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Required field. Please try again. There was an issue. Chemist Warehouse respects your privacy. Therefore the only time we can supply an increased quantity of a prescribed medicine is if the doctor prescribes that quantity for you. This prior approval to prescribe grants the doctor the Authority to prescribe the desired medicine and have it funded under the PBS.

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In addition to this, many older patients use self-medication with non-prescribed remedies. It has been estimated that on average, for each prescription item older people receive, they use two additional non-prescription items. This increased drug usage in the elderly can give rise to a number of problems. Drugdrug interaction This occurs when two or more drugs, being taken concurrently, produce a pharmacological response not attributable to a single drug. The practice of multiple drug prescribing is known as polypharmacy. The more drugs being taken together the greater the risk of drugdrug interactions becomes.

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You should be able to answer these review questions from the material in the preceding chapter. As with cardiac and blood disorders, respiratory disease is relatively common in many older patients.

  • There are many antibiotics available, but they fall into three major groups based on their mode of action: inhibitors of bacterial nucleic acid synthesis; inhibitors of cell wall synthesis; and inhibition of bacterial protein synthesis.
  • Silver sulfadiazine, medicines that qualified, registered podiatrists can access and supply.
  • However, it is associated with blistering skin rashes and serious progressive pulmonary fibrosis in treatment of viral warts.
  • Tretinoin is the acid form of vitamin A.
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Although the brain has a very good blood supply, distribution of drugs into the central nervous system is restricted. This is because of the so-called blood-brain barrier.

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Where this has happened, both names are listed in the BNF. Wherever possible, drugs should be prescribed by their generic name; this allows any suitable product to be dispensed and in many cases, it saves the health service money.

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Groups of drugs are described together with their relevant therapeutic indications because often the same drugs are used for different conditions. Cardiac glycosides are used to treat cardiac failure and atrial flutter and atrial fibrillation. Digoxin and digitoxin are cardiac glycosides that improve cardiac contractility, which in turn increases cardiac output. This is thought to occur through inhibition of the NaK ATPase pump in the cardiac cell membrane, which results in more calcium ions being available for contraction. This is because normally calcium ions are exchanged for sodium ions across the cardiac muscle cell membrane at the end of a contraction and thereby removed from the cell. If the NaK ATPase pump is inhibited, the concentration of sodium ions in the cell increases reducing the concentration gradient for exchange with calcium ions.

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Their mode of action is complicated by the fact that currently seven serotonin receptor sub-types are recognized, further into is significance of the the brain and most is known about are inhibitory autoreceptors. Such receptors are found pre-synaptically and their stimulation regulates release of neurotransmitter. post-synaptic receptors. Mirtazapine enhances both noradrenergic and serotonergic transmission through block of pre-synaptic α-adrenergic receptors and Due to the blockade of drug does not produce the nausea associated with other serotonergic drugs. Mirtazapine does cause sedation and weight gain. Trazodone antagonizes both pre-synaptic α-adrenergic and post-synaptic Provigil without prescription has sedative properties and causes fewer anti-cholinergic side effects than the tricyclics.


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