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Treatment Is a Dynamic Process<br />
• Switches offer both opportunity and risk<br />
• A medication does not have to be perfect<br />
– Does it relieve symptoms well enough?<br />
– Is it tolerated well enough?<br />
– Is the patient willing to take it?<br />
• Shared decision-making: Getting the patient to “buy in” is<br />
key in promoting adherence<br />
– Individuals have their own preferences and values regarding<br />
which symptoms are important to them<br />
– Individuals have their own preferences and values regarding<br />
which tolerability issues are important to them