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The only exception to this rule is when a patient must always receive the same brand of a drug because different preparations can result in different blood levels of the drug. No details of dosages are given in this book, because these are subject to change and often have to be varied to suit individual patients. In practice, the BNF or MIMS should be used as a guide to dosages.

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New drugs are being developed that inhibit these enzymes. In order for tumours to grow they need to develop a blood supply. Drugs are being developed that inhibit angiogenesis, which is the growth of new blood vessels. A monoclonal antibody that inhibits vascular endothelial growth factor already exists for use in metastatic colorectal cancer.

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