title: Suitability of teriparatide and level of acceptance of pharmacotherapeutic recommendations in a healthcare management area.
abstract: OBJECTIVE
  To analyse the suitability of teriparatide prescriptions for osteoporosis treatment in a health management area, as well as the level of acceptance of pharmacotherapeutic recommendations made to physicians.
  
  
  METHODS
  A prospective interventional study conducted from february 2015 to june 2015.
  
  
  METHODS
  South Seville Health Management Area.
  
  
  METHODS
  Patients receiving teriparatide.
  
  
  METHODS
  Suitability of teriparatide prescriptions according to Clinical Practice Guidelines and level of acceptance of pharmacotherapeutic recommendations.
  
  
  RESULTS
  Teriparatide prescriptions were unsuitable in 45 patients (68.2%); 11 due to no indication, 17 patients did not have previous treatments with first-line drugs, 6 due to contraindications and 9 patients were treated for more than 24 months with the drug. Besides, 4 prescriptions were unsuitable because of combination with other therapies. The acceptance of pharmacotherapeutic recommendations was 64.4%, leading to teriparatide discontinuation in 21 patients (72.4%), and a switch to alendronate or ibandronate in another 8 patients.
  
  
  CONCLUSIONS
  A high percentage of teriparatide prescriptions is unsuitable in our health care management area, but it has decreased after pharmacist intervention.
authors: Clinical Management Unit (CMU) of Pharmacy; Healthcare Management Area: South Seville.. rosa_cantudo@hotmail.com.
authors: Maria Rosa
authors: MR
authors: Cantudo-Cuenca
authors: Clinical Management Unit (CMU) of Pharmacy; Healthcare Management Area: South Seville.. rosa_cantudo@hotmail.com.
authors: Maria Isabel
authors: MI
authors: Guzmán Ramos
authors: Clinical Management Unit (CMU) of Pharmacy, Hospital San Juan de Dios. Spain.. rosa_cantudo@hotmail.com.
authors: Maria Dolores
authors: MD
authors: Cantudo Cuenca
authors: Clinical Management Unit (CMU) of Pharmacy; Healthcare Management Area: South Seville.. rosa_cantudo@hotmail.com.
authors: Mercedes
authors: M
authors: Manzano García
authors: Clinical Management Unit (CMU) of Pharmacy; Healthcare Management Area: South Seville.. rosa_cantudo@hotmail.com.
authors: Maria Del Carmen
authors: Mdel C
authors: Saborido Cansino
authors: Clinical Management Unit (CMU) of Pharmacy; Healthcare Management Area: South Seville.. rosa_cantudo@hotmail.com.
authors: Ana
authors: A
authors: Sánchez Pedrosa
mesh_terms: D000368:Aged; D000369:Aged, 80 and over; D050071:Bone Density Conservation Agents / Q000627:therapeutic use*; D011307:Drug Prescriptions; D005260:Female; D019983:Guideline Adherence; D017408:Guidelines as Topic; D006801:Humans; D057970:Inappropriate Prescribing; D008297:Male; D010024:Osteoporosis / Q000188:drug therapy / Q000517:prevention & control; D011446:Prospective Studies; D019379:Teriparatide / Q000627:therapeutic use*
chemical_list: D050071:Bone Density Conservation Agents; D019379:Teriparatide