Prescribing in General Practice
Prescribing in General Practice
Prescribing in General Practice
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Case Studies<br />
• 50 y.o. male<br />
– Presents with acute muscle spasm of back<br />
– PMHx – mild hypertension, ang<strong>in</strong>a, gout<br />
– Medications<br />
• Aspir<strong>in</strong> 75mg OD<br />
• Centyl K (bendroflumethiazide + K+) 2.5mg OD<br />
• Allopur<strong>in</strong>ol 300mg OD<br />
– What would you consider prescrib<strong>in</strong>g<br />
– Would you have any concerns about his current Rx<br />
Case Studies<br />
• 15 y.o. girl, unaccompanied<br />
– Wants to go on the oral contraceptive pill<br />
– How would you proceed<br />
– What are the ethical issues raised<br />
Conclusion<br />
• Apply cl<strong>in</strong>ical and communication skills<br />
• Apply the pr<strong>in</strong>ciples of rational prescrib<strong>in</strong>g<br />
• Search for objective sources of <strong>in</strong>formation on<br />
medications<br />
• Take steps to maximise adherence<br />
• Review and monitor<br />
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