The requirements For picking Medication For the Patient

SINCE World war 2, medical science has progressed with a stage where competitive medications are around to treat exactly the same ailment in various people. This is simply not just about brands (that is a trade issue) but generic drugs (that is a scientific issue). With this report, we shall go through the various factors that decide your selection of a specific drug.

Safety: These sub-criteria have to be considered beneath the criterion of safety:

* Acute therapeutic index: If the patient’s condition is acute, how effective is really a particular drug even though it’s certain side-effects provided that the acuteness of the condition is lowered? Example: narcotic pain-killers are very effective in healing pain but include the possibility side-effect of addiction.

* Long-term safety: directory could possibly be safe in short-term treatment, but how safe it can be in long-term treatment? Example: antibiotics are acceptable in short-term treatment, but sometimes have undesirable effects in the case of prolonged use.

* Drug-drug interaction risk: Prescription medication is chemicals, and several chemicals reply to make a different chemical, that have an effect that could harm the individual or aggravate his/her condition. Example: A tricyclic anti-depressant and alcohol interact to make a new condition that warrants separate treatment.

Drug-drug interaction risk is of two types:

· Pharmacokinetic: In this type of drug-drug interaction, two drugs, outside of the other, have certain effects on one or higher body processes (e.g., metabolism) that affects the performance of the other. Example: Darvocet-N (propoxyphene and acetaminophen) inhibits the action of a liver enzyme that Lexapro (escitalopram) depends upon for its metabolism. This will cause more the side-effects of Lexapro.

· Pharmacodynamic: Here, several drugs actually generate the same relation to exactly the same organ, thus improving the total, added effect. Example: Lexapro has certain side-effects like drowsiness and fatigue. Darvocet-N also acts similarly about the brain. Thus, the side-effects of both medicines are more serious.

Tolerability: A medication could possibly be effective but not tolerable by all patients. Example: Allergies to particular drugs in most people. Short-term and long-term tolerability must be looked at. Efficacy: A medication just isn’t equally efficient at all patients. For example, some patients with depression or panic disorders experience relief from escitalopram, but there are several who don’t, who therefore must be prescribed another anti-depressant. The rate of onset of therapeutic action is a vital factor to be looked at too.

Cost: Cost does not necessarily mean the expense of acquiring some medicine alone. It must also cover the expense of treatment of a complication that could arise while using another drug. Example: In a individual that insists on taking alcohol yet has to be treated for depression is usually administered an SSRI drug because these drugs don’t potentiate the results of alcohol, whereas another band of anti-depressants (like tricyclics) might cause a whole new problem in such patients, which will require a different and expensive treatment. Therefore, it’s better to prescribe the more expensive escitalopram instead of a cheaper tricyclic in this patients.

Simplicity of treatment: The simplest mode of administration is preferred. When there is an option between a shot and oral administration, aforementioned is preferred in the event the efficacy of both modes is analogous. Or, local application is preferred to the oral route where possible; e.g., antibiotic treatment of eye infections. Dosage and frequency of administration too are key point to decide simple treatment.
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