Do not delay prescribing levodopa if appropriate, and instead, do not use drugs for the complicated phase of the disease prematurely.
Levodopa prescription as a drug treatment in Parkinson’s disease is often delayed in favour of other drug categories (such as dopamine agonists) due to concerns about the risk of drug-induced motor complications or levodopa toxicity. However, recent evidence has...
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.
People with Parkinson’s disease may require medication for other reasons. Their general practitioner should therefore be careful to consider any prescriptions from other specialists for drugs that may worsen certain motor and non-motor symptoms of the disease....
Biodiversity. Antibiotics: only when indispensable! For common respiratory infections (colds, rhinosinusitis, cough/bronchitis, flu syndromes) and bacteria in the urine without symptoms, do not prescribe antibiotics, because generally they are useless, and expose patient and family to risks, both present and future. The rule is to avoid them, leaving to doctors’ autonomy the assessment of any exception.
Microrganisms are always important, and in particular in the early years of development. Few germs are pathogenic: most of them make us live and grow in health. The above infections are mainly from viruses, against which antibiotics (AB) are useless. Even when caused...
Avoid routine use of Infective endocarditis profilaxis in mild to moderate native valve disease
Despite of high frequency of bacteremia associated to dental procedures, the related risk for infective endocarditis (IE) is very low, both in general population and in cardiac patients. Extensive use of profilaxis is not supported by evidence. Profilaxis should be...The campaign DOING MORE DOES NOT MEAN DOING BETTER – CHOOSING WISELY ITALY is promoted by Italy’s Slow Medicine
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