MEdication Counselling Models for Outpatient oRal antIcoaguLation

Development of Medication Counselling Models for Outpatient Oral Anticoagulant-taking Patients

The goal of this clinical trial is to investigate whether telepharmacy-led counselling can improve medication adherence, knowledge, and hospitalisation/mortality compared with pharmacist-led counselling in adult outpatients taking oral anticoagulants.

Inclusion Criteria:

• ≥18 years old
• taking oral anticoagulants
• using smartphones that can access the telepharmacy application
• agreeing to participate

Exclusion Criteria:

• pregnancy or lactation
• having cancer
• having immunodeficiency disorders or using immunosuppressants
• renal impairment (creatinine clearance <30 mL/min)
• hepatic impairment (Child-Pugh B or C cirrhosis)
• heart failure (class IV, New York Heart Association)
• history of myocardial infarction or stroke within the latest 2 months