Essencial "Adding value to clinical practice" is an initiative which identifies low-value clinical practices and promotes recommendations on how to avoid them.
In patients with schizophrenia who do not meet ultra-resistance criteria (i.e., non response to clozapine ), the use of combinations of three or more antipsychotic agents is not routinely recommended.
In patients receiving NSAIDs who do not present an increased risk of gastrointestinal complications, it is not recommended to prescribe gastroprotection with antiulcer drugs.
In adult patients with uncomplicated acute rhinosinusitis, sinuses radiography does not add value to the patient's management.
In adult patients with asthma exacerbations, intramuscular corticosteroids are not recommended as first choice when the oral route is preserved, except for some specific clinical situations.
In adult patients with major depressive disorder, serotonin plasma levels should not be used as a diagnostic tool.