Under the leadership of the Canadian Pharmacists Association we are excited to announce the release of 6 new recommendations of tests, treatments or procedures to question:
- Don’t use a medication to treat the side effects of another medication unless absolutely necessary.
- Don’t recommend the use of over-the-counter medications containing codeine for the management of acute or chronic pain. Counsel patients against their use and recommend safe alternatives.
- Don’t start or renew drug therapy unless there is an appropriate indication and reasonable expectation of benefit in the individual patient.
- Don’t renew long-term proton pump inhibitor (PPI) therapy for gastrointestinal symptoms without an attempt to stop or reduce (taper) therapy at least once per year for most patients.
- Question the use of antipsychotics as a first-line intervention to treat primary insomnia in any age group.
- Don’t prescribe or dispense benzodiazepines without building a discontinuation strategy into the patient’s treatment plan (except for patients who have a valid indication for long-term use).
See Six Things Pharmacists and Patients Should Question to view the full list, including a rationale and references for each recommendation.
We encourage you to share broadly and thank you for your continued engagement in the Choosing Wisely Canada campaign!