free paracetamol
OtherGeneral Practitioners can prescribe paracetamol and the patient had to pick up the drug at the local hospital.
NCT Number: NCT02691754
Paracetamol is recommended as first line treatment for pain control in osteoarthritis, but it is not included in list of drugs than can be prescribed in charge of National Health System by General Practitioners. The hypothesis is that removing this economical barrier the investigators can decrease the prescription of NSAID and of the Proton Pump Inhibitors (PPI), often given for gastric bleeding prophylaxis in NSAID chronic users. As secondary outcome, opioids use was also monitored to see.
Aim of the study is to test if allowing prescription of free paracetamol decreases the prescription of NSAID in osteoarthritic patients.
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Notify Me65 year and older
All sexes
Interventional
Not applicable
The trial was conducted in two primary care units of the province of Reggio Emilia. The units have about 34.000 inhabitants. In this units 16 General Practitioners are active, the average beneficiaries per General Practitioner are 1500, about one fourth over 65 years old.
Healthy volunteers accepted: No
Only the study team can determine whether someone qualifies for participation.
Inclusion criteria
Exclusion critera:
General Practitioners can prescribe paracetamol and the patient had to pick up the drug at the local hospital.
Time frame: one year
Difference in defined daily dose (DDD) per patient between the control and the intervention
Time frame: one year
Difference in defined daily dose (DDD) per patient between the control and the intervention
Time frame: one year
Difference in defined daily dose (DDD) per patient between the control and the intervention
Azienda USL Reggio Emilia - IRCCS
Other Gov
A Cluster Randomised Trial to Measure the Impact of a Free Distribution of Paracetamol to Osteoarthritic Patients on Non-steroidal Anti-inflammatory Drugs (NSAID) and Proton Pump Inhibitors (PPI) Prescription
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