Module 4: Therapeutics

Lesson 2

Prior to CDS prescribing

• Before prescribing a CDS, it is important to ensure that a comprehensive assessment and medication reconciliation has been carried out and documented. Some additional considerations include:
  • Are other CDS being used currently?
  • Is a taper of the other CDS warranted?
  • Is there risk (safety/addiction)?
• Perform CDS risk screening and establish baseline.
• Collaborate with the patient regarding the prescription.
  • Explain the benefits, adverse effects, complications, and risks, including:
    • What treatment success looks like.
    • The overall plan of care:
      • A treatment agreement that specifies the expectations of both the patient and prescriber
      • The terms of a medication trial (when it starts; what the medication and dose is; whether there will be titration; when to taper or discontinue)