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Using Patient Profiles To Guide The Choice Of Antihistamines In The Primary Care Setting In Malaysia: Expert Consensus And Recommendations
- Source :
- Therapeutics and Clinical Risk Management. 15:1267-1275
- Publication Year :
- 2019
- Publisher :
- Informa UK Limited, 2019.
-
Abstract
- H1-antihistamines are recognized to be effective for conditions such as allergic rhinitis and chronic spontaneous urticaria. However, management of such conditions in the real-world primary care setting may be challenging due to diverse patient-specific considerations, the wide range of antihistamines available, choice of other treatment modalities, and the complexity of interpreting specialist treatment algorithms. Despite regular updates to international guidelines, regional/national surveys of healthcare professionals show a clear gap between guidelines and real-world practice, particularly at the primary care level. This article thus presents the consensus opinion of experts from relevant specialties in Malaysia - allergology, pediatrics, otorhinolaryngology, and dermtology - on harmonizing the use and choice of antihistamines in primary care. Patient profiling is recommended as a tool to guide primary care practitioners in prescribing the appropriate antihistamine for each patient. Patient profiling is a three-step approach that involves 1) identifying the individual's needs; 2) reviewing patient-specific considerations; and 3) monitoring treatment response and referral to specialists in more severe or difficult-to-treat cases. Concurrently, guidelct 3ines should be reviewed and updated periodically to include recommendations that are easily actionable for primary care practitioners.
- Subjects :
- Treatment response
medicine.medical_specialty
Chemical Health and Safety
Referral
Health professionals
business.industry
Expert consensus
General Medicine
Primary care
030204 cardiovascular system & hematology
medicine.disease
03 medical and health sciences
0302 clinical medicine
Otorhinolaryngology
Patient profiling
Treatment modality
Medicine
Pharmacology (medical)
030212 general & internal medicine
Medical emergency
General Pharmacology, Toxicology and Pharmaceutics
business
Safety Research
Subjects
Details
- ISSN :
- 1178203X
- Volume :
- 15
- Database :
- OpenAIRE
- Journal :
- Therapeutics and Clinical Risk Management
- Accession number :
- edsair.doi...........3e1a8955ddea11e458cc1916fc45439d