Rational Prescribing: A Skill We Don’t Talk About Enough

During clinical postings, one thing I’ve started paying more attention to is how medicines are prescribed in real practice.

Prescribing isn’t just about selecting a drug for a diagnosis. It’s about making sure the therapy actually makes sense for that specific patient.

In wards, we often come across:

  • medications continued without indication
  • long prescriptions that haven’t been reviewed in months
  • prolonged antibiotics or PPIs
  • unnecessary supplements
  • duplicate therapies

These things don’t always happen intentionally — they build up over time.

That’s why rational prescribing is important. It simply means using:

  • the right drug
  • at the right dose
  • for the right duration
  • with clear indication

Sometimes it also means reducing or stopping medicines, not adding more.

Even small checks during case reviews, like asking “Is this drug still needed?” — can improve safety, adherence, and overall outcomes.

As healthcare students and professionals, developing this habit early helps us think more clinically and responsibly.

MBH/PS