A UK-based GP has revealed three medications he avoids prescribing to his patients, citing lack of effectiveness, side effects, or better alternatives. Dr Asif Ahmed shared his views in a TikTok video, explaining his reasoning for each drug.
The first medication is gabapentin, an anticonvulsant used for nerve pain and epilepsy. Dr Ahmed said he would not prescribe it for pain relief, as he believes there is insufficient evidence of its efficacy. He noted that patients often require high doses and may experience side effects such as sleepiness, confusion, and memory problems.
For depression, Dr Ahmed prefers escitalopram over citalopram, both SSRIs. While he has no major issue with citalopram, he stated that studies and his clinical experience show escitalopram is more effective. The NHS notes that citalopram has fewer side effects than older antidepressants.
The third medication is sumatriptan, used for migraines and cluster headaches. Dr Ahmed recommends zolmitriptan instead, as it requires a lower dose, is more effective, and can be used for menstrual migraines. He emphasised that patients should always consult their doctor before changing medications.
