Which of the following management techniques involves replacing a prescribed medication with a different drug that has a similar effect?

Therapeutic substitution is the management technique that involves replacing a prescribed medication with a different drug that achieves a similar therapeutic effect. This approach is often employed when the original medication is unavailable, not covered by insurance, or when a more cost-effective alternative is available that maintains similar efficacy for the patient's condition.

The practice of therapeutic substitution not only aims to ensure that patients continue receiving effective treatment but also enhances medication adherence by potentially reducing out-of-pocket costs for patients. Pharmacists and healthcare providers must ensure that the substituted medication is appropriate for the patient, considering factors like drug interactions, allergies, and individual response to medications.

In contrast, disease management refers to a comprehensive approach to managing chronic diseases, focusing on improving patient outcomes through coordinated care and patient education, rather than specific medication substitution. Cumulative review pertains to the ongoing evaluation of patient care over time, often looking at trends in health data rather than individual medication choices. Prospective review involves evaluating a patient’s medication regimen before it is filled to ensure appropriateness and safety, which is different from substituting one medication with another after it has been prescribed. Thus, therapeutic substitution is distinct in its focus on medication replacement while maintaining therapeutic outcomes.