Don’t prescribe proton pump inhibitors (PPI) during steroid therapy or for long periods with patients that exhibit dyspeptic symptoms.
There’s no evidence supporting the systematic use of PPI on patients with functional dyspepsia or as prophylaxis during steroid therapy. The primary risk associated with suspending PPI during the course of acid-related disease is the return of symptoms. The...
Do not prescribe drugs (Histamine receptor antagonists, proton pump inhibitors and prokinetics) in physiological gastroesophageal reflux (GER), which does not impair growth and is not associated with suspected signs or symptoms of GER disease . Inform and support parents.
Physiological GER is a very frequent cause of regurgitation or vomiting in healthy children in the first year of life, resolves with growth and there is no significant evidence that it causes injury, even in the long term. In newborns and infants, the appearance of...
Do not prescribe antibiotics for viral acute respiratory tract diseases (ear infections, sinusitis, pharyngitis, bronchitis)
Antibiotics are the most prescribed drugs in Italy, even in children, and the phenomenon of antibiotic resistance is a serious problem. The appropriate clinical management of upper respiratory tract infections provides for watchful waiting in most cases, on the basis...The campaign DOING MORE DOES NOT MEAN DOING BETTER – CHOOSING WISELY ITALY is promoted by Italy’s Slow Medicine
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