Ahmad,
We agree, mostly.
>Yeah, right, but restricting the 70 odd NSAIDs to, say, 10? would go a
>long way.
But which NSAID is less of a problem than the question of should an NSAID be
prescribed at all. Your flirtation with EBM indicated that paracetamol
rather than an NSAID was the first choice drug for OA.
>That meltdown will happen first in areas where you desperately least
>want it to happen. Inner cities.
Now you're making me feel guilty, I've just sent a letter offering my
services to loads of GP's but avoided the inner cities and single handers.
IME dealing with groups of GPs is relatively easy, tell them what you are
going to talk about and they'll revise it first. It usually a matter of just
introducing the subject, and they can sort it out between them. I just act
as a catalyst.
Searching for information is also easier if its on the practice computer.
Dealing with a single GP that writes most of their prescriptions, and has
notes in a code known only to them scares me. Maybe if I could get a group
of say three or so together.......
Regards
Jeff Green
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Community Locum and Prescribing Support Pharmacist
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