On Tue Jun 26  9:20 , Ken Harvey <[EMAIL PROTECTED]> sent:


>Long-acting benzodiazepines, amitriptyline, amiodarone, oxybutynin and 
>doxepin were the medicines most commonly implicated. Strategies to 
>support quality prescribing of medicines to the elderly must include a 
>focus on these medicines.
How did they define inappropriate?
I'd accept long-acting benzos and, at a push, doxepin, being inappropriate ipso 
facto.
But for the others I can think of valid reasons why you would prescribe.
In fact, this "don't use old drugs" stuff can go too far, I see people on all 
sorts 
of bizarre SSRI combinations nowadays, but never tasted tricyclic....

Back to the topic: a pop-up reminder is just going to be annoying and get 
turned 
off/ignored, unless it's linked to more detailed decision-support for a 
particular 
contra-indication.
(in other words, only if it's bringing new information to the doctor's 
attention)
Just using the computer to make a blanket political statement about how the 
powers 
that be don't like the drug in general is mis-use of the technology IMHO.

Ian 

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