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Health care professionals are able to prescribe all medicines, including unlicensed medicines and controlled drugs since July All supplementary prescribers may prescribe for the full range of medical conditions, provided that they do so under the terms of a patient-specific CMP and within the limits of their competence. Supplementary prescribing may only commence following assessment and diagnosis by the independent prescriber and the development of a written CMP agreed between the independent prescriber, the supplementary prescriber and the patient.

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Skin lesions are minimal with a polyarthritis affecting particularly the small joints of the hand in an asymmetrical pattern. Usually the disease is mild but chronic.

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Parenteral preparations are available if oral therapy cannot be tolerated.

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