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...
Do not use non-steroid anti-inflammatory drugs (NSAID) in subjects with arterial hypertension, heart failure, renal insufficiency from any cause, including diabetes.
NSAIDs and 2 cyclooxygenase inhibitors (anti-COX-2) – although widely used even without a medical prescription – can cause important side effects including increased blood pressure, lower response to antihypertensive treatments, water retention and...
Do not routinely prescribe lipid lowering drugs in patients with a limited life expectancy.
The most recent international guidelines indicate lipid-lowering therapy in subjects over 70 years of age mainly for secondary prevention; it should be considered in primary prevention, albeit with a low level of evidence, only for patients with very high...
Do not delay palliative cares in the dying patients.
It is important that physicians give proper care to terminally ill patients; they require appropriate and early recognition of their needs (also through the use of standardized and validated tools) thus leading to correct management of symptoms (such as pain, dyspnea,...The campaign DOING MORE DOES NOT MEAN DOING BETTER – CHOOSING WISELY ITALY is promoted by Italy’s Slow Medicine
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