Reducing prescribing cascades.

IF 1.7 Q4 PRIMARY HEALTH CARE
Aaron M Tejani, Thomas L Perry
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引用次数: 0

Abstract

Prescribing cascades contribute to the increasing prevalence of polypharmacy and its associated risks, where a drug-induced adverse event is misinterpreted as a new condition and treated with additional medications. Notable cascades include the use of anticholinergics leading to cognitive impairment, dyspepsia or constipation, which then prompt prescriptions for dementia medications, proton pump inhibitors or laxatives, respectively. Similarly, calcium channel blockers and gabapentinoids often induce oedema, resulting in unnecessary diuretic use. Strategies for prevention include careful review of adverse effects, deprescribing where appropriate and clinician education to improve symptom interpretation and prescribing practices. Recognising these cascades can mitigate unnecessary interventions and improve patient outcomes.

减少处方连锁反应。
处方级联导致了多重用药及其相关风险的增加,在这种情况下,药物引起的不良事件被误解为一种新疾病,并使用额外的药物进行治疗。值得注意的级联反应包括使用抗胆碱能药物导致认知障碍、消化不良或便秘,然后分别开出痴呆症药物、质子泵抑制剂或泻药的处方。同样,钙通道阻滞剂和加巴喷丁类药物经常引起水肿,导致不必要的利尿剂使用。预防策略包括仔细审查不良反应,在适当情况下减少处方,并对临床医生进行教育,以改善症状解释和处方做法。认识到这些级联可以减少不必要的干预并改善患者的预后。
本文章由计算机程序翻译,如有差异,请以英文原文为准。
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来源期刊
CiteScore
3.30
自引率
10.00%
发文量
81
审稿时长
15 weeks
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