Maad Rayan Publishing Company Digital Health Trends 1 1 2025 09 28 An Internet of Things-Based Platform for Pharmaceutical Consumption Management and Medication Review: Design and Hedonic/Pragmatic Evaluation 41 48 10.34172/dhtj.05 EN Sepideh Sepahi https://orcid.org/0009-0008-5255-5485 Maryam Shadman https://orcid.org/0009-0003-2985-7315 Journal Article 10.34172/dhtj.05 2025 04 07 2025 08 10 Background: Medication review and management are essential components of high-quality patient care across hospitals, nursing homes, and primary healthcare centers. In addition, drug consumption evaluation (DCE) plays a central role in guiding pharmaceutical interventions and improving patient outcomes. Therefore, this study aimed to design and evaluate an internet of things (IoT)-based platform to facilitate medication reviews and enhance drug consumption management. Methods: A four-layer architecture was implemented using the open-source Viralink platform. The system incorporated four modules: patient entry/exit control, sleep monitoring, medication cabinet access, and urination frequency tracking. Moreover, the platform was simulated in a laboratory environment using real-world scenarios. Ultimately, an evaluation was conducted using both hedonic and pragmatic measures to assess the user experience. Results: Overall, the system demonstrated excellent performance in innovation and motivation, acceptable reliability, and above-average scores in attractiveness and transparency, thereby confirming strong user engagement and functional effectiveness. Conclusion: The proposed IoT-based platform offers a promising solution for improving medication management while reducing drug-related side effects. In addition, its modular design and positive user feedback highlight its potential for integration into clinical and home-care settings.