Wk 17: Prescribing + deprescribing

Question 1

What is the CSM warning for quinolones?

Answer 1

• Induce convulsions w/ or w/o hx of convulsion esp w/ NSAIDs
• Tendon rupture w/in 48hrs

Question 2

What is the 7 steps medication review?

Answer 2

• Step 1: Aim - of therapy
• Step 2: Need - identify essential drugs
• Step 3: Need - verify each drug is achieving goal
• Step 4: Effectiveness - most effective for indication
• Step 5: Safety - risk of ADRs
• Step 6: Efficiency - cost
• Step 7: Patient centered

Question 3

Which drugs must you discuss with the consultant before stopping?

Answer 3

• Diuretics in LVSD
• Acei in LVSD
• Steroids
• HR controlling drugs

Question 4

Which drugs are poorly tolerated in frail adults?

Answer 4

• Antipsychotics
• NSAIDS
• Digoxin
• Benzodiazepines
• Anticholinergics
• Combination analgesics