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Comment & Response
May 21, 2019

Self-medication as Part of Self-management Plans for Patients With COPD—Reply

Author Affiliations
  • 1Armstrong Institute for Patient Safety and Quality, Johns Hopkins School of Medicine, Baltimore, Maryland
  • 2Pulmonary and Critical Care Medicine, Johns Hopkins School of Medicine, Baltimore, Maryland
JAMA. 2019;321(19):1937. doi:10.1001/jama.2019.2076

In Reply We agree with Dr Steurer-Stey that the use of action plans with adequate instructions for self-medication can be helpful for the management of some patients with COPD. However, this approach needs to be individualized and consider patient factors such as comorbidities, cognitive status, and knowledge. As Fan et al1 pointed out, self-medication may not be helpful for all patients, and the authors of the recent Cochrane review recommended taking into account comorbidities in self-management action plans.2

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