Multiple Chronic Conditions Blog

Safe Prescribing - Rely on the Evidence

Monday, 08 October 2018 07:39 / by Dr Kim Kuebler

Science changes daily and influences clinical practice and prescribing patterns. Test your knowledge on new and older data. What is effective and safe. Did you know:

  • Daily Aspirin is NOT recommended in routine practice. The highest benefit from daily low-dose aspirin use should be considered in people 50-59 years of age with a 10% or greater risk of cardiovascular disease. Daily aspirin should be cautioned in people 60 and older without cardiovascular risk factors. Risk for GI bleeding and intercranial hemorrhage increase with age. The evidence to support daily aspirin use in people younger than 50 and older than 60 is weak.  U.S. Preventative Services Task Force
  • Vitamin D Supplements are NOT effective in strengthening bone, prevent risk of fracture or fall. Multiple studies have reported similar results. There is now a call to update clinical practice guidelines that Vitamin D supplements have little benefit on bone health. Exposure to sunlight, intake of Vitamin D enriched foods such as dairy products are enough. Ongoing evaluation of vitamin D laboratory analysis is unnecessary. The Lancet Diabetes and Endocrinology, Effects of Vitamin D Supplementation on Musculoskeletal Health
  • Vitamin and Supplement use are NOT recommended without communicating with a healthcare provider. Many supplements contain ingredients causing unsafe biologic effects and increase risk vs. benefit. Dietary supplements are not intended to treat, diagnose, cure or alleviate the effects of disease. Dietary supplements are unsafe when combining with medications or substituting in place of prescribed medicines leading to harmful, even life-threatening results. U.S. Food and Drug Administration: Dietary Supplements
  • Fish Oil supplementation does NOT prevent heart attacks, stroke, lower cholesterol or improve health benefits. A recent review of multiple studies has shown no significant benefit from fish oil. Fish oil has been shown to increase the risk of prostate cancer in men.  Cochrane Review: Evidence Challenges Belief that Omega 3 Supplements Reduce Risk of Heart Disease, Stroke or Death. Harvard Medical School: High Intake of Omega-3 Fats Linked to Increased Prostate Cancer

Remain current and informed on best practices
Multiple Chronic Conditions Resource Center

Dr Kim Kuebler

Dr Kim Kuebler

Dr. Kim Kuebler, DNP, APRN, ANP-BC, Founder and Director of Multiple Chronic Conditions Resource Center, CEO Advanced Disease Concepts LLC, Savannah, GA. Primary Care Provider, Veterans Affairs Southern Oregon Rehabilitation Center & Clinics, Grants Pass Community-based Outpatient Clinic