Don’t routinely prescribe proton pump inhibitors (PPI) for gastrointestinal bleeding profilaxis in patient with single drug antiplatelet therapy in absence of additional risk factors
Gastrointestinal (GI) bleeding risk is increased in presence of double antiplatelet treatment. Risk factors for GI bleeding are: previous GI bleeding, peptic ulcer, advanced age, NSAIDs or steroid drugs use, oral anticoagulant therapy. In absence of risk factors, PPI...
Don’t use non-steroid anti-inflammatory drugs (NSAID) in subjects with arterial hypertension, heart failure, renal insufficiency from any cause, including diabetes.
NSAID are largely used for muscle, bone and joint pain, but are associated with important cardiovascular, renal and haematological adverse effects, mainly in elderly people. They may determine a blunted response to the antihypertensive drugs, water retention and...
Don’t routinely prescribe lipid lowering drugs in patients with a limited life expectancy
Up to one-third of the population aged between 75 and 85 years assumes lipid lowering drugs (mainly statins) for primary or secondary prevention purposes. However, the concept that high LDL-cholesterol and/or low HDL in elderly people are as important cardiovascular...
Don’t delay palliative cares in the dying patients.
The quality of care offered to the dying patients in hospital is far from being optimal, as organization and medical attitude, in the general wards, maintain therapeutic and diagnostic options typically addressed to acute diseases, disregarding the real needs of a...The campaign DOING MORE DOES NOT MEAN DOING BETTER – CHOOSING WISELY ITALY is promoted by Italy’s Slow Medicine
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