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Do not routinely prescribe metered-dose inhalers but dry powder inhaler.

by Valeria Confalonieri | Sep 5, 2023

Asthma and Chronic Obstructive Pulmonary Disease (COPD) have therapeutic benefits from inhalation medications, available in two pharmaceutical formulations: metered-dose inhalers and dry powder inhalers. Consequently, the prescription preference should be directed...
Do not prescribe drugs first in many chronic illness but advise lyfestiles modications.

Do not prescribe drugs first in many chronic illness but advise lyfestiles modications.

by Valeria Confalonieri | Sep 5, 2023

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)

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)

by Valeria Confalonieri | Apr 7, 2023

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 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)

Do not prescribe proton pump inhibitors to patients with liver cirrhosis, outside of established indications

by Valeria Confalonieri | Mar 14, 2023

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

An oral dose of vitamin K is not recommended in term newborns who received an intramuscular shot at birth

by Valeria Confalonieri | Mar 13, 2023

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...
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