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Clinical Focus

Prescribing hepatitis A vaccines in the UK

Infected people shed hepatitis A virus in their faeces and are most infectious 1–2 weeks before they get any clinical signs and symptoms, such as jaundice or raised liver enzymes (when virus...

Strategies to improve adherence to inhaled therapies in asthma and COPD

The appropriate management of asthma and COPD remains challenging despite the availability of effective treatments. It must be acknowledged that merely prescribing the right medication is insufficient...

Post-operative medication considerations in cardiac transplant patients

Risks of transplant include rejection, primary graft dysfunction, immunosuppression side effects such as infection, weight gain, hypertension, diabetes, osteoporosis and cardiac allograft vasculopathy...

Antibiotic use in the emergency department for acute sore throat

Descriptive statistics were used to describe frequency of clinical score documentation, symptom documentation and antibiotic prescription rates. The initial plan to ascertain non-inferiority...

Conducting a medication review in older adults

‘Rational use of medicines requires that patients receive medications appropriate to their clinical needs, in doses that meet their own individual requirements, for an adequate period of time, and...

Prescribing medications for Parkinson's disease

Parkinsonism is an umbrella term for conditions that present with symptoms typically seen in Parkinson's disease (which accounts for around 85% of cases of parkinsonism) (McFarland and Hess, 2017;...

Management of stress urinary incontinence associated with perimenopause

Nisha, a 55-year-old female housekeeper, was referred for physiotherapy pelvic health review with a 2-year history of daily episodes of urinary incontinence when coughing, sneezing and when at work,...

Reducing the environmental impact of inhalers in primary care

The primary aim of this review was to establish how to implement sustainable inhaler changes without compromising patient care and disease control in the primary care setting. This includes a review...

Children's spacers for the treatment of asthma: Top 10 tips

The purpose of the spacer device is to act as an intermediary chamber into which a pressurised metered dose inhaler (pMDI) can discharge the drug. This slows down the drug, which is propelled at force...

Maintenance And Reliever Therapy (MART) for young people with asthma

MART as a regimen works because it allows for automatic self-titration. By its very nature, the patient will take more ICS doses when they are symptomatic and default to baseline (preventer therapy...

Drug interactions and hormonal contraception

CYP450 enzymes increase clearance of contraceptive hormones, making them less effective. This includes all combined hormonal contraceptives, all progestogen-only pills (POP), the etonogestrel implant...

Medication for hypertension management

NICE (2019a) recommends a clinic BP target of below 140/90 mmHg or a home BP target of 135/85 mmHg. In people over the age of 80 years, a higher cut-off point of 150/90 mmHg in clinic, or 145/85 mmHg...

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Journal of Prescribing Practice shares the latest clinical expertise and professional guidance for non-medical prescribers. Our goal is to provide the knowledge to help you prescribe more efficiently and effectively.

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