MedReconcile

Medication Reconciliation

John Smith · Hospital Discharge vs CVS Pharmacy

Total Medications

4

Discrepancies

2

Interactions

1

Drug Interactions Detected

Warfarin 5mg + Aspirin 81mg

major

Concurrent use of warfarin and aspirin may increase the risk of bleeding.

Management: Monitor INR closely. Watch for signs of bleeding. Consider gastroprotective therapy if concurrent use is necessary.

Medication Comparison

Metformin

2 sources · RxCUI: 311036

dose difference

Lisinopril

1 source · RxCUI: 314076

missing

Warfarin

2 sources · RxCUI: 309362

Aspirin

2 sources · RxCUI: 310965