Hu Dayi: Do you need to put a bracket? Why prescribe so many expensive drugs (2)

Earlier we talked about the diagnosis of patients and why stents are not needed and how to prevent myocardial infarction.

Now let's analyze the excessive medical prescriptions that are too much to prescribe and too expensive.

First of all, patients who have stabilized coronary heart disease and have not undergone stent surgery obviously do not need to prescribe two antiplatelet drugs - aspirin and clopidogrel, which can save costs and, more importantly, reduce side effects. Pantoprazole, which prevents gastrointestinal bleeding, can also be subtracted.

Second, the patient's low-density lipoprotein before medication is not very high (3.23 mmol/L), and the effect of lowering LDL cholesterol with rosuvastatin 10 mg and ezezermaz 10 mg may be better than atorvastatin 80 mg (4 tablets of 20 mg, 8 tablets of 10 mg), which can reduce the LDL cholesterol to 1.8 mmol/L, or even 1.4 mmol/L or less. Why prescribe elojumab injections of thousands of yuan per bottle to patients at their own expense?

Third, trimetazide is an adjunctive drug for the treatment of angina, and the symptoms of the patient are not angina and are not necessary.

Fourth, the patient's abdominal discomfort is the same cause as chest discomfort – anxiety/depression. Ribapite is also not used.

Fifth, the cardiac network is of little use, the effect is not clear, can not be used!

Ask a psychiatrist to prescribe an anti-anxiety/depressive medication.

In short, reducing the six drugs not only greatly reduces the cost, especially the high-priced drugs that patients pay for themselves, but also greatly reduces the side effects of the drug.

An anxiolytic/depressive drug is added, and if it is used for about half a year, it can also be reduced as appropriate.

Encouraging patients to adhere to the 10,000-step route has both anxiolytic/depressive benefits and promotes collateral circulation.

Prescribe ten medicines at a time, what is the reason? The following multiple-choice questions:

1, will not cure the disease, random prescription of drugs; 2, incurable diseases; 3, sell drugs. (Select only one)