Avoid initiating pharmacological primary prevention before assessing total risk and discussing benefits and risks with the patient

Rationale:

Individual primary prevention with medications has both advantages and disadvantages. Generally, treatment should not be based on isolated risk factors. 

Reference: 

• Avoiding the Unintended Consequences of Growth in Medical Care: How Might More Be Worse? JAMA. 1999;281(5):446-453, Forebyggende helsearbeid, policydokument for Norsk forening for allmennmedisin, 2011