LotsOfMeds interactions/comorbidities/adverse effects

[jselbig]

Hi everyone, I'd like to talk about a tool that I've been working on called LotsOfMeds.

LotsOfMeds allows the clinician to quickly check interactions and warnings for all of a patient's drugs considering:

- all adverse effects

- all medications

- all lab conditions

- all disease contributions

- all age/gender/reproductive considerations

The tool allows you to enter all this information in one page, and in a few seconds all the database precautions are presented to help you make an informed decision on how to proceed with the patient.

The tool also quickly organizes all the Adverse Effects from all medications, to help you decide if new symptoms might be due to Adverse Effects or a new disease.

I built it because during student clinicals I found it exceptionally difficult and time consuming to get a handle on how a complex patient and allllllll their medications might interact with each other, the patient's whacky labs, the patient diseases as well as gender /age and reproductive considerations. I also found it near impossible to get a handle on how all potential adverse effects were presenting or adding together.

I do use it in my current practice, especially with complicated patients that I am unfamiliar with, I have not found any other way to leverage database information to address these issues in a fast way. We are eventually hoping to build out approved protocol so that the tool can offer dosing, black box data, beers list warnings, genetic considerations, and much more.

Thanks for reading!

[SopranoKris, MSN, RN, NP]

I have a background in tech (databases specifically). How long does the data entry portion for the end user take? Is there a way to make it compatible with voice-recognition software? How do you handle updates, as medication data is constantly changing?

[jselbig]

great questions -

- The tool uses the Wolters-Kluwer (lexicomp, uptodate) database and is updated monthly, so everything is industry standard.

- there are a ton of features slated for version 2, voice recognition is a good idea , though it is not currently offered.

- The user enters as much or as little information as they want, when entering data there are dropdowns that detect the first 4 letters typed and then a list is offered for the user to click and this speeds things up. A patient with 8 meds and 4 conditions would take about 30-45seconds to enter, and about 15 seconds to bring up all the precautions or Adverse effects. All the processing is done on Amazon web servers and the result is spit back to the user's computer, so your processor speed is not necessarily the slow part, though phones currently are a little slower than laptops.