10 Commandments of Polypharmacy Part 2 of 2
Real Life Pharmacology - Pharmacology Education for Health Care Professionals
Eric Christianson, PharmD; Pharmacology Expert and Clinical Pharmacist
4.9 • 773 Ratings
🗓️ 2 May 2024
⏱️ 18 minutes
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Summary
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Here is part 2 of 2 on the final 5 of the 10 commandments of polypharmacy.
6. Thou shalt identify limits for medications not intended for chronic use as well as not continue a medication indefinitely for symptoms that have an expected short duration
7. Thou shalt not start a medication from a similar medication class without appropriate rationale
8. Thou shalt not initiate a medication without considering medications that may treat duplicate conditions – Kill two birds with one stone
9. Thou shalt consider eliminating or reducing medications at every medication review
10. Thou shalt be willing to accept risk in discontinuing a medication if they were willing to accept the risk of initiating a medication
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Transcript
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| 0:00.0 | Hey, healthcare friends. Do you dread doing your notes every day? Do you feel like you can never get ahead of charting? |
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| 0:50.4 | Well, today we've got part two of the Ten Commandments of Polypharmacy, and I'm going to cover my last |
| 1:00.1 | five commandments, commandments six through ten. So just a little bit of a background. I put together |
| 1:08.7 | these commandments to really help people identify ways to |
| 1:14.0 | reduce medications. And it's a ongoing challenge. The statistics show that more and more |
| 1:21.9 | patients are being put on more and more medications over the years, and Polypharmacy is growing, and it's going to be an issue |
| 1:29.9 | for the foreseeable future. |
| 1:32.5 | So with that said, let's get into some of the commandments here. |
| 1:36.7 | So number six, thou shall identify limits for medications not intended for chronic use, |
| 1:45.9 | as well as not continue medication indefinitely for symptoms that have an expected short duration. |
| 1:53.4 | So that's a little bit of a mouthful. |
| 1:55.8 | But I'll provide you some examples here. |
| 1:58.9 | So a classic example is DVT. |
| 2:03.6 | So sometimes for DVT treatment, that DVT can be caused by a certain situation, |
| 2:10.9 | whether it be immobility or medication or cancer, that type of thing. |
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