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Prescription et délivrance raisonnées des IPP : patients, médecins et pharmaciens sont-ils prêts ?
Mémoire de Master / Thèse d'exercice   Open Access

Prescription et délivrance raisonnées des IPP : patients, médecins et pharmaciens sont-ils prêts ?

Marion Wery
Masters , Université de Montpellier
03/07/2023

Résumé

IPP Effets indésirables Acide Déprescription Estomac Pharmaciens Médecins Patients
The rational prescription and dispensing of PPIs is a major public health issue. Nearly a quarter of the French population was concerned in 2019 by the prescription of PPIs. These latter drugs are prescribed unnecessarily in 80% (source HAS) of cases of co-prescription of a PPI with an NSAID. However, PPIs can have serious side effects when taken over the long term.To explore these bibliographical results and identify courses of action for a more rational use of PPIs, I conducted a study to obtain the vision of the three people most involved in the prescription of a PPI: the patient, the doctor and pharmacist.The main result obtained is that each of these actors holds a share of responsibility in this overconsumption of PPIs and that they each have a role to play in the deprescription of PPIs.The pharmacist could play a key role in this collective approach, both for informing the patient about the adverse effects and the conditions for taking these drugs and for triggering a reflection on the part of the patient with his doctor when the treatment is prolonged beyond the initial duration of 8 weeks.

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