TRC Conversation: Reducing Barriers for Seizure Prevention

Nov 25, 2014
Interventions from specialist pharmacists in the Neuroscience Therapeutic Resource Center® help patients gain a better understanding of their treatment regimen.
  • Seizures

What Happened?

A 50-year-old woman with seizure disorder was prescribed divalproex sodium twice daily. She was only taking the medication once daily because the second dose caused drowsiness at work.

Clinical Gaps in Care

People who do not take their seizure medications as prescribed are three times more likely to die from a seizure and have more than twice as many car accidents than people who take their medications regularly.

While this patient was seizure-free for 15 years, she was still at risk for adverse effects from medication nonadherence.

Adherence to seizure medications reduces the chance of an emergency room visit by half and hospitalizations by 86%.

Specialist Pharmacist Intervention

A specialist pharmacist in the Neuroscience Therapeutic Resource Center® contacted the patient to discuss barriers to taking the medication as prescribed.

The specialist pharmacist worked with the member to find a once daily option that would provide the patient the full dose and value of the medication. This solution improves adherence and ultimately prevents seizures.

Clinical specialist pharmacists are highly trained in behavioral health communication skills to help patients overcome issues related to adherence when they are ambivalent to changing their behavior. Patients are much more likely to become adherent when they make the decision themselves and understand the importance of their medication in a non-prescriptive fashion that supports their self-efficacy.

Why It Matters

A strong roster of specialist pharmacists focusing on patients with needs in a specific area, like neuroscience, is one of the unique ways Express Scripts helps patients stay on the right treatment and avoid unnecessary, harmful, adverse events. We call it Health Decision Science®: the application of clinical specialization and behavioral sciences combined with actionable data to enable better decisions and healthier outcomes.

Click to download an overview of this conversation.

Author Bio

Lab Staff
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