GPs must maintain control of prescribing
I read with interest the discussion in Pulse Choices (September 1) concerning the clinical conundrum of the two children aged nine and 12 who had gone through 42 inhalers in six months. I find the easiest thing in such cases is to refuse to prescribe any medication without seeing the patient.
This always has the effect of the patient materialising in the surgery. If the patient gets upset about this I explain that if I prescribe the medication I am legally responsible for anything that happens to them. In the case history described, the danger is that one would probably not have a leg to stand on if the patient developed a problem because their asthma was not being reviewed, or incorrect treatment was taken.
A GP must remain in control of their prescribing.
Dr Anne Pauleau, Plaistow, London