6 medication 'do not dos' for GPs

Latest Choosing Wisely recommendations include review of older patients on more than five meds

Here’s what doctors should avoid doing to reduce medication misadventure, according to the latest Choosing Wisely recommendations.

With 23% of medication-related adverse events in primary care considered preventable, the six ‘do no dos’ are aimed at preventing misadventure as a result of prescribing cascades, polypharmacy and homeopathic therapies:

  1. Don’t initiate treatment to treat symptoms, adverse events or side effects without first checking if they are related to a current therapy.  Determine if a reduced dose, discontinuation or another treatment is needed.
  2. Don’t promote or provide homeopathic products as there's no reliable evidence they're effective. If patients access these products themselves, counsel them about the lack of benefit.
  3. Don’t dispense a repeat prescription for an antibiotic without ensuring it’s clinically appropriate.
  4. Don’t prescribe medications

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