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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 />

8

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