Guide to Good Prescribing - A Practical Manual
(1994; 115 pages) [French] [Spanish] View the PDF document
Table of Contents
View the documentAcknowledgments
View the documentWhy you need this book
Open this folder and view contentsPart 1: Overview
Close this folderPart 2: Selecting your P(ersonal) drugs
View the documentChapter 2. Introduction to P-drugs
View the documentChapter 3. Example of selecting a P-drug: angina pectoris
Close this folderChapter 4. Guidelines for selecting P-drugs
View the documentStep i: Define the diagnosis
View the documentStep ii: Specify the therapeutic objective
View the documentStep iii: Make an inventory of effective groups of drugs
View the documentStep iv: Choose an effective group according to criteria
View the documentStep v: Choose a P-drug
View the documentChapter 5. P-drug and P-treatment
Open this folder and view contentsPart 3: Treating your patients
Open this folder and view contentsPart 4: Keeping up-to-date
Open this folder and view contentsAnnexes
View the documentBack Cover
 

Step i: Define the diagnosis

When selecting a P-drug, it is important to remember that you are choosing a drug of first choice for a common condition. You are not choosing a drug for an individual patient (when actually treating a patient you will verify whether your P-drug is suitable for that particular case - see Chapter 8).

To be able to select the best drug for a given condition, you should study the pathophysiology of the disease. The more you know about this, the easier it is to choose a P-drug. Sometimes the physiology of the disease is unknown, while treatment is possible and necessary. Treating symptoms without really treating the underlying disease is called symptomatic treatment.

When treating an individual patient you should start by carefully defining the patient’s problem (see Chapter 6). When selecting a P-drug you only have to choose a common problem to start the process.

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