For older people and frail people, the long-term benefit of medicines reduces and the potential for harm from adverse effects increases. When the benefit–risk balance changes in this way, medicine review and optimisation are important to simplify the therapeutic regimen, reduce inappropriate medicines and minimise risks. In this article, pharmacist prescriber Linda Bryant uses two case studies to illustrate important considerations during medicine reviews
Avoid restrictive diets for Ehlers–Danlos syndrome

May is Ehlers–Danlos syndrome awareness month, a time to raise awareness for the one in 5000 individuals worldwide who have this condition. As such, dietitian Leigh O’Brien looks at nutritional considerations for those with EDS
Kia ora and welcome to New Zealand Doctor Rata Aotearoa
Not a subscriber? Unlock this article by subscribing here.
1. Lam C, Amarasinghe G, Zarate-Lopez N, et al. Gastrointestinal symptoms and nutritional issues in patients with hypermobility disorders: assessment, diagnosis and management. Frontline Gastroenterol 2022;14(1):68–77.
2. Topan R, Pandya S, Williams S, et al. Comprehensive Assessment of Nutrition and Dietary Influences in Hypermobile Ehlers-Danlos Syndrome–A cross-sectional study. Am J Gastroenterol 2024;119(4):727–38.