Transcription of STOPP START Toolkit
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STOPP START Toolkit
STOPP START Toolkit Supporting Medication Review STOPP : Screening Tool of Older People s Potentially Inappropriate Prescriptions START : Screening Tool to Alert Doctors to Right ( appropriate, indicated) Treatments Contents Introduction Gastrointestinal BNF Section 1 Cardiovascular System BNF Section 2 Respiratory System BNF Section 3 Central Nervous System and Analgesic Drugs BNF Section 4 Endocrine System BNF Section 6 Urogenital System BNF Section 7 Musculoskeletal System BNF Section 10 References STOPP : Screening Tool of Older People s Potentially Inappropriate Prescriptions 1 Prescriptions that are potentially inappropriate in persons aged 65 years of age START : Screening Tool to Alert Doctors to Right ( appropriate, indicated) Treatments 1 Medication that should be considered for people 65 years of age where no contraindications exist Introduction An evidence based approach to prescribing in the elderly A definition of medication review is a structured, critical examination of a patient s medicines with the objective of reaching an agreement with the patient about treatment, optimising the impact of medicines, minimising the number of medication-related problems and reducing waste.
Digoxin at a long-term dose >125microgram/day with impaired renal function (eGFR <50mL/minute) o increased risk of toxicity (e.g. nausea, diarrhoea, arrhythmias) levels can be taken (must be > 6 hours post dose) if there is a risk of toxicity and/or toxicity suspected Loop diuretic (e.g. furosemide, bumetanide)
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