This is a serious list. We get conditioned on what we have and accept the untoward effects or inconveniences of the drugs in our armamentarium. These five tweaks would make our lives a helluva lot easier:
- A non-opiate pain reliever without the nasty side effects of an NSAID. By far and away, this is my number one.
- An oral insulin. Can you imagine how much easier life would be?
- A rapid-acting antidepressant that works. We (adult providers) neglect the limited functional abilities from cardiovascular or musculoskeletal disorders our patients live with. The problem is only getting worse. Imagine an accelerated resolution to mental health issues which invariably magnify and worsen the physical ones we have a hard enough time dealing with in the first place.
- A systemic anti-inflammatory that is not prednisone. We use that train wreck of a drug so often we forget what a horror show it is. Its list of side effects reads longer than the ingredient label on a Twinkie box.
- COPD drugs that do not require inhalation. One and done and just swallow. Wouldn’t that be a change?
- Bonus: Anti-obesity drugs with efficacy. And yes, they would have a place for inpatient practitioners–seeing as the obesity epidemic touches just about everyone on the wards with vascular disease.