Discover and read the best of Twitter Threads about #betterprescribing
Most recents (4)
THREAD: Online Portraits for BC family physicians
1/7 UBC’s Therapeutics Initiative now has Online #PrescribingPortraits: ti.ubc.ca/portrait
✅ Timely evidence
✅ Personalized, confidential prescribing data
✅ Recommendations to support
#BetterPrescribing & #BetterHealth
1/7 UBC’s Therapeutics Initiative now has Online #PrescribingPortraits: ti.ubc.ca/portrait
✅ Timely evidence
✅ Personalized, confidential prescribing data
✅ Recommendations to support
#BetterPrescribing & #BetterHealth
2/7 Why have a #PrescribingPortrait?
"How do I prescribe compared to others or to evidence standards?"
✅Portrait does NOT tell individual doctors how to practice
✅Portrait DOES promote optimal prescribing based on best available evidence
More here: ti.ubc.ca/portrait
"How do I prescribe compared to others or to evidence standards?"
✅Portrait does NOT tell individual doctors how to practice
✅Portrait DOES promote optimal prescribing based on best available evidence
More here: ti.ubc.ca/portrait
3/7 BC family physicians: How do you prescribe ACEIs and ARBs for #hypertension?
✅Register for your Online #PrescribingPortrait: ti.ubc.ca/portrait
✅View a sample portrait on prescribing of antihypertensives: ti.ubc.ca/2022/01/28/ace…
#BetterPrescribing #MedEd
✅Register for your Online #PrescribingPortrait: ti.ubc.ca/portrait
✅View a sample portrait on prescribing of antihypertensives: ti.ubc.ca/2022/01/28/ace…
#BetterPrescribing #MedEd
THREAD: How best to treat Urinary Tract Infections?
1/6 Our new TI Therapeutics Letter 135 describes the best approach for treating symptomatic, uncomplicated lower urinary tract infections (UTIs)
👉🏽ti.ubc.ca/letter135
#MedEd #FOAMed #UTIs #BetterPrescribing
1/6 Our new TI Therapeutics Letter 135 describes the best approach for treating symptomatic, uncomplicated lower urinary tract infections (UTIs)
👉🏽ti.ubc.ca/letter135
#MedEd #FOAMed #UTIs #BetterPrescribing
2/6 Use symptoms, not tests to diagnose UTIs:
Uncomplicated lower UTI can be diagnosed with > 90% probability if pt has 2 or more of dysuria, urgency, and frequency, and no vaginal discharge.
This is less reliably predicted for older women.
👉🏽ti.ubc.ca/letter135
#MedEd
Uncomplicated lower UTI can be diagnosed with > 90% probability if pt has 2 or more of dysuria, urgency, and frequency, and no vaginal discharge.
This is less reliably predicted for older women.
👉🏽ti.ubc.ca/letter135
#MedEd
3/6 No need to culture:
✅Fewer than 2% of urine cultures meaningfully impact choice of treatment or need for follow-up
✅Most guidelines recommend against culture for
symptomatic uncomplicated #UTIs
👉🏽ti.ubc.ca/letter135
#MedEd #BetterPrescribing #BetterHealth
✅Fewer than 2% of urine cultures meaningfully impact choice of treatment or need for follow-up
✅Most guidelines recommend against culture for
symptomatic uncomplicated #UTIs
👉🏽ti.ubc.ca/letter135
#MedEd #BetterPrescribing #BetterHealth
THREAD: Bring it down safely! ↘️💊
1/6 6⃣tweets about our new TI Therapeutics Letter 134: Finding the lowest effective dose for non-opioid #analgesics
👉🏾 Full Letter: ti.ubc.ca/letter134
#MedEd #medsafety #prescribing #BetterPrescribing
1/6 6⃣tweets about our new TI Therapeutics Letter 134: Finding the lowest effective dose for non-opioid #analgesics
👉🏾 Full Letter: ti.ubc.ca/letter134
#MedEd #medsafety #prescribing #BetterPrescribing
2/6 Consistent evidence that minority of pts get clinically meaningful pain relief from any dose of:
✅#Cyclobenzaprine (at best 1/4)
✅#Duloxetine (at best 1/6)
✅#Gabapentin / #Pregabalin (at best 1/6)
👉🏾ti.ubc.ca/letter134
#MedEd #ptsafety #BetterPrescribing #prescribing
✅#Cyclobenzaprine (at best 1/4)
✅#Duloxetine (at best 1/6)
✅#Gabapentin / #Pregabalin (at best 1/6)
👉🏾ti.ubc.ca/letter134
#MedEd #ptsafety #BetterPrescribing #prescribing
3/6 Gabapentin, pregabalin, duloxetine:
A 2021 Canadian systematic review found NNT (numbers needed to treat) of 6-7 for "clinically meaningful benefit" (defined as ≥30% reduction in pain or pain & function)
👉🏾ti.ubc.ca/letter134
#MedEd #BetterPrescribing #deprescribing
A 2021 Canadian systematic review found NNT (numbers needed to treat) of 6-7 for "clinically meaningful benefit" (defined as ≥30% reduction in pain or pain & function)
👉🏾ti.ubc.ca/letter134
#MedEd #BetterPrescribing #deprescribing
THREAD: #ExercisePrescriptions
1/5 The TI’s Dr. Josh Levin asks:
Clinicians, can you help your patients be more active? 🏃🏾♀️🏊🏾♂️ 🚶🏾♂️
👉🏾Watch Dr. Levin’s recent presentation: bit.ly/3nLCEje 👨🏾💻
#Exercise #prescribing #twitterRx
1/5 The TI’s Dr. Josh Levin asks:
Clinicians, can you help your patients be more active? 🏃🏾♀️🏊🏾♂️ 🚶🏾♂️
👉🏾Watch Dr. Levin’s recent presentation: bit.ly/3nLCEje 👨🏾💻
#Exercise #prescribing #twitterRx
2/5 #ExercisePrescriptions: How much activity should people get? It depends on their age.
👉🏾See the Canadian Society for Exercise Physiology activity guidelines for different age groups: csepguidelines.ca 🏊🏾♂️🏃🏾♀️🚶🏾
#Exercise #prescribing #twitterRx #BetterHealth
👉🏾See the Canadian Society for Exercise Physiology activity guidelines for different age groups: csepguidelines.ca 🏊🏾♂️🏃🏾♀️🚶🏾
#Exercise #prescribing #twitterRx #BetterHealth
3/5 Below is an example of an #ExercisePrescription 🏊🏾♂️🏃🏾♀️🚶🏾♂️
#Exercise #prescribing #twitterRx #BetterPrescribing
#Exercise #prescribing #twitterRx #BetterPrescribing
