Shakib Sepehr, George Alison
Department of Clinical Pharmacology, Royal Adelaide Hospital, University of Adelaide, South Australia.
Aust Fam Physician. 2003 Dec;32(12):995-7.
For many patients, the initial prescription is only the beginning of the prescribing process, with the prescription needing to be repeated, sometimes for the life of the patient.
This article discusses the factors to consider when reviewing a patient for a repeat prescription and some approaches to long term pharmacotherapy.
When writing repeat prescriptions it is important to take time to consider the physiological changes of aging, emergence of new contraindications in the patient, emergence of new evidence regarding drug therapy, and whether it is appropriate to consider drug withdrawal. The role of the pharmacist in the prescribing process, particularly in performing home medicine reviews, is also briefly discussed.
对于许多患者而言，初始处方仅仅是开药过程的开端，该处方有时需要在患者的一生中反复开具。
本文讨论了在审核患者的重复处方时需要考虑的因素以及一些长期药物治疗的方法。
在开具重复处方时，花时间考虑衰老带来的生理变化、患者新出现的禁忌证、药物治疗新证据的出现以及是否适合考虑停药，这些都很重要。还简要讨论了药剂师在开药过程中的作用，尤其是在进行家庭用药评估时的作用。
