Too many benzodiazepines for insomnia in the elderly
LIMPE-DISMOV #1
In the clinical evaluation of the patient who has presented a transient loss of consciousness, do not leave out the measurement of blood pressure in the supine and standing position (horizontal and upright position) in order to exclude a condition of persistent orthostatic hypotension.
In the anamnestic reconstruction of a possible transient loss of consciousness, do not fail to clarify whether the characteristics of the suspension of consciousness actually occurred and to draw up a list of all drugs in use.
Don’t use benzodiazepines or other sedative-hypnotics in older adults as first choice for insomnia.
Don’t use antipsychotics as the first choice to treat behavioral symptoms of dementia, avoiding prescription before careful evaluation and removal of precipitating factors.
Don’t replace peripheral venous catheters at regular intervals but based on clinical evaluation.
Don’t recommend enteral nutrition (PEG, percutaneous endoscopic gastrostomy or naso-gastric feeding tube) in patients with advanced dementia; instead offer oral assisted feeding.
Don’t recommend brain ¹⁸F-FDG PET (positron emission tomography) in the diagnostic investigation of dementia when clinical and neuropsychological assessment, laboratory tests and basic neuroimaging adequately support diagnosis.
Don’t recommend Amyloid PET (positron emission tomography) in asymptomatic individuals without cognitive impairment, even in the presence of a familiarity for dementia, and in subjects reporting deficits not confirmed by the neuropsychological evaluation.
Don’t perform endotracheal aspirations at regular intervals but according to early indicators of retention of bronchial secretions.
Do not use drugs that may worsen the symptoms of Parkinson’s disease, such as anti-dopaminergic, alphalitic and anticholinergic drugs, without consulting your neurologist.
Do not use brain scintigraphic examinations such as brain SPECT (Single Photon Emission Tomography) with dopamine transporter marker (DAT-SCAN) or myocardial examination with Metaiodobenzylguanidine (MIBG) as well as positron emission brain tomography (PET) with any radionuclide, for diagnostic confirmation of Parkinson’s disease or to evaluate its progression.
Do not underestimate the importance of multidisciplinary and non-pharmacological approaches.
Do not perform supra-aortic trunks ultrasound to patients who have experienced transient loss of consciousness in the absence of other neurological symptoms and with normal neurological examination. Adapted from the American Academy of Neurology.
Do not perform computed tomography (CT) or nuclear magnetic resonance imaging (MRI) of the brain to patients who have experienced transient loss of consciousness in the absence of other neurological symptoms and have normal neurological examination. Adapted from the American College of Physicians
Do not perform an electroencephalogram (EEG) to patients who have experienced only transient loss of consciousness and have normal neurological examination and no history of epileptic symptoms.
Do not delay prescribing levodopa if appropriate, and instead, do not use drugs for the complicated phase of the disease prematurely.
Do not abruptly discontinue/modify Parkinson’s disease therapy.
CNF #2
CNF #1
ACP
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Italian College of the Directors of Vascular Surgery
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AMD
AME
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ANMCO
ANMDO
AOGOI
CIPOMO-Green Oncology
CNF
CNF
COMLAS
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FADOI
FADOI
FederSpecializzandi
FIMP
FNOPI
FNOPI ped
ISDE
ISDE
ITACARE-P
Italian College of the Directors of Vascular Surgery
SIAAIC
SIAIP
SIAMS
SIBIoC
SICP
SICuPP
SIdCO
SIFACT
SIGU
SIGU
SIMG
SIMPIOS
SIMRI
SIN-Nephrology
SINePe
SIP
SIP
SIPeM
SIPMeL
SIPMeL
SIPMeL
SIPMeL
SIPPS
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SIRM
SISM
SItI
ACP
ADI
AICPR
AIFI
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AIGO
AIMN
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AIURO
AMD
AME
AMGE
ANDRIA
ANIARTI
ANIMO
ANIPIO
ANIPIO
ANMCO
ANMDO
AOGOI
CIPOMO-Green Oncology
CNF
CNF
COMLAS
CReI
FADOI
FADOI
FederSpecializzandi
FIMP
FNOPI
FNOPI ped
ISDE
ISDE
ITACARE-P
Italian College of the Directors of Vascular Surgery
LIMPE-DISMOV
SIAAIC
SIAIP
SIAMS
SIBIoC
SICP
SICuPP
SIdCO
SIFACT
SIGU
SIGU
SIMG
SIMPIOS
SIMRI
SIN-Nephrology
SINePe
SIP
SIP
SIPeM
SIPMeL
SIPMeL
SIPMeL
SIPMeL
SIPPS
SIRM
SIRM
SISM
SItI
ACP
ADI
AICPR
AIFI
AIGO
AIGO
AIGO
AIMN
AIRO
AIURO
AMD
AME
AMGE
ANDRIA
ANIARTI
ANIMO
ANIPIO
ANIPIO
ANMCO
ANMDO
AOGOI
CIPOMO-Green Oncology
CNF
CNF
COMLAS
CReI
FADOI
FADOI
FederSpecializzandi
FIMP
FNOPI
FNOPI ped
ISDE
ISDE
ITACARE-P
Italian College of the Directors of Vascular Surgery
LIMPE-DISMOV
SIAAIC
SIAIP
SIAMS
SIBIoC
SICP
SICuPP
SIdCO
SIFACT
SIGU
SIGU
SIMG
SIMPIOS
SIMRI
SIN-Nephrology
SINePe
SIP
SIP
SIPeM
SIPMeL
SIPMeL
SIPMeL
SIPMeL
SIPPS
SIRM
SIRM
SISM
SItI
ACP
ADI
AICPR
AIFI
AIGO
AIGO
AIGO
AIMN
AIRO
AIURO
AMD
AME
AMGE
ANDRIA
ANIARTI
ANIMO
ANIPIO
ANIPIO
ANMCO
ANMDO
AOGOI
CIPOMO-Green Oncology
CNF
CNF
COMLAS
CReI
FADOI
FADOI
FederSpecializzandi
FIMP
FNOPI
FNOPI ped
ISDE
ISDE
ITACARE-P
Italian College of the Directors of Vascular Surgery
LIMPE-DISMOV
SIAAIC
SIAIP
SIAMS
SIBIoC
SICP
SICuPP
SIdCO
SIFACT
SIGU
SIGU
SIMG
SIMPIOS
SIMRI
SIN-Nephrology
SINePe
SIP
SIP
SIPeM
SIPMeL
SIPMeL
SIPMeL
SIPMeL
SIPPS
SIRM
SIRM
SISM
SItI
ACP
ADI
AICPR
AIFI
AIGO
AIGO
AIGO
AIMN
AIRO
AIURO
AMD
AME
AMGE
ANDRIA
ANIARTI
ANIMO
ANIPIO
ANIPIO
ANMCO
ANMDO
AOGOI
CIPOMO-Green Oncology
CNF
CNF
COMLAS
CReI
FADOI
FADOI
FederSpecializzandi
FIMP
FNOPI
FNOPI ped
ISDE
ISDE
ITACARE-P
Italian College of the Directors of Vascular Surgery
LIMPE-DISMOV
SIAAIC
SIAIP
SIAMS
SIBIoC
SICP
SICuPP
SIdCO
SIFACT
SIGU
SIGU
SIMG
SIMPIOS
SIMRI
SIN-Nephrology
SINePe
SIP
SIP
SIPeM
SIPMeL
SIPMeL
SIPMeL
SIPMeL
SIPPS
SIRM
SIRM
SISM
SItI
ACP
ADI
AICPR
AIFI
AIGO
AIGO
AIGO
AIMN
AIRO
AIURO
AMD
AME
AMGE
ANDRIA
ANIARTI
ANIMO
ANIPIO
ANIPIO
ANMCO
ANMDO
AOGOI
CIPOMO-Green Oncology
CNF
CNF
COMLAS
CReI
FADOI
FADOI
FederSpecializzandi
FIMP
FNOPI
FNOPI ped
ISDE
ISDE
ITACARE-P
Italian College of the Directors of Vascular Surgery
LIMPE-DISMOV
SIAAIC
SIAIP
SIAMS
SIBIoC
SICP
SICuPP
SIdCO
SIFACT
SIGU
SIGU
SIMG
SIMPIOS
SIMRI
SIN-Nephrology
SINePe
SIP
SIP
SIPeM
SIPMeL
SIPMeL
SIPMeL
SIPMeL
SIPPS
SIRM
SIRM
SISM
SItI
ACP
ADI
AICPR
AIFI
AIGO
AIGO
AIGO
AIMN
AIRO
AIURO
AMD
AME
AMGE
ANDRIA
ANIARTI
ANIMO
ANIPIO
ANIPIO
ANMCO
ANMDO
AOGOI
CIPOMO-Green Oncology
CNF
CNF
COMLAS
CReI
FADOI
FADOI
FederSpecializzandi
FIMP
FNOPI
FNOPI ped
ISDE
ISDE
ITACARE-P
Italian College of the Directors of Vascular Surgery
LIMPE-DISMOV
SIAAIC
SIAIP
SIAMS
SIBIoC
SICP
SICuPP
SIdCO
SIFACT
SIGU
SIGU
SIMG
SIMPIOS
SIMRI
SIN-Nephrology
SINePe
SIP
SIP
SIPeM
SIPMeL
SIPMeL
SIPMeL
SIPMeL
SIPPS
SIRM
SIRM
SISM
SItI
ACP
ADI
AICPR
AIFI
AIGO
AIGO
AIGO
AIMN
AIRO
AIURO
AMD
AME
AMGE
ANDRIA
ANIARTI
ANIMO
ANIPIO
ANIPIO
ANMCO
ANMDO
AOGOI
CIPOMO-Green Oncology
CNF
CNF
COMLAS
CReI
FADOI
FADOI
FederSpecializzandi
FIMP
FNOPI
FNOPI ped
ISDE
ISDE
ITACARE-P
Italian College of the Directors of Vascular Surgery
LIMPE-DISMOV
SIAAIC
SIAIP
SIAMS
SIBIoC
SICP
SICuPP
SIdCO
SIFACT
SIGU
SIGU
SIMG
SIMPIOS
SIMRI
SIN-Nephrology
SINePe
SIP
SIP
SIPeM
SIPMeL
SIPMeL
SIPMeL
SIPMeL
SIPPS
SIRM
SIRM
SISM
SItI
ACP
ADI
AICPR
AIFI
AIGO
AIGO
AIGO
AIMN
AIRO
AIURO
AMD
AME
AMGE
ANDRIA
ANIARTI
ANIMO
ANIPIO
ANIPIO
ANMCO
ANMDO
AOGOI
CIPOMO-Green Oncology
CNF
CNF
COMLAS
CReI
FADOI
FADOI
FederSpecializzandi
FIMP
FNOPI
FNOPI ped
ISDE
ISDE
ITACARE-P
Italian College of the Directors of Vascular Surgery
LIMPE-DISMOV
SIAAIC
SIAIP
SIAMS
SIBIoC
SICP
SICuPP
SIdCO
SIFACT
SIGU
SIGU
SIMG
SIMPIOS
SIMRI
SIN-Nephrology
SINePe
SIP
SIP
SIPeM
SIPMeL
SIPMeL
SIPMeL
SIPMeL
SIPPS
SIRM
SIRM
SISM
SItI
ACP
ADI
AICPR
AIFI
AIGO
AIGO
AIGO
AIMN
AIRO
AIURO
AMD
AME
AMGE
ANDRIA
ANIARTI
ANIMO
ANIPIO
ANIPIO
ANMCO
ANMDO
AOGOI
CIPOMO-Green Oncology
CNF
CNF
COMLAS
CReI
FADOI
FADOI
FederSpecializzandi
FIMP
FNOPI
FNOPI ped
ISDE
ISDE
ITACARE-P
Italian College of the Directors of Vascular Surgery
LIMPE-DISMOV
SIAAIC
SIAIP
SIAMS
SIBIoC
SICP
SICuPP
SIdCO
SIFACT
SIGU
SIGU
SIMG
SIMPIOS
SIMRI
SIN-Nephrology
SINePe
SIP
SIP
SIPeM
SIPMeL
SIPMeL
SIPMeL
SIPMeL
SIPPS
SIRM
SIRM
SISM
SItI
ACP
ADI
AICPR
AIFI
AIGO
AIGO
AIGO
AIMN
AIRO
AIURO
AMD
AME
AMGE
ANDRIA
ANIARTI
ANIMO
ANIPIO
ANIPIO
ANMCO
ANMDO
AOGOI
CIPOMO-Green Oncology
CNF
CNF
COMLAS
CReI
FADOI
FADOI
FederSpecializzandi
FIMP
FNOPI
FNOPI ped
ISDE
ISDE
ITACARE-P
Italian College of the Directors of Vascular Surgery
LIMPE-DISMOV
SIAAIC
SIAIP
SIAMS
SIBIoC
SICP
SICuPP
SIdCO
SIFACT
SIGU
SIGU
SIMG
SIMPIOS
SIMRI
SIN-Nephrology
SINePe
SIP
SIP
SIPeM
SIPMeL
SIPMeL
SIPMeL
SIPMeL
SIPPS
SIRM
SIRM
SISM
SItI
ACP
ADI
AICPR
AIFI
AIGO
AIGO
AIGO
AIMN
AIRO
AIURO
AMD
AME
AMGE
ANDRIA
ANIARTI
ANIMO
ANIPIO
ANIPIO
ANMCO
ANMDO
AOGOI
CIPOMO-Green Oncology
CNF
CNF
COMLAS
CReI
FADOI
FADOI
FederSpecializzandi
FIMP
FNOPI
FNOPI ped
ISDE
ISDE
ITACARE-P
Italian College of the Directors of Vascular Surgery
LIMPE-DISMOV
SIAAIC
SIAIP
SIAMS
SIBIoC
SICP
SICuPP
SIdCO
SIFACT
SIGU
SIGU
SIMG
SIMPIOS
SIMRI
SIN-Nephrology
SINePe
SIP
SIP
SIPeM
SIPMeL
SIPMeL
SIPMeL
SIPMeL
SIPPS
SIRM
SIRM
SISM
SItI
ACP
ADI
AICPR
AIFI
AIGO
AIGO
AIGO
AIMN
AIRO
AIURO
AMD
AME
AMGE
ANDRIA
ANIARTI
ANIMO
ANIPIO
ANIPIO
ANMCO
ANMDO
AOGOI
CIPOMO-Green Oncology
CNF
CNF
COMLAS
CReI
FADOI
FADOI
FederSpecializzandi
FIMP
FNOPI
FNOPI ped
ISDE
ISDE
ITACARE-P
Italian College of the Directors of Vascular Surgery
LIMPE-DISMOV
SIAAIC
SIAIP
SIAMS
SIBIoC
SICP
SICuPP
SIdCO
SIFACT
SIGU
SIGU
SIMG
SIMPIOS
SIMRI
SIN-Nephrology
SINePe
SIP
SIP
SIPeM
SIPMeL
SIPMeL
SIPMeL
SIPMeL
SIPPS
SIRM
SIRM
SISM
SItI
ACP
ADI
AICPR
AIFI
AIGO
AIGO
AIGO
AIMN
AIRO
AIURO
AMD
AME
AMGE
ANDRIA
ANIARTI
ANIMO
ANIPIO
ANIPIO
ANMCO
ANMDO
AOGOI
CIPOMO-Green Oncology
CNF
CNF
COMLAS
CReI
FADOI
FADOI
FederSpecializzandi
FIMP
FNOPI
FNOPI ped
ISDE
ISDE
ITACARE-P
Italian College of the Directors of Vascular Surgery
LIMPE-DISMOV
SIAAIC
SIAIP
SIAMS
SIBIoC
SICP
SICuPP
SIdCO
SIFACT
SIGU
SIGU
SIMG
SIMPIOS
SIMRI
SIN-Nephrology
SINePe
SIP
SIP
SIPeM
SIPMeL
SIPMeL
SIPMeL
SIPMeL
SIPPS
SIRM
SIRM
SISM
SItI
ACP
ADI
AICPR
AIFI
AIGO
AIGO
AIGO
AIMN
AIRO
AIURO
AMD
AME
AMGE
ANDRIA
ANIARTI
ANIMO
ANIPIO
ANIPIO
ANMCO
ANMDO
AOGOI
CIPOMO-Green Oncology
CNF
CNF
COMLAS
CReI
FADOI
FADOI
FederSpecializzandi
FIMP
FNOPI
FNOPI ped
ISDE
ISDE
ITACARE-P
Italian College of the Directors of Vascular Surgery
LIMPE-DISMOV
SIAAIC
SIAIP
SIAMS
SIBIoC
SICP
SICuPP
SIdCO
SIFACT
SIGU
SIGU
SIMG
SIMPIOS
SIMRI
SIN-Nephrology
SINePe
SIP
SIP
SIPeM
SIPMeL
SIPMeL
SIPMeL
SIPMeL
SIPPS
SIRM
SIRM
SISM
SItI
ACP
ADI
AICPR
AIFI
AIGO
AIGO
AIGO
AIMN
AIRO
AIURO
AMD
AME
AMGE
ANDRIA
ANIARTI
ANIMO
ANIPIO
ANIPIO
ANMCO
ANMDO
AOGOI
CIPOMO-Green Oncology
CNF
CNF
COMLAS
CReI
FADOI
FADOI
FederSpecializzandi
FIMP
FNOPI
FNOPI ped
ISDE
ISDE
ITACARE-P
Italian College of the Directors of Vascular Surgery
LIMPE-DISMOV
SIAAIC
SIAIP
SIAMS
SIBIoC
SICP
SICuPP
SIdCO
SIFACT
SIGU
SIGU
SIMG
SIMPIOS
SIMRI
SIN-Nephrology
SINePe
SIP
SIP
SIPeM
SIPMeL
SIPMeL
SIPMeL
SIPMeL
SIPPS
SIRM
SIRM
SISM
SItI
ACP
ADI
AICPR
AIFI
AIGO
AIGO
AIGO
AIMN
AIRO
AIURO
AMD
AME
AMGE
ANDRIA
ANIARTI
ANIMO
ANIPIO
ANIPIO
ANMCO
ANMDO
AOGOI
CIPOMO-Green Oncology
CNF
CNF
COMLAS
CReI
FADOI
FADOI
FederSpecializzandi
FIMP
FNOPI
FNOPI ped
ISDE
ISDE
ITACARE-P
Italian College of the Directors of Vascular Surgery
LIMPE-DISMOV
SIAAIC
SIAIP
SIAMS
SIBIoC
SICP
SICuPP
SIdCO
SIFACT
SIGU
SIGU
SIMG
SIMPIOS
SIMRI
SIN-Nephrology
SINePe
SIP
SIP
SIPeM
SIPMeL
SIPMeL
SIPMeL
SIPMeL
SIPPS
SIRM
SIRM
SISM
SItI
ACP
ADI
AICPR
AIFI
AIGO
AIGO
AIGO
AIMN
AIRO
AIURO
AMD
AME
AMGE
ANDRIA
ANIARTI
ANIMO
ANIPIO
ANIPIO
ANMCO
ANMDO
AOGOI
CIPOMO-Green Oncology
CNF
CNF
COMLAS
CReI
FADOI
FADOI
FederSpecializzandi
FIMP
FNOPI
FNOPI ped
ISDE
ISDE
ITACARE-P
Italian College of the Directors of Vascular Surgery
LIMPE-DISMOV
SIAAIC
SIAIP
SIAMS
SIBIoC
SICP
SICuPP
SIdCO
SIFACT
SIGU
SIGU
SIMG
SIMPIOS
SIMRI
SIN-Nephrology
SINePe
SIP
SIP
SIPeM
SIPMeL
SIPMeL
SIPMeL
SIPMeL
SIPPS
SIRM
SIRM
SISM
SItI
ACP
ADI
AICPR
AIFI
AIGO
AIGO
AIGO
AIMN
AIRO
AIURO
AMD
AME
AMGE
ANDRIA
ANIARTI
ANIMO
ANIPIO
ANIPIO
ANMCO
ANMDO
AOGOI
CIPOMO-Green Oncology
CNF
COMLAS
CReI
FADOI
FADOI
FederSpecializzandi
FIMP
FNOPI
FNOPI ped
ISDE
ISDE
ITACARE-P
Italian College of the Directors of Vascular Surgery
LIMPE-DISMOV
SIAAIC
SIAIP
SIAMS
SIBIoC
SICP
SICuPP
SIdCO
SIFACT
SIGU
SIGU
SIMG
SIMPIOS
SIMRI
SIN-Nephrology
SINePe
SIP
SIP
SIPeM
SIPMeL
SIPMeL
SIPMeL
SIPMeL
SIPPS
SIRM
SIRM
SISM
SItI
ACP
ADI
AICPR
AIFI
AIGO
AIGO
AIGO
AIMN
AIRO
AIURO
AMD
AME
AMGE
ANDRIA
ANIARTI
ANIMO
ANIPIO
ANIPIO
ANMCO
ANMDO
AOGOI
CIPOMO-Green Oncology
CNF
COMLAS
CReI
FADOI
FADOI
FederSpecializzandi
FIMP
FNOPI
FNOPI ped
ISDE
ISDE
ITACARE-P
Italian College of the Directors of Vascular Surgery
LIMPE-DISMOV
SIAAIC
SIAIP
SIAMS
SIBIoC
SICP
SICuPP
SIdCO
SIFACT
SIGU
SIGU
SIMG
SIMPIOS
SIMRI
SIN-Nephrology
SINePe
SIP
SIP
SIPeM
SIPMeL
SIPMeL
SIPMeL
SIPMeL
SIPPS
SIRM
SIRM
SISM
SItI
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