Avoid the use of non-steroidal anti-inflammatory drugs (NSAIDs) in patients suffering from hypertension, cardiac insufficiency or chronic kidney disease – whatever their cause (including diabetes).
Numerous drugs can cause renal insufficiency, or facilitate its progression, so they should be used with particular caution. The so-called NSAIDs (non-steroidal anti-inflammatory drugs) are the most often used painkillers (e.g. nimesulide, ketoprofen, diclofenac,...
Do not administer erythropoiesis stimulating agents (ESA) to patients with chronic kidney disease (CKD) and spontaneous hemoglobin levels between 10 and 11 g/dL with no symptoms of anemization. The same applies to patients who have not been tested for blood ferritin levels and transferrin saturation, at least.
The target of 10-11 gr/dL of hemoglobin has been identified in patients with chronic kidney disease (CKD) as the hemoglobin level associated with a lower risk of complications, particularly for the cardiovascular system. It is also pointless to administer ESA without...
Do not prescribe antihistamines for preventing asthma in children.
The use of antihistamines is not recommended for preventing asthma in children. The goals of asthma treatment are to achieve symptoms control and reduce risk of exacerbations. Antihistamines are recommended only in patients with asthma and associated allergic rhinitis...
Do not use salmeterol in children with acute asthma.
In children with acute asthma, long-acting beta2-agonists (LABAs) are not recommended, because of slow onset of action (10-20 minutes). Clinical data on safety in children are really limited. Moreover, in children with acute asthma salmeterol monotherapy increases the...The campaign DOING MORE DOES NOT MEAN DOING BETTER – CHOOSING WISELY ITALY is promoted by Italy’s Slow Medicine
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