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Title: Using patient profiles to guide the choice of antihistamines in the primary care setting in malaysia: Expert consensus and recommendations
Authors: Baharudin, A.
Latiff, A.H.A.
Woo, K.
Yap, F.B.-B.
Tang, I.P.
Leong, K.F.
Chin, W.S.
Wang, D.Y. 
Keywords: Antihistamines
Patient profiling
Primary care
Issue Date: 2019
Publisher: Dove Medical Press Ltd.
Citation: Baharudin, A., Latiff, A.H.A., Woo, K., Yap, F.B.-B., Tang, I.P., Leong, K.F., Chin, W.S., Wang, D.Y. (2019). Using patient profiles to guide the choice of antihistamines in the primary care setting in malaysia: Expert consensus and recommendations. Therapeutics and Clinical Risk Management 15 : 1267-1275. ScholarBank@NUS Repository.
Rights: Attribution-NonCommercial 4.0 International
Abstract: H1-antihistamines are recognized to be effective for conditions such as allergic rhinitis and chronic spontaneous urticaria. However, management of such conditions in the real-world primary care setting may be challenging due to diverse patient-specific considerations, the wide range of antihistamines available, choice of other treatment modalities, and the complexity of interpreting specialist treatment algorithms. Despite regular updates to international guidelines, regional/national surveys of healthcare professionals show a clear gap between guidelines and real-world practice, particularly at the primary care level. This article thus presents the consensus opinion of experts from relevant specialties in Malaysia – allergology, pediatrics, otorhinolaryngology, and dermtology – on harmonizing the use and choice of antihistamines in primary care. Patient profiling is recommended as a tool to guide primary care practitioners in prescribing the appropriate antihistamine for each patient. Patient profiling is a three-step approach that involves 1) identifying the individual’s needs; 2) reviewing patient-specific considerations; and 3) monitoring treatment response and referral to specialists in more severe or difficult-to-treat cases. Concurrently, guidelct 3ines should be reviewed and updated periodically to include recommendations that are easily actionable for primary care practitioners. © 2019 Baharudin et al. terms.php and incorporate.
Source Title: Therapeutics and Clinical Risk Management
ISSN: 11766336
DOI: 10.2147/TCRM.S221059
Rights: Attribution-NonCommercial 4.0 International
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