Monitoring and Adjustment of Medication Therapy for Patients With Heart Disease

Titration of medications for cholesterol, blood pressure, heart failure, and angina will occur. Cholesterol medications will be titrated according to labs at intervals nor more frequently than every 6 weeks until target LDL reached. Blood pressure (BP) medications will be titrated no more frequently than every 1-2 weeks until target BP reached. Heart failure medications will be titrated no more frequently than every 1-2 weeks until target doses reached or clinical status goals achieved. Anginal (chest pain) medications will be titrated no more frequently than every 1-2 weeks until control of chest pain occurs. Some patients will require more titrations than other patients (titration is patient specific).

The pharmacist will provide counseling on diet modification, smoking cessation, and physical activity

The pharmacist will counsel the patient on adherence aids and medication safety and efficacy self and clinical monitoring.

A medication history and assessment of adherence will be completed by the pharmacist.