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Expert Medication Guidance in the Comfort of Your Home

Managing medications can sometimes be overwhelming, especially when dealing with multiple prescriptions. A Home Medication Review (HMR) is designed to help you understand your medications, ensure their safe use, and improve your overall health outcomes.
What is a Home Medication Review (HMR)?
An HMR is a comprehensive assessment of your medications conducted in your home by a credentialed pharmacist. This review ensures that all your prescribed and over-the-counter medications are used safely and effectively. The process is initiated by your General Practitioner (GP), who will refer you to a qualified pharmacist for an in-depth evaluation of your medication regimen.
What happens at a home medication review?

Credentialed Pharmacist Sydney After arranging a suitable time to come and visit you, the credentialed pharmacist will talk about each of your medicines and confirm what is being used.
The review allows time for you to ask any questions or express any concerns that you may have about your medication, particularly those you might not have already raised with your GP.

Issues with are typically discussed during the interview include (but are not limited to):
  • Appropriateness of each medication being used, including their doses.
  • Most appropriate way in which to use any given medication, particularly with respect to time-of-day and food.
  • Potential risks/adverse effects of using each medication (if not already identified).
  • Possibly drug-drug and/or drug-food interactions, including suitability of complementary medicines and other over-the-counter medicines.
  • System of medication administration.
  • Inhaler technique and effectiveness.
  • Assessment of medication adherence and identification of barriers to adherence.

There is also usually some relevant advice provided during the consultation.
Following the visit to your home, a report is written and sent to your GP (and often your pharmacy), which summarises and reconciles the list of medication being taken at home (often this is difficult for your GP to asses, particularly if there are multiple prescribers; e.g. multiple specialists).

The report will also provide a summary of the current clinical concerns relevant in your situation and highlight any areas where there may be over-treatment, under-treatment or any potential harm that may arise in the future due to the current medicines being used.

Additionally, the GP will also receive something called a Medication Management Plan – this provides a summary of the issues identified during the review, and provides subsequent recommendations to help address these issues (e.g. there may be a recommendation to either cease, increase or decrease a medication, or to change the dosing time of a particular medication etc.)

How long does an HMR consultation usually take?

Typically, most consultations will last about an hour. However, there is no fixed time for this and depending on the complexity of the drug regimen and/or medical history, it can be longer or shorter.

How much does an HMR service cost?
There is not out-of-pocket expense to you for an HMR service, provided you hold a Medicare card.
How do I obtain an HMR service?
All you need to do is obtain a referral from your GP. They will know this as an MBS 900 (or DMMR). Once your GP has written the referral, they can either forward it directly to NSMR, or have it on-forwarded to NSMR through your pharmacy or yourself.
Questions?

Don’t hesitate to contact me at richard@nsmr.com.au or 0426 197 501 if you had any additional questions.