• Rationale and Comments

    New medications should not be initiated without taking into consideration patient compliance with their preexisting medication and whether their current dose is effective at controlling/treating symptoms. Medications are often prescribed to treat symptoms that are really side effects of other medications without determining if the preexisting medication is truly needed or could be discontinued.

    Sponsoring Organizations

    • American Society of Health-System Pharmacists


    • Expert consensus


    • Geriatric Medicine
    • Preventive Medicine


    • Schiff GD, et al. Promoting more conservative prescribing. JAMA 2009;301:865-7.
    • Schiff GD, et al. Principles of conservative prescribing. Arch Intern Med. 2011;171:1433-40.
    • Shane, R and Abramowitz, PW. Choosing Wisely: Pharmacy’s role in effective use of medications. Am J Health-Syst Pharm. 2015; 72:1529-30. doi.org/10.2146/ajhp150324.