Medication Review

Definition

A medication review is a structured evaluation of all prescribed and over-the-counter medications a person is taking, with the goal of ensuring safety, effectiveness, and appropriateness. In mental health and addiction treatment, this process is critical to managing symptoms, preventing side effects, and identifying any potentially harmful drug interactions. Reviews are typically conducted by a psychiatrist, pharmacist, or prescribing clinician, and may occur during intake, routine checkups, or following any change in symptoms. The process includes assessing dosage, duration, response, and adherence. A thorough medication review is especially important for individuals taking multiple psychotropic medications or those experiencing unexplained side effects. It helps confirm that the treatment aligns with the individual’s goals and medical history. For clients in recovery, the review can identify non-addictive alternatives or support a safe tapering plan. Clinicians may adjust dosages, discontinue unnecessary medications, or recommend safer combinations. Education is a key part of the review—helping clients understand how medications work and encouraging shared decision-making. When done regularly, medication reviews improve outcomes, reduce risks, and build trust between patients and providers.

Synonyms

Pharmacotherapy audit, med check, prescription review, drug regimen evaluation, medication safety check

Usage Examples

Her psychiatrist conducted a medication review to address fatigue and weight gain. They adjusted the dose and added a supplement plan.

Historical Background

Medication review became a standard part of psychiatric care in the late 20th century as prescribing rates for psychotropic drugs increased. The practice aims to reduce polypharmacy risks, improve adherence, and optimize therapeutic outcomes. It is especially crucial for clients with complex regimens or co-occurring conditions. In mental health settings, routine reviews also build trust by involving clients in shared decision-making and education around side effects.

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