Discover and read the best of Twitter Threads about #Polypharmacy
Most recents (8)
1) Welcome to a 🆕#accredited #tweetorial from @cardiomet_CE! Earn 0.5hr 🆓 CE/#CME by following this 🧵. Our expert faculty is Sanjiv J Shah MD @HFpEF, Cardiologist & Director, Northwestern HFpEF Program (hfpef.org). Director of Research, @NMCardioVasc
#FOAMed
#FOAMed
1b) .@HFpEF will be sharing the algorithm he uses to treat #HFpEF based on evidence we have thus far and his anecdotal experience treating patients over the past 16 years in the @NMCardioVasc HFpEF Clinic.
#CardioTwitter #MedEd @MedTweetorials #HeartFailure
#CardioTwitter #MedEd @MedTweetorials #HeartFailure
2) CE/#CMEcredit for #physicians #physicianassociates #nurses #nursepractitioners #pharmacists 🇺🇸🇨🇦🇬🇧🇪🇺.
Statement of accreditation and faculty disclosures at cardiometabolic-ce.com/disclosures/.
FOLLOW US for accredited programs in #cardiometabolic space delivered wholly on Twitter!
Statement of accreditation and faculty disclosures at cardiometabolic-ce.com/disclosures/.
FOLLOW US for accredited programs in #cardiometabolic space delivered wholly on Twitter!
🧵 Reducing #PrescribingCascades ⬇️
1/ What are #Prescribing Cascades?
1⃣ A drug is prescribed 💊
2⃣ #AdverseEvent occurs but is misinterpreted as a new medical condition ⚠️
3⃣Another drug is prescribed for the drug-induced adverse event 💊💊
ti.ubc.ca/letter138 #MedEd
1/ What are #Prescribing Cascades?
1⃣ A drug is prescribed 💊
2⃣ #AdverseEvent occurs but is misinterpreted as a new medical condition ⚠️
3⃣Another drug is prescribed for the drug-induced adverse event 💊💊
ti.ubc.ca/letter138 #MedEd
2/ Anticholinergics ➡️ cognitive dysfunction ➡️ drugs for #dementia
#Anticholinergic 💊 block acetylcholinergic neurotransmission in the brain, impairing cognition & memory
Can lead to new Rx or ↗️ acetylcholinesterase inhibitor doses
ti.ubc.ca/letter138 #MedEd #FOAMed
#Anticholinergic 💊 block acetylcholinergic neurotransmission in the brain, impairing cognition & memory
Can lead to new Rx or ↗️ acetylcholinesterase inhibitor doses
ti.ubc.ca/letter138 #MedEd #FOAMed
3/ Drugs for #dementia ➡️ incontinence ➡️ anticholinergics
Conversely, AChE-I can cause urinary or fecal incontinence, that may "cascade" to prescription of an #anticholinergic
👉🏽 full Letter here: ti.ubc.ca/letter138
#MedEd #PrescribingCascades #MedTwitter
Conversely, AChE-I can cause urinary or fecal incontinence, that may "cascade" to prescription of an #anticholinergic
👉🏽 full Letter here: ti.ubc.ca/letter138
#MedEd #PrescribingCascades #MedTwitter
Lovely to see @l_whyte at the #bgsconf today in Glasgow!
Lots of great work in @NHSLanarkshire on #Frailty and their work as a community multidisciplinary team. 👏👏
Lots of great work in @NHSLanarkshire on #Frailty and their work as a community multidisciplinary team. 👏👏
There is research evidence to back up what’s being done. GPs and Primary Care Teams can do this, but don’t have time so having the MDT is working well.
#bgsconf
#bgsconf
I got a degree in Clinical Psychopharmacology after getting my license to practice as a Doctor of Psychology because I started working w/older adults who struggled emotionally AND were prescribed a TON of meds. Something wasn’t right. I had to know more. @division_55 1/7
Not only did i learn basic clinical medicine, pathophysiology, review of systems, lab workups, etc.. but also learned about effects of drug-drug, drug-disease interactions on mood, mind, behaviors, and stress. One tool i still find useful is the #BeersCriteria (not etoh..lol) 2/7
Here’s a link to 2020 Updated from 2015 guidelines from @aafp aafp.org/afp/2020/0101/… Inappropriate Medication Use in Older Adults. If you have an older adult in your life, check their med-list. You’ll be surprised. Or maybe not. Here are “key points of practice”: 3/7
Gonna highlight some of this article in a thread. Thank you @headdock et al. This is a must read for those interested in drug death crisis. #polypharmacy and #polydrug is the problem #notjustopioids
dovepress.com/the-polysubsta… @apadivision50 @division_55 @APADiv28
1/5
dovepress.com/the-polysubsta… @apadivision50 @division_55 @APADiv28
1/5
“It is time to take the blinders off. It is time for everyone – clinicians, legislators, insurers, media, family members, and all others, including the general public – to recognize the complexities of the issues surrounding the crisis of polysubstance overdose deaths.” 2/5
“The terms “opioid-induced respiratory depression” and “opioid-overdose death” are outdated, as they fail to reflect current realities and only further continue the errant notion of simplicity. They should be abandoned for the more accurate and clinically-helpful terms” like..3/5
THREAD: Ten Commandments for patient-centred treatment 🧾
1/11 A TI Tweetorial on the “Ten Commandments’ of the New Therapeutics
Revisiting timely words of medical wisdom from the BMJ
bjgp.org/content/65/639…
#MedEd #prescribing
1/11 A TI Tweetorial on the “Ten Commandments’ of the New Therapeutics
Revisiting timely words of medical wisdom from the BMJ
bjgp.org/content/65/639…
#MedEd #prescribing
2/11 1st Commandment:
Thou shalt have no aim except to HELP patients, according to the GOALS they wish to achieve 👩⚕️
bjgp.org/content/65/639…
Shared decision-making lessons from @LessIsMoreMed: lessismoremedicine.com/hands-on
#MedEd #TreatmentGoals
Thou shalt have no aim except to HELP patients, according to the GOALS they wish to achieve 👩⚕️
bjgp.org/content/65/639…
Shared decision-making lessons from @LessIsMoreMed: lessismoremedicine.com/hands-on
#MedEd #TreatmentGoals
3/11 2nd Commandment:
Thou shalt always seek knowledge of BENEFITS, HARMS, COSTS of treatment & share this knowledge at all times
bjgp.org/content/65/639…
Try these:
ti.ubc.ca/therapeutics-l…
@thenntgroup
medi-mouse.com
pac.bluecross.ca/pharmacycompass
#MedEd #ptsafety
Thou shalt always seek knowledge of BENEFITS, HARMS, COSTS of treatment & share this knowledge at all times
bjgp.org/content/65/639…
Try these:
ti.ubc.ca/therapeutics-l…
@thenntgroup
medi-mouse.com
pac.bluecross.ca/pharmacycompass
#MedEd #ptsafety
Here's a sample of what we spoke about at #adisorder4everyone in Cumbria:
1. @medsconsult and @recover2renew read 'Cracked' by James Davies (now @CEP_UK ) when published 2013
1. @medsconsult and @recover2renew read 'Cracked' by James Davies (now @CEP_UK ) when published 2013
2. @medsconsult volunteered to help to compile the #unrecognisedfacts document for 2014 launch of @CEP_UK
cepuk.org/wp-content/upl…
cepuk.org/wp-content/upl…
@medsconsult @CEP_UK 3. We have collaborated voluntarily with the @TheBMA 's Board of Science to provide real patient experiences of prescribed drug dependence and withdrawal, leading to the BMA ‘call for action’ for support for affected individuals in October 2016
bma.org.uk/collective-voi…
bma.org.uk/collective-voi…
1. Pity that the @rtenews focus on the @IMO_IRL deal on FEMPI restoration is on extension of the GMS to 6-12 when that is not actually agreed, just an agreement to negotiate. Misses really key positive elements
2. €2 million funding for GPs working in high deprivation areas like @deepend_ireland A major step for the health service in recognising the need to address #healthinequalities deepend.ie
3. GP support to implement an Individual Health Identifier. Needed to unlock the potential of data for research that can drive improved patient care @hrbireland @astaines
