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Letters Polypharmacy

Polypharmacy: thoughtful or random?

BMJ 2014; 348 doi: (Published 06 January 2014) Cite this as: BMJ 2014;348:g17
  1. Kit Byatt, consultant general physician and geriatrician1
  1. 1Hereford County Hospital, Hereford HR1 2ER, UK
  1. christopher.byatt{at}

Faced with a patient taking 10-15 prescribed drugs, it is never clear whether someone has spent a lot of time, thought, and discussion with the patient in choosing the best combination or various doctors have randomly added to the list for a variety of justifiable (or not) reasons.1

Without an audit trail of who decided what, why, and when, doctors …

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