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Drug therapy has to be tailored to individual patients and includes anticholinesterase drugs, anti-inflammatory corticosteroids and immunosuppressant drugs. Anticholinesterase drugs work by inhibiting the enzyme that normally destroys acetylcholine after it has stimulated its receptors at the neuromuscular junction.

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At the same time sympathetic stimulation of blood vessels decreases. The overall effect is that cardiac output is reduced, blood vessels dilate and blood pressure returns to normal.

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These are the minimum legal requirements and they are intended for the safety of all concerned. In addition the Regulations and Orders pertaining to controlled drugs are subject to constant updating and changes.

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As long as the medicines can be prescribed by a doctor at NHS expense and are referred to in the patients CMP, they can be prescribed.

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