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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 tamoxifen citrate buy online 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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An example is verapamil. Adverse effects are bradycardia, heart block and possible precipitation of heart failure.

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Supplementary prescribing may only commence following assessment and diagnosis by the independent prescriber and the development of a written CMP agreed between the independent prescriber, the supplementary prescriber and the patient.

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This can happen through damage to DNA causing mutation of genes, activation of proto-oncogenes or damage to oncogene suppressors. Due to strict testing of new drugs during the developmental stages this should be a rare phenomenon.

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Ketoconazole and tioconazole are currently prescription-only medicines, but qualified podiatrists registered with the Health Professions Council are able to access and supply tioconazole Ketoconazole is not available on the NHS for tinea infections, but tubes of maximum registered podiatrists.

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Substances transported by the same transport system compete with each other and the more slowly a drug is transported the more effective it is at inhibiting the transport of another. A well-documented historical example of this is the competition between penicillin and probenecid.

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