A Multi-Encounter Case of Medication Therapy Management (MTM) in an Ambulatory Care Setting

Abstract

Medication Therapy Management (MTM) is a patient-centered service that optimizes therapeutic outcomes, prevents drug-related problems, and improves adherence, particularly for patients with multiple chronic conditions. A 68-year-old man with hypertension, type 2 diabetes, and osteoarthritis enrolled in MTM at an ambulatory care clinic was taking amlodipine, metformin, glibenclamide, and diclofenac. He presented with uncontrolled blood pressure, fluctuating glucose levels, and gastrointestinal discomfort. Over two months, MTM interventions included medication review, identification of drug-related problems, lifestyle counseling, adherence support, and physician collaboration. Diclofenac was replaced with acetaminophen. Subsequently, blood pressure and glucose levels improved, and gastrointestinal symptoms resolved, demonstrating the value of MTM in ambulatory care.