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Status epilepticus is a series of seizures without recovery of consciousness in between. Absence seizures are brief periods of loss of consciousness with little motor activity, maybe just eyelid blinking or muscle jerking.

  • For patients who do not respond to topical therapy, systemic drugs such as methotrexate, ciclosporin, efalizumab and acitretin can be used.
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Supplementary prescribing would be appropriate in these situations. Independent prescribing would grow out of supplementary prescribing for specific conditions and particular patient groups.

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A working party headed by Dr June Crown produced a report (Department of Health, funded. In the first instance, those nurses with a district nurse or health visitor qualification, working in primary care, were identified to prescribe from a limited formulary designed around common areas of practice.

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