David. Criteria usually due to finacial criteria, some due to side-effects, as well as recommendations by various committees. Inhaled steroids has no restrictions (except for Pulmicort Respules). What does have a restriction is long acting Bronchodilators (Oxis, Serevent) and combinations of long acting Bronchodilators with steroids (Symbicort, Seretide). The patient scenario I frequently experience has not got Asthma, has never had Asthma. They go to Dr. Complaining of a 2-3 week cough. Gets given Antibiotics + Symbicort or Seretide.
Cedric -----Original Message----- From: [EMAIL PROTECTED] [mailto:[EMAIL PROTECTED] On Behalf Of David Guest Sent: Wednesday, 14 February 2007 4:37 PM To: General Practice Computing Group Talk Subject: Re: [GPCG_TALK] Cough Cedric Meyerowitz wrote: > As recent as 2 days ago I saw a patient: On a weekend went to an > accredited practice because of his cough. No history of asthma & on > no puffers. Left the surgery with prescription for an antibiotic and > a Symbicort Turbihaler. The NPS, Medicare, etc. has spend millions > educating about PBS, RB & Authorities. All good medical software displays these indications. Yet the > GP's ignore these instructions displayed on their screen. Yet Doctors who > are suppose to be the cream of intellegence never listens or reads - > even if it is displayed in front of their eyes on a PC screen, > otherwise how can some GP's prscribe drugs on the PBS if patients > don't qualify ? This is not an isolated case. Not only myself, but a > lot of other GP's find exactly the same on a very frequent bases. > Maybe the practice uses a program that allows a prescription to be > generated in a millisecond - like I see some people brag about. > I had a seventeen year old boy die of asthma under my care. I now have a low threshold for prescribing episodic inhaled steroids. Is the reason for the PBS restriction just on financial criteria? http://www.ncbi.nlm.nih.gov/entrez/query.fcgi?cmd=Retrieve&db=PubMed&list_ui ds=10796596&dopt=Citation http://www3.interscience.wiley.com/cgi-bin/abstract/57316/ABSTRACT?CRETRY=1&; SRETRY=0 http://pt.wkhealth.com/pt/re/adch/abstract.00000740-199504000-00009.htm;jses sionid=FSbJRGDsH45ln2FHjMVNksnZQHMB3JnhR8lFkHsQmnvZgGtQL7V8!736553971!-94985 6145!8091!-1 David _______________________________________________ Gpcg_talk mailing list [email protected] http://ozdocit.org/cgi-bin/mailman/listinfo/gpcg_talk _______________________________________________ Gpcg_talk mailing list [email protected] http://ozdocit.org/cgi-bin/mailman/listinfo/gpcg_talk
