Heartburn and proton pump inhibitors

Proton pump inhibitors (PPI) are very widely sold drugs, useful in reducing the production of stomach acid. They should not be prescribed for minor disturbances and, in any case, should never be prescribed lightly as they can cause major side effects. The continuous...

Too many benzodiazepines for insomnia in the elderly

Benzodiazepines, used to induce sleep and treat anxiety, are unquestionably among the most commonly used medications in Italy. Prescribing them as a first choice for elderly persons afflicted with insomnia is often unnecessary, and should not be done without first...

Daily self-monitoring of blood sugar

Those diabetics who keep their blood sugar under control, through diet and medicine carrying a low risk of causing hypoglycaemia, should not be routinely required to self-monitor their blood sugar every day. In fact, there is no proof of significant benefit from the...

Occult blood test and colonscopy

Besides following a healthy lifestyle (see Advice from Altro Consumo), having a regular faecal occult blood screening is recommended in order to prevent colon cancer. If the result is positive, a follow-up colonoscopy would be necessary. The presence of blood in the...

Thyroid Ultrasound

The thyroid ultrasound should not be used for screening, or to examine a wide population, when no specific symptoms present themselves. There is a real possibility of finding benign nodules – or ones that wouldn’t cause any trouble – and assuming that they might be...