tailieunhanh - CLINICAL PHARMACOLOGY 2003 (PART 2)

PRESCRIBING, CONSUMPTION AND ECONOMICS Prescribing, consumption and economics The reasons for taking a drug history from patients are: • Drugs are a cause of disease. Withdrawal of drugs, if abrupt, can cause disease, . benzodiazepines, antiepilepsy drugs. • Drugs can conceal disease, . adrenal steroid. • Drugs can interact causing positive adverse effect, or negative adverse effect, . therapeutic failure. • Drugs can give diagnostic clues, . ampicillin and amoxicillin causing rash in infectious mononucleosis — a diagnostic adverse effect, not a diagnostic test. • Drugs can cause false results in clinical chemistry tests, . plasma cortisol, urinary catecholamine, urinary glucose | PRESCRIBING. CONSUMPTION AND ECONOMICS Prescribing consumption and economics The reasons for taking a drug history from patients are Drugs are a cause of disease. Withdrawal of drugs if abrupt can cause disease . benzodiazepines antiepilepsy drugs. Drugs can conceal disease . adrenal steroid. Drugs can interact causing positive adverse effect or negative adverse effect . therapeutic failure. Drugs can give diagnostic clues . ampicillin and amoxicillin causing rash in infectious mononucleosis a diagnostic adverse effect not a diagnostic test. Drugs can cause false results in clinical chemistry tests . plasma cortisol urinary catecholamine urinary glucose. Drug history can assist choice of drugs in the future. Drugs can leave residual effects after administration has ceased . chloroquine amiodarone. Drugs available for independent patient selfmedication are increasing in range and importance. See also Appendix 2 The prescription. Prescribing should be Appropriate prescribing is that which bases the choice of a drug on its effectiveness safety and convenience relative to other drugs or treatments . surgery or psychotherapy and takes cost into account only when those criteria for choice have been satisfied. In some circumstances appropriateness will require the use of more costly drugs. Only by giving appropriateness high priority will health payers be able to achieve their aim of ensuring that patients clinical needs will be met Report . Prescribing that is inappropriate is the result of several factors Giving in to patient pressure to write unnecessary prescriptions. The extra time spent in careful explanation will in the long run be rewarded. Continuing patients especially the elderly on courses of medicinal treatment over many months without proper review of their medication. Doctors frequently prescribe brand-name drugs rather than cheaper generic equivalents even where there is no conceivable therapeutic advantage in so doing.

• Y học thường thức
• Prescribing
• consumption and economics
• clinical pharmacology
• sách học ngành dược
• dược lý lâm sàng
• tài liệu học dược sĩ
• Basic principles of prescribing
• Prescribing at a glance
• Drug selection
• Prescribing for special groups
• How to choose frequency
• How to choose a drug
• Prescribing in liver disease
• Logistics of prescribing
• Therapeutic drug monitoring
• Avoiding drug interactions
• Specific drug groups
• Using drugs for the respiratory system
• BMC Geriatrics
• Prescribing cascades
• Inappropriate prescribing
• Older adults
• Administrative databases
• BMC Pediatrics
• Psychostimulant treatment
• Psychostimulant prescribing trends
• Attention deficit hyperactivity disorder
• Psychotropic prescribing
• Prescribing symmetric
• subjects of mathematics
• science reports
• studied mathematics
• natural sciences
• scientific research
• trình bày báo cáo
• tài liệu báo cáo khoa học
• báo cáo y học
• kiến thức y học
• nghiên cứu y học
• Handbook to drugs
• Drugs prescribing
• Handbook of drugs in intensive care
• An A Zguide
• Drug prescribing
• Drug Management
• Indicating drug compatibility
• BMC Pharmacology and Toxicology
• Antipsychotic prescribing
• Antipsychotic drugs
• Psychological Symptoms of Dementia
• Anti depressants
• Paediatric prescribing
• Safety warning
• Psychosomatic symptoms
• Low value care
• Low value prescribing
• Medication value
• Primary care physicians’
• Fall risk increasing drugs
• Injurious falls
• Prescribing behaviors
• Systematic review
• Benzodiazepine like medication
• Z drugs
• Older people
• Potentially inappropriate prescribing
• Potential negative consequences
• Cognitive decline
• Older multimorbid adults
• Pharmacotherapy guidance caregiver role
• Patient individualization
• Pediatric prescribing habits
• Decision support systems
• BMC Musculoskeletal Disorders
• Rheumatoid arthritis
• Biologic drugs
• Biologic therapies
• Inadequate response
• Curtail postcode prescribing
• Clinical Implications
• Electronic Prescribing
• Healthcare Database
• Complex Interaction
• Patient Safety
• Clinical Decision
• Modern Society
• Pharmacodynamics
• Prescribing Drugs
• Drug Reactions
• Sexual History
• Nurse Prescribing
• Lymphatic System
• Sexual Health
• Health Promotion
• GU Nurses
• sales restrictions
• between heterogeneity
• Allergen Bioinformatics
• Recent Trends
• Developments
• Family Based Studies
• increasing possibility
• treatment and research
• adequate supply
• Phosphorylation State
• Seawater Fish Spermatozoa
• Current Issues
• patients’ concerns
• treatments and personal
• circumstances
• Microbial Pectic
• Wine Industry
• Quality Control