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After much consultation with the medical, pharmacy and nursing professions and the Department of Health and the Medicines Control Agency as well as meetings of the Committee on Safety of Medicines and the Medicines Commission, amendments were made to the legislation to allow nurses and pharmacists to become supplementary prescribers as from April A similar process occurred with the podiatry, physiotherapy and radiography professions and led to changes to the NHS Regulations in April prescribing to these professions. Extended formulary nurse prescribing was discontinued in nurse independent prescribing. Nurses can now prescribe any licensed medicine, including some controlled drugs, if they are qualified to do so. At the same time, pharmacists became eligible to train as pharmacist independent prescribers, being able to prescribe all licensed medicines but, as yet, no controlled drugs. Supplementary prescribing is a form of non-medical prescribing available to qualified, registered, experienced and suitably trained podiatrists, physiotherapists and radiographers, pharmacists, nurses and midwives.

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An adverse reaction is any reaction to a drug that is harmful to the patient. Side effects, unwanted effects and adverse effects are all adverse reactions; some are considered to be less serious than others, although the terms are used synonymously.

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