Medication Review

Quick reference guide 

Conducting a medication review is a key role for pharmacists in all settings as part of the multidisciplinary approach to care. Pharmacists can address practical medicines optimisation and medicines adherence issues thereby improving the clinical effectiveness of medicines taken by patients. Many problems with medicines usage can be avoided by monitoring the effects of therapy, making recommendations to change therapy and modifying medication where necessary.

This guidance is for all pharmacists who monitor and review patient medicines.

Medication reviews can be conducted in different healthcare service settings such as community pharmacies, primary and secondary care, care homes, etc.

This guidance provides a basic understanding of what a medication review is and describes the aims of conducting one. It outlines factors you may need or feel appropriate to consider when providing a medication review and after completion of the review.

The guidance provides signposting information on the community pharmacy contractual services in England, Scotland and Wales.

Sections on this page

  • What is a medication review?
  • What are the aims of a medication review?
  • When should I conduct a medication review?
  • How do I prepare to conduct a medication review?
  • How do I conduct a medication review?
  • What do I need to do after I have completed the medication review?
  • Other points to consider
  • Community Pharmacy Contractual Framework Medication Review services
  • Where to go for further information

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