Non-adherence is one of the biggest risk factors for stroke. It is badly recognized, badly treated and also exquisitely resistant to therapy. We discuss the topic using this article (freely accessible) from the Mayo Clinical Proceedings 2011.
Take home messages:
- Try to recognize it
- Be nice in asking about it, see it as a disease.
- Measure adherence if you can (Multiplate, RR, HbA1c and so on)
- Offer instrumental help (special blisters, medication timers)
- Inform the primary care physician about non-adherence.
- Inform the PCP about medication as soon as possible.
- Make the regime simple and easy to take, adapting it to the patient’s preferences.