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Erythromycin in particular can increase the risk of myopathy if taken in combination with lipid-lowering statins. Such combinations should be avoided.

  • Diuretics are used to treat cardiac failure and hypertension.
  • The insoluble fibres of fibrin enmesh red blood cells and platelets, which forms the clot itself.
  • Hypersecretion is treated by surgery or with carbamazepine or radioactive iodine.
  • Accidental overdose can cause systemic effects including cardiorespiratory depression and loss of consciousness.
  • Clinically, the type of arrhythmia against which the drugs are effective is of more importance than their mode of action.
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BNMS explains that it allows locally written protocols to be used for the administration of adjunct medicines and in essence, these might look similar to PGDs. The only difference is that technicians can work within these new protocols, thereby allowing for a more efficient method of working.

They act directly on sodium ion channels to restrict the entry of sodium ions into cardiac muscle cells. These drugs therefore act to slow the rate of depolarization, which is more marked in ectopic pacemakers, allowing the SA node to regain control of cardiac rhythm. Lidocaine is ineffective orally and its use is restricted to preventing and treating ventricular arrhythmia after myocardial infarction. (Lidocaine by virtue of the same mechanism of action is used as a local anaesthetic. Adverse effects of lidocaine are drowsiness, slurred speech, paraesthesia (pins and needles) and convulsions.

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Cytotoxic antibiotics prevent cell division by direct action on DNA or by inhibition of transcription of DNA to RNA, thus preventing protein synthesis. Plant derived drugs work in various ways. Vinca alkaloids inhibit formation of microtubules so that cell division is halted because the spindle cannot form. Taxanes have a similar effect by inhibition of breakdown of microtubules once the spindle has formed. Hormones are used in some hormone-dependent cancers to suppress or antagonize the particular hormone involved. In addition there are miscellaneous anti-cancer drugs including biological response modifiers, which are intended to enhance the patients natural immune response to cancer cells.


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Viscous secretion is treated with vigorous physiotherapy and the use of mucolytics.

14.05.2018
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The two terms are interchangeable in the sense that most anxiolytics will induce sleep when given at night and most hypnotics will cause sedation when given during the day.

11.12.2016
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