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International Journal of Clinical Pharmacy

, Volume 35, Issue 6, pp 1130–1136 | Cite as

Swallowing difficulties with oral drugs among polypharmacy patients attending community pharmacies

  • Julien Marquis
  • Marie-Paule Schneider
  • Valérie Payot
  • Anne-Christine Cordonier
  • Olivier Bugnon
  • Kurt E. Hersberger
  • Isabelle ArnetEmail author
Research Article

Abstract

Background Swallowing difficulties are common and can affect patients’ ability to take solid oral dosage forms, thus compromising medication adherence. Strategies developed by patients to overcome such difficulties while taking medicines have seldom been described. Objective To determine prevalence and characteristics of swallowing difficulties among primary care patients attending their community pharmacies; to explore strategies developed by patients to overcome their difficulties, and health professionals’ awareness of these problems. Setting Prospective study with a semi-structured questionnaire in random community pharmacies located in two Swiss regions. Method In each pharmacy, an interviewer asked 16 questions to each consecutive patient (18 years and older) with a prescription for at least 3 different solid oral forms. Main outcome measure Quantification of number of patients with swallowing difficulties and detailed description of difficulties. Results Among 122 pharmacies, 59 (48 %) accepted to join the study and 410 patients were enrolled. Thirty-seven patients (9.0 %) reported ongoing swallowing difficulties, while 55 patients (13.4 %) reported past difficulties. For the majority of patients, difficulties occurred at each single dose (83.7 %), with a single medication (59.8 %) and lasted for less than 12 months (53.8 %). Number of tablets was not the main trigger. Swallowing difficulties impaired extremely daily life in 12 % of the patients. Intentional non adherence (23 % of patients) and altering the oral dose formulation were the most common and potentially harmful strategies used by patients to overcome their swallowing difficulties. According to the patients, pharmacists and physicians rarely inquired about their swallowing difficulties. Conclusion We report a fairly high prevalence of swallowing difficulties in polypharmacy patients attending their community pharmacies. Pharmacists have to interview patients on their swallowing difficulties in a more systematic way, support patients in finding solutions and refer them to their physician if necessary to ensure continuity in care.

Keywords

Community pharmacy Dysphagia History Prevalence Solid dosage forms Swallowing difficulties Switzerland 

Notes

Acknowledgments

The authors thank all the community pharmacists who took part in the study. This work was presented as a poster at the 39th European Symposium on Clinical Pharmacy ESCP, 21-23 October 2010, Lyon, France.

Funding

There was no external funding for this study.

Conflicts of interest

The authors report no conflict of interest. All named authors are responsible for the content and writing of the paper.

Supplementary material

11096_2013_9836_MOESM1_ESM.doc (38 kb)
Supplementary material 1 (DOC 37 kb)

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Copyright information

© Koninklijke Nederlandse Maatschappij ter bevordering der Pharmacie 2013

Authors and Affiliations

  • Julien Marquis
    • 1
    • 2
  • Marie-Paule Schneider
    • 2
  • Valérie Payot
    • 1
  • Anne-Christine Cordonier
    • 3
  • Olivier Bugnon
    • 1
    • 2
  • Kurt E. Hersberger
    • 3
  • Isabelle Arnet
    • 3
    Email author
  1. 1.Community pharmacy, School of Pharmaceutical SciencesUniversity of Geneva, University of LausanneGenevaSwitzerland
  2. 2.Department of Ambulatory Care and Community MedicineUniversity of LausanneLausanneSwitzerland
  3. 3.Pharmaceutical Care Research Group, Pharmaceutical SciencesUniversity of BaselBaselSwitzerland

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