Polypharmacy or “The more, the better?”
What is polypharmacy?
Polypharmacy is the appointment of several drugs at the same time. So the term is described in the “Small Medical Encyclopedia” M .: 1991-96. Often, the lists are impressive and unjustified. At the international level, there is no clear definition of how many drugs are considered polypharmacy.
By the order of the Ministry of Health and Social Development of the Russian Federation of November 22, 2010 N 1022: On approval of the Procedure for the provision of honey. assistance to the population on the profile of “Clinical Pharmacology” given this definition. Polypharmacy is considered the simultaneous treatment of a patient with five or more drugs. With a course of treatment – the appointment of more than 10 drugs. You need to understand that even 2 drugs are already interacting with each other. The principle “the more the better” can upset the patient with adverse side effects.
Polypharmacy is becoming an acute problem in the modern world. In the field of creating new drugs is rapidly developing. Pharmaceutical companies are actively promoting drugs to the masses. People are increasingly self-medicating, as many drugs are available over-the-counter. If the patient has several concomitant diseases, then this leads to the simultaneous treatment of a number of ailments. This inevitably leads to the appointment of many drugs – polypharmacy.
Of course, there are clinical cases when polypharmacy is the only solution to problems. For example, if the patient has a serious illness, old age with concomitant pathologies that are in intensive care.
But often polypharmacy is used unreasonably in the treatment. Some are guided by the idea that it is better to play it safe, take a few drugs like that, just in case. Others, for example, use a whole list of drugs to get rid of dysbiosis. Third, a large number of funds are trying to increase immunity.
Types of polypharmacy
So: according to global standards, polypharmacy happens:
small (simultaneous administration of 2-4 drugs),
large (simultaneous administration of 5-9 drugs),
excessive (prescribing 10 or more drugs).
It is also divided according to the principle of the need for treatment:
reasonable. The doctor turns to her if it is impossible to cure a patient without a combination of a number of certain groups of drugs.
unreasonable. We have already examined this case above.
Who is to blame for the senseless polypharmacy
I believe that everyone is to blame. Only one side cannot be distinguished here. Therefore, the list of guilty people includes: doctors, patients themselves, farm. company advertising. Advertising agencies can still be understood. They face the main task so that as many people as possible know about the product and they buy it. Polypharmacy is increasingly taking place. This is due to the illiteracy of doctors and patients. The situation is aggravated by the myth that vitamins and herbs are supposedly not considered. Commercial goals play a role here, the doctor’s fear of appearing inexperienced in the eyes of the patient. Many patients think that the more medications prescribed by a doctor, the smarter he is. For some reason, people do not trust the doctor, who recommends walking in the fresh air, more often ventilate the room. But the endless list of drugs from the doctor makes a person think about his professionalism.
Another important detail is silence. Some patients do not specifically say which medications they take other than prescribed. Others simply forget to warn the doctor about this. Some doctors themselves make a mistake when they do not consider what the patient is treated at home.
In simple words, drugs react with each other. The more they are in the course of treatment, the more difficult it is to predict the result. Some tools enhance the actions of others, and some are completely incompatible. Side effects can occur under different circumstances of polypharmacy.
The question is, when does the doctor prescribe one medicine for you – is it bad? Some may not prescribe any medications at all, but prescribe a diet, hardening, moisturizing the skin, and airing the room. Is this always an indicator of the illiteracy of a specialist?