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Sustainable practice: Prescribing oral over intravenous medications

### What you need to know

Oral medication can often be prescribed instead of intravenous options. Switching intravenous to oral administration can help to reduce the carbon footprint of clinical care, and has clinical, resource, and cost benefits. This article outlines the environmental benefits of oral over intravenous medications, and offers pointers on how to safely embed appropriate prescribing and intravenous to oral switches (IVOS) into clinical practice.

Overuse of intravenous medicines when oral formulations would be more appropriate is a global phenomenon, according to the World Health Organization.1 Intravenous medicines are associated with a higher rate of bloodstream and catheter related infections, require more nursing resources to administer, and are less comfortable for patients than oral equivalents. They are also more expensive (both for the medication and for the equipment required for administration).2

The carbon footprint of the manufacture and ....

United Kingdom , Saudi Arabia , Catherine Aldridge , Sarah Walpole , Healthcare Infection Society , World Health Organization , Centre For Sustainable Healthcare , National Institute For Health , United Kingdom Health Security Agency , Min Na Eii , Sustainable Healthcare , National Medical Director , National Institute ,