Don’t routinely prescribe lipid-lowering medications in people aged 80 years and over especially for primary prevention of cardiovascular disease; don’t use statins in elderly patients with severe frailty
Given the limited high quality evidence and documented statin adverse effects (including myopathy, medication interactions and new onset diabetes) main cardiologic guidelines do not recommend statin therapy for primary prevention in people aged 80 years and over. The...
Don’t prescribe a medication without conducting a drug regimen review (medication reconciliation)
The prevalence of polypharmacy in old age (commonly defined as the use of 5 or more drugs) is on the rise in high income countries. In Italy, the proportion of people 65 years of age and older prescribed five or more medications rose from 43% to 53% between 2000 and...
DON’T routinely DISCONTINUE antiplatelet agents in oral surgical procedures and DON’T REPLACE them with low molecular weight heparins
DON’T routinely DIThe intra / post-operative hemorrhagic risk in patients treated with oral antiplatelet agents is significantly lower than the potential cardiac and vascular complications resulting from treatment suspension. In accordance with the recommendations of...
DON’T routinely PRESCRIBE antibiotic in patients undergoing dental extractions
In case of low-complexity tooth extractions and in absence of infectious risk conditions, antibiotics should not be indiscriminately prescribed. However, it is recommended to adopt local antiseptic measures (antiseptics mouthwashes, sprays or gels) before and after...The campaign DOING MORE DOES NOT MEAN DOING BETTER – CHOOSING WISELY ITALY is promoted by Italy’s Slow Medicine
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