SIDE EFFECTS OF DRUGS, WAYS TO AVOID THEM AND PREVENT DRUG-RELATED COMPLICATIONS
DOI:
https://doi.org/10.52340/jecm.2023.04.50Ключевые слова:
drugs, side effects, drug-related complications, START/STOPP criteriaАннотация
Adverse reactions to medications are one of the most common problems for doctors and are often the cause of hospitalization. More often, adverse side effects develop as a result of the use of the following pharmacological groups: oral anticoagulants, cardiac glycosides, oral hypoglycemic agents, statins, aspirin, paracetamol, amiodarone, antidepressants. The "START/STOPP" criteria, developed in Ireland in 2008 by 19 experts from 13 European countries, provide recommendations based on high scientific evidence on the dangers and risks associated with the use of drugs, pharmacological groups in clinical practice for various diseases and symptoms.
The main aspects of rational drug prescription are: making an appropriate diagnosis; consideration
of the pathophysiological results of the diagnosis; selection of a specific therapeutic strategy; Selection of a specific drug of choice; determining the appropriate dosage regimen; Developing a plan for monitoring the action of the drug and determining the course of therapy or treatment. The main directions of the best prescription and clinical practice are the selection of the most effective and harmless drug/drug combination, patient supervision, prevention of side effects of drugs and drug-related complications on the basis of periodic monitoring of appropriate ambulatory or instrumental examinations.
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