Patients with Multiple Chronic Conditions — How Many Medications Are Enough?

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Abstract
How many medications are optimal for a patient with multiple medical problems? Prescribing too many increases the likelihood of side effects, drug interactions, and poor compliance. Prescribing too few may leave important conditions or symptoms untreated. Of course, there is no correct answer to such a simplistic question. However, in a provocative article in this issue of the Journal, Redelmeier and colleagues argue that physicians frequently undertreat patients with multiple chronic medical conditions.1 Redelmeier et al. conducted a clever study of all residents of Ontario, Canada, who were eligible to receive prescription medications free of charge as part of the . . .

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