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Drug Breakdown: Methylphenidate

Day 1: The mild CNS stimulant #methylphenidate was synthesised in the1940s & marketed as Ritalin by the 1950s, after recognition it improved concentration. Trialled for many conditions e.g chronic...

The hidden risks of fluoroquinolones

A study published late last year in the British Medical Journal (Wang et al, 2022) evaluated the association between the initiation of fluoroquinolones and admissions to hospitals or emergency...

Opioids and prescribing

This retrospective cohort study, published in the journal Lancet Public Health online sought to identify mortality amongst people prescribed opioid agonist therapy in Scotland between the years 2011...

Statins and risk

In support of his view that overconfidence could be endemic in medicine, Nobel laureate Daniel Kahneman wrote: ‘Experts who acknowledge the full extent of their ignorance may expect to be replaced by...

Neonatal resuscitation

Baby Yousaf is born at 32 weeks gestation, birth weight of 1200 g and noted acute blood loss at birth. After 1 minute of resuscitation the heart rate is 45 bpm with no spontaneous respiration....

Pharmacological management of irritable bowel syndrome

Diagnosis of IBS can be challenging due to the wide range of symptoms patients may experience, and there are various triggers exacerbating symptoms, which can vary over time. There may also be no...

Prescribing for depression in primary care

Depression is mainly managed in primary care settings (Arroll et al, 2016). Treatment delivered in this setting include non-medicinal treatments and medication..

Managing infant and child skincare

Skin is a dynamic organ that performs several functions (Oranges et al, 2015). The skin has three layers: the epidermis, the dermis and the hypodermis. The main function of the epidermis is to act as...

Neonatal resuscitation: answers

What dosage of adrenaline/epinephrine should be administered? .

Learning to live with COVID-19

Welcome to this June issue of Journal of Prescribing Practice. It's been a busy time since I last wrote to you all. We have welcomed our new Editor Polly and a lot has been happening in the healthcare...


A new study published in the British Journal of Clinical Pharmacology has aimed to provide post-hoc analyses of a clinical trial that reported beneficial effects of medication reviews on...

Drug Breakdown: Fosfomycin

Day 1: Originally derived from streptomyces bacteria (1960s), the main use for the synthetic oral form of #fosfomycin since the 1990s is for uncomplicated UTIs. Still available i.v for osteomyelitis,...

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