https://www.selleckchem.com/products/raphin1.html The incidence of patients experiencing at least one drug-related problem was 34.5%. Drug therapy problems were most commonly classified within the treatment effectiveness domain. Drug selection accounted for most cause of possible drug-related problems. The most common intervention was starting a drug and the acceptance rate was 91.9%. The factors associated with drug-related problems were the number of prescribed medications, Charlson Comorbidity Index and length of stay (Pā less then ā0.05). Conclusion Drug-related problems are common in elderly inpatients. Clinical pharmacy service is necessary to the optimization of drug therapy in older inpatients.Background Several anticholinergic scales and equations to evaluate the anticholinergic burden have been previously created. Association of these instruments with the anticholinergic outcomes are usually estimated by means of hypothesis contrast tests, which ignore the size of the association effect. Objective To evaluate the effect size of the associations between the scores on cumulative anticholinergic burden instruments with peripheral or central anticholinergic adverse outcomes in older patients. Setting Internal medicine ward of a Tertiary University Hospital. Methods A case-control study was conducted in patients over 65 years who were admitted to two internal medicine wards of a Portuguese university hospital. The Anticholinergic Drug Scale, Anticholinergic Risk Scale, Anticholinergic Cognitive Burden scale and Drug Burden Index were used to calculate the patients' anticholinergic burden. Peripheral (dry mouth-swab technique; dry eye-Schirmer test) and central (falls and cognitive impairment-Mini-Mentely, the effect sizes of these associations ranged from "fail" (area under the curve 0.5 to 0.6) to "fair" (area under the curve 0.7 to 0.8). Conclusion Although significant differences in the scores of anticholinergic burden instruments and adverse outcomes may ex