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Key 2018 practice developments

Medicines safety issues (1)
Medicines safety issues (2)
Medicines safety issues (3)
Medicines safety issues (4)
New and updated guidelines
New drugs and therapies
Updates to key therapeutic topics (1)
Updates to key therapeutic topics (2)
Assessment questions

module menu icon Updates to key therapeutic topics (1)

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module menu icon Updates to key therapeutic topics (1)

Key therapeutic topics were updated in 2018 to support medicines optimisation. These include:

Non-steroidal anti-inflammatory drugs (NSAIDs) 

It is important to ensure:

  • NSAID prescribing is reviewed regularly to ensure it is appropriate, especially in older people and those who are at higher risk of gastrointestinal, renal and cardiovascular morbidity and mortality
  • The prescriber uses the lowest effective dose and shortest duration of treatment to control the symptoms. Ibuprofen (1,200mg a day or less) or naproxen (1,000mg a day
    or less) should be used
  • A proton pump inhibitor (PPI) is prescribed with the NSAIDs for people who have osteoarthritis or rheumatoid arthritis.

    • Type 2 diabetes 

    Guidelines for adults have been updated and now recommend:

  • Adopting an individualised approach to diabetes care assessing benefits and risks
  • Involving people with type 2 diabetes in decisions, including their HbA1c target
  • Reassessing individual needs and medicines at reviews, optimising prescribing in line with clinical circumstances, preferences and needs, as well as cost, by choosing medicines with the lowest acquisition cost if two in the same class are appropriate
  • Not routinely offering self-monitoring of blood glucose levels for adults.

    • Key 2018 practice developments

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