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NICE to move to multimorbidity guidance, chief says


Part of the problem with NICE Guidance is that most of the EBM comes from secondary care - but is applied to Primary Care. Will this Guidance on managing patients with multi-morbidities be applied to secondary as well as primary care? Just a thought: how about some decent information on drug interactions, and metabolic/excretion tables? -Some drugs are carried on the same site, so one displaces the other e.g. warfarin & amiodarone -some share a metabolic pathway -the excretion of some are affected by organ function e.g. digoxin by kidney function, and some are haemdialysable whereas others are not. I've retired - but while in practice I was unable to find even the information available in 1970 when I was in renal disease!!!

Posted date

29 Apr 2014

Posted time