Written instruction from a doctor Comparing medications from home to Inpatient to discharge Nutrition given through an IV An oral dosage form Monitored with INR May be mild (itch) or severe (anaphylaxis) Often results from inappropriate antibiotic usage Two or more medications may do this Individualisation of dosage by maintaining plasma or blood drug concentration within the target range Service provided under PharmCARE Medications for the treatment of cancer Examples include H1N1 and pneumonia Low cost alternative to brand name medication Medication adherence