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Clinical Focus

Steroids in inflammatory bowel disease: a clinical review

Despite their effectiveness, corticosteroids are characterised by their serious adverse effects, which limit their long-term use. Recognition of their adverse effects is important in their prevention...

Management pathways for erectile dysfunction in primary care

Epidemiological evidence suggests that 8% of men in their 40s report moderate or complete ED and this increases to 40% of men in their 60s (McKinlay, 2000). Risk factors for developing ED are shown in...

Prescribing within clinical toxicology

Regional NHS poisoning treatment centres were first established in the 1960s following the Atkins and Hill reports, which highlighted significant concerns regarding poisoning management nationally...

Prescribing in primary care: a new dietitian-led medicines management team model of practice

At the time of the study (September 2018), the MMT covered two CCGs, Brighton and Hove CCG and High Weald Lewes Havens CCG. Table 2 describes the composition of the local MMT, as well as the number of...

Pharmacotherapy in arrhythmias: an overview of anti-arrhythmic drug therapy

Cardiac electrical impulses originate high in the hearts upper right chamber, the right atrium, at a highly dense area of electrical tissue called the sinoatrial (SA) node, located just below the...

Exploring the roles and responsibilities of non-medical prescribing leads in the South West of England

This paper reports on an exploration of the role and responsibilities of NMP leads in the southwest of England..

Inhaled therapy for chronic obstructive pulmonary disease

Pharmacological treatment includes ensuring that all patients with COPD are offered pneumococcal and annual influenza vaccination (NICE, 2019). Although not exclusive to COPD, the London Respiratory...

The overtreatment of type 2 diabetes in frail older people

Severe hypoglycaemia is the second most common cause of hospital admission for drug-related adverse events (Robson, 2017). Acute episodes of hypoglycaemia (generally defined as a blood glucose level...

Investigating non-medical prescribers' awareness of compliance

The literature search systematically reviewed evidence, to investigate if NMPs in an acute NHS trust are aware of what is required to remain compliant as active, competent and safe professional...

Independent non-medical prescribing in a nurse-led hospice: strengths and challenges

In St Teresa's Hospice, iNMP is mostly carried out at the IPU, for palliative/EoL patients suffering complex and enduring symptoms, which cannot be managed by the primary and/or secondary care generic...

Prescribing where there is a comorbid presentation of anxiety and depression: a case study

Although there are over 80 known different transmitters in the brain, each nerve ending only has one type. These neurotransmitters tend to be grouped together and each seems to have a specific role....

Compounded bioidentical HRT improves quality of life and reduces menopausal symptoms

The mean age of women (n=69) aged 37 to 64 was 52 (±5.4 SD) years. Follow-up time was from 6–24 months with a median follow-up time of 11 months (±6.0 SD)..

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