Prescriptions

It is worth emphasising that prescribing medicine is a relatively complex skill that requires considerable knowledge of the disease, patient's expectations, the drugs prescribed, their interactions and their adverse reactions. Part of this skill is making a decision not to prescribe medication when it is not absolutely necessary and then explaining the reasons and including non-pharmacological measures. This decision may be made in the context of a patient expecting a biochemical solution for his or her problem. As McAvoy points out, 'If in doubt whether or not to give a drug—don't'. 1

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