Do not prescribe drugs first in many chronic illness but advise lyfestiles modications.
Hypertension, diabetes mellitus, and dyslipidemia, three conditions frequently managed by the General Practitioner (GP), have significant benefits from an educative approach in both prevention and treatment phases, whether in conjunction with pharmacotherapy or...
Do not abuse of periprocedural and intraprocedural medication and prefer their use only when strictly indicated (e.g. avoid inadequate antibiotic prophylaxis and saline fluid intravenous solution)
The environmental burden of medications before endoscopy (bowel preparation and laxatives for colonoscopy, or mucolytic solutions), during (sedatives, antibiotics, or analgesics), and after the procedure has not been formally quantified but it has recently been...
Do not prescribe proton pump inhibitors to patients with liver cirrhosis, outside of established indications
In patients with chronic liver disease and portal hypertension, even though acid secretion is markedly reduced, PPI therapy is often used even in the absence of an acid-related disease, in order to prevent bleeding from hypertensive gastropathy. This approach is not...
An oral dose of vitamin K is not recommended in term newborns who received an intramuscular shot at birth
Administration of a single i.m. dose of vitamin K within the first 6 hours of life is enough to prevent hemorrhagic disease of the newborns. If not given (e.g., due to parental refusal), oral administration must be recommended, which is less effective and should...The campaign DOING MORE DOES NOT MEAN DOING BETTER – CHOOSING WISELY ITALY is promoted by Italy’s Slow Medicine
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