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drug prescribing
HOW WELL DO ELDERLY PATIENTS TAKE OXPENTIFYLLlNE?
Oxpentifylline (pentoxifyll ine, 'Trental', 'Torental' ; Hoechst) is an approved treatment for geriatric cerebral problems in many countries. Compliance to treatment was considered good (fewer than 30 tablets retu rned) in 62 % of 1662 elderly French patients with cerebral symptomalOlogy. They were asked to 'take 4 tabletS daily for 4 weeks and given the drug in small plastic boxes containing 40 tablets or 12 tinfoil strips of 10, with or without memory aid stickers. AU unconsumed tablets were to be returned.
• 83. 1 % of patients brought back leftover drug. This proportion was not influenced by packaging type or memory aid
stickers. • Compliance was not inOuenced by packaging type or memory aid stickers. • Compliance was not related to age Of sex or number of co-therapies, but was related to pretreatment memory score
(p < 0.05). • Qinical improvement (very satisfactory in 18.6 % of eases, satisfactory in 52.6% , null or negligible in 27.2 %, worse in
1.6 96 ) was not related to drug packaging. • There was a correlation between compliance and clinical improvement, and a significant inverse correlation between
compliance and frequency of side effects. The latter indicates that patients stop taking a drug if they think it causes adverse effectS.
Spriel, A. el~l .: Clinical PltarmaoolQt:yand Therapeutics 27: I Oan 1980)
4 INPHARMA 9 Feb 1980 0156-2703/ 80/0209-0004 $00.50/0 C ADIS Press