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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

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