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How much of our prescribing has a beneficial effect?


Great article which echoes some longstanding concerns I hold. Examples- "Dr, my ankles are swollen but my BP is great on that amlodipine stuff"; "Have some frusemide". "My anxiety is better on Sh#talopram but I have a cough with mucky spit";"I see you are allergic to penicillin- have some erythromycin" (QTc anyone?). I could go on and on and then some. I have found that in the presence of polypharmacy considering iatrogenic causes pretty early can frequently be a high yielding input, and a glance at the BNF vey worthwhile. The title asks a question the response to which is best framed in terms of the patient (answer-often not), the doctor (answer- beneficial if you want to get on with your session and make the patient feel somethings been done), and the chosen timescale (longterm- both patient and doctor lose).

Posted date

19 Sep 2019

Posted time