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,...
Do not use benzodiazepines in elderly patients as a first choice for insomnia, agitation, delirium.
Anxiety, depression and insomnia are very frequent in the elderly population and often require pharmacological treatment. Benzodiazepines are still frequently prescribed in the elderly; however, they do have side effects, even severe ones, such as excessive sedation,...The campaign DOING MORE DOES NOT MEAN DOING BETTER – CHOOSING WISELY ITALY is promoted by Italy’s Slow Medicine
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