Hot story :Sometimes Doctor is wrong

Sometimes, doctor prescribe wrong drug because contraindication or ineffective drug in some disease.

Example.
I am Myocardial infarction patient.

RX
Aspirin 60 mg per day.
Isosorbide 10 mg 4 times a day.
propanolol 10 mg one pill per day.

In this case doctor is clearly wrong.

Fact untold story.
65 % of Heart failure patient have wrong drug from doctor.
45 % of Myocardial infarction have inappropiated medications.

If Doctor orders appropiated drug the mortality decreased more than 40%.

Pharmacist can help doctor to select appropiated drug.

True order is
Aspirin 81 mg OD
atenolol 50 mg OD
Isodril 5 mg SL prn
enalapril 10 mg BID

Appropriated drug means drug of choice or the best drug for patient in specific conditions.
You can see drug therapy plan in clinical practice guideline.

Example

In baby, drug of choice for fever is paracetamol.

In Diabetic nephropathy or Chronic Kidney Disease, drug of choice for protects kidney is ACEI drug group such as enalapril.

Sometimes appropriated drugs depend on clinical practice guideline.