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The concept of abortion is as old as pregnancy itself; women have desired to control their fertility for as long as they have been able to get pregnant.

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Design This was a prospective cohort study among women using misoprostol-containing medications purchased from drug sellers. Setting Data were collected in in six local government areas in Lagos State. Participants Drug sellers attempted to recruit all women who purchased misoprostol-containing medication. To remain in the study, participants had to be female and aged 18—49, and had to have purchased the medication for the purpose of abortion. Of women initially recruited, were eligible for the full study, and completed all three surveys. Conclusions Drug sellers are an important source of medical abortion in this setting. Globally, medical abortion MA has become an increasingly important method for people seeking to terminate a pregnancy.

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Over-the-counter sales of Cytotec, an anti-ulcer medication, are continuing in Armenia despite an August-1 ban intended to prevent women from using the drug to abort unwanted fetuses at home. Since the ban went into effect on August 1, a EurasiaNet. That tends not to be the case in Armenia, however. None of the pharmacists stated that the two drugs should be used together. But Dr. The United Nations Population Fund UNFPA has attributed a dramatic decrease in Armenia's official abortion rate from and from 40 percent to 28 percent of child-bearing-age women to the use of drugs for do-it-yourself abortions. Abrahamian, who holds the title of Armenia's chief obstetrician-gynecologist, said patients suffering complications from the misuse of Cytotec occur weekly. They underwent long treatment in the intensive care unit, with blood transfusions, he recounted. Nonetheless, he is not unduly alarmed by the fact that Armenian pharmacies continue to sell this medication over-the-counter to women in search of a cheap and relatively safe abortion option. It takes time to implement control effectively, he said.

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Lowest Prices. Get the lowest prices on generic medications. Private and secure. We work with your doctor or local pharmacist to take care of transfers, refill requests, and more. Misoprostol helps to decrease your risk of serious ulcer complications such as bleeding.

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Get Notified. This medication is a synthetic prostaglandin; prescribed for ulcer, labor induction, induced abortion, miscarriage, postpartum hemorrhage blood loss during birth and other gynecological uses. It comes, as a tablet to purchase cytotec by mouth, with food. Adult: PO- The recommended dose is mcg four times daily with food. If this dose cannot be tolerated, a dose of mcg can be used. Spotting, cramps, heavy periods, menstrual disorder, painful menstruation and postmenopausal vaginal bleeding and breast pain.

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After some gentle probing, you discover that Mrs Xavier has lost her reading glasses and cannot remember how or when she is supposed to take montelukast. Discuss how you would explain to her exactly what montelukast is for, how it works and when she should take it. Although Mrs Xavier has not mentioned any side effects of this drug, are there any you should warn her about, and are there any other drugs that should not be taken purchase cytotec montelukast. Mrs Xavier tells you that her granddaughter, who is one year old, also has asthma and recently whilst visiting her grandma had an attack. Mrs Xavier wonders if it would be alright to give her granddaughter montelukast if she has an asthma attack again.

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Premedication is the use of drugs to reduce a patients anxiety and to prevent parasympathetic effects of the anaesthetic. Muscle relaxants and analgesics are used as adjuncts to anaesthesia, respectively to cause muscle relaxation and aid surgery and to reduce patient discomfort post-operatively.

  • Diffusion of oxygen happens efficiently because there is a concentration gradient from air in the alveoli to blood in the capillaries; the distance through the alveoli walls, tissue fluid and capillary walls is small; and the total surface area of all the alveoli is large.
  • Water-soluble iodine contrast agents form the largest group of contrast agents in use today.
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Older patients appear to be more at risk of developing drug-induced hepatitis particularly with the use of non-steroidal anti-inflammatory drugs. The principal organ of excretion for the majority of drugs is the kidney.

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Any guidelines referred to should be easily available to all concerned in the patients care ( CMP must include). Supplementary prescribing must include arrangements for regular clinical review of the patients progress by the independent prescriber, at appropriate predetermined intervals, depending on the patients condition and the medicines prescribed for them.

Nevertheless, alteration of stomach pH can alter the absorption characteristics of acidic drugs. A few drug molecules are small enough to diffuse through aqueous pores in the cell membrane with water, for example alcohol. However, the majority of drugs are too large to diffuse in this way. Many nutrients and a few drugs can pass across the cell membrane by facilitated diffusion. In this case, in addition to the concentration gradient, a membrane protein acts as a carrier to transport a substance from one side of the membrane to the other. Carrier proteins are specific and only transport molecules that they recognize.

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Supplementary prescribing would not be appropriate in emergency, urgent or acute conditions because a CMP has to be agreed before prescribing can begin. The sale, supply and use of medicinal products are governed by the Medicines Act and European Directives. The Medicines Act divides all medicinal products into three categories: GSL items; P; and POM. The law says who can and cannot prescribe medicines and allows health care professionals to administer and supply medicines to certain patients under PGDs. Podiatrists are specifically mentioned in the Medicines Act as being exempt from some of its provisions, which means that they can administer and supply certain POM from a specified list providing they are registered and qualified to do so.


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They block release of noradrenaline at sympathetic nerve endings and therefore cause vasodilation and reduced peripheral vascular resistance. An example of an adrenergic neurone blocker is guanethidine.

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Moreover, like antiepileptic drugs, local anaesthetics show use dependence in that they preferentially block neurons that are transmitting impulses at high frequency (as pain sensory neurons do).

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Ion channels, carrier proteins and enzymes can also be targets for drug action. The following two case studies are hypothetical, but any health care professional should be able to provide professional advice to patients in such situations.

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This process is catalysed by an enzyme called DNA polymerase. Bonds form between the sugar and phosphate groups of the new nucleotides and two new double strands of DNA are created, both identical to the original DNA molecule.

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Griseofulvin has to be taken for at least four weeks and because the drug may be teratogenic, it must not be used in during pregnancy, or in the month before conception or by prospective fathers six months prior to conception. Common adverse effects of oral griseofulvin are diarrhoea, nausea, vomiting, headache and photosensitivity.

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