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The following account illustrates the work of a health care professional using supplementary prescribing in the community. The healthcare professional is a consultant podiatrist in diabetology, who is employed by a PCT in the north-west of England and she is one of the first podiatrists in the country who trained to be a supplementary prescriber. This consultant podiatrist is using supplementary prescribing in primary care, mostly with older patients many of whom are living in nursing homes. She prescribes from a personal formulary of drugs within her own area of competence.

Authored by Naim S Issa, MD


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Nevertheless, iodine contrast agents must be used with caution in patients with thyroid disease and in those with known hypersensitivity to iodine or allergies to food and other drugs.

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Internal organs including lungs, liver and heart can all be affected and the condition can prove fatal. Use of gadolinium contrast agents is therefore contraindicated in patients with renal impairment.

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