摘要：Medication overload persists for several reasons. One, particularly in America, is advertising, which oversells the benefits of me

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节选自：The_Economist_UK_Edition_-_April_29_2023

Medication overload persists for several reasons. One, particularly in America, is advertising, which oversells the benefits of medicines, says Dr Farrell. Lack of unified personal health records is another. A cardiologist may prescribe drugs for a patient without knowing what the doctor treating his lungs may have put him on.

药物过量的现象持续存在有诸多原因。法雷尔博士指出，首要原因之一是广告宣传过度夸大药物疗效，这一现象在美国尤为突出。其次是缺乏统一的个人健康记录系统——心脏科医生在为患者开具药物时，可能并不知晓肺病治疗医生已经为他开了什么药。

Perhaps the most common reason is that patients are not told when to stop taking a drug, or forget. In America one in five patients who are given gabapentin, a potent painkiller, after surgery are still taking it 90 days later (the recommended maximum is four weeks). Often prescriptions are renewed automatically by other doctors, who see them on a patient’s notes and assume they have to be continued.

最常见的原因或许在于：患者未被告知何时应停药，也容易忘记停药时机。数据显示，在美国术后使用强效止痛药加巴喷丁的患者中，五分之一在90天后仍在服用（建议最长使用期限为四周）。处方续签常由其他医生自动完成，当他们在患者病历中看到现有处方时，往往会默认需要继续维持用药。

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来源：萱滋教育