Korean J Med.
2021 Jun;96(3):225-235. 10.3904/kjm.2021.96.3.225.
Guidelines for Safe Drug Use
- Affiliations
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- 1Division of Nephrology, Department of Internal Medicine, Chung-Ang University College of Medicine, Seoul, Korea
- 2Division of Gastroenterology, Department of Internal Medicine, Ewha Womans University College of Medicine, Seoul, Korea
- 3Research Agency for Clinical Practice Guidelines, Research Center, Korean Academy of Medical Sciences, Seoul, Korea
- 4Division of Infectious Disease, Department of Internal Medicine, Hallym University College of Medicine, Seoul, Korea
- 5Division of Pulmonary and Critical Care Medicine, Department of Internal Medicine, Ewha Womans University College of medicine, Seoul, Korea
- 6Division of Gastroenterology, Department of Internal Medicine, Incheon Sejong Hospital, Incheon, Korea
- 7Division of Hematology-Oncology, Department of Internal Medicine, Seoul National University Bundang Hospital, Seoul National University College of Medicine, Seongnam, Korea
- 8Division of Allergy and Clinical Immunology, Department of Internal Medicine, Seoul National University Bundang Hospital, Seoul National University College of Medicine, Seongnam, Korea
- 9Division of Hematology-Oncology, Department of Internal Medicine, Soonchunhyang University College of Medicine, Bucheon, Korea
- 10Division of Endocrinology, Department of Internal Medicine, Yonsei University College of Medicine, Seoul, Korea
- 11Division of Rheumatology, Department of Internal Medicine, College of Medicine, Kyung Hee University, Seoul, Korea
- 12Division of Geriatrics, Department of Internal Medicine, Yonsei University College of Medicine, Seoul, Korea
- KMID: 2516474
- DOI: http://doi.org/10.3904/kjm.2021.96.3.225
Abstract
- Background/Aims
In Korea, medications are available by prescription from a physician, or can be purchased over-the-counter (OTC) without a prescription. Education regarding both prescribed and OTC drugs is important to minimize side effects and avoid drug abuse. The risk of side effects due to polypharmacy is increasing due to the growing number of elderly patients with comorbidities.
Methods
There are various clinical guidelines for physicians, but it is difficult for patients and their caregivers to find published guidelines regarding drug use. In this regard, experts from nine subspecialties of internal medicine, geriatric medicine, and guideline development methodology formed a working group to develop guidelines for safe drug use under the Clinical Practice Guidelines Committee of the Korean Association of Internal Medicine.
Results
The main contents of this guideline are 1) safe and effective drug administration, 2) the proper use of analgesics (acetaminophen and nonsteroidal anti-inflammatory drugs), 3) the proper use of tranquilizers and sleeping pills to prevent drug abuse, 4) points to be aware of when taking multiple medications.
Conclusions
The guidelines were developed for patients and their caregivers to understand the general principles and precautions for drug use, including commonly used painkillers, mood stabilizers, sleeping pills, and polypharmacy. These guidelines could also be used as educational materials for physicians, nurses, and healthcare workers to educate patients and their caregivers.
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