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Provigil is a medication which helps to fight sleepiness in excess. The main cause of such sleepiness is narcolepsy or shift work disorder usually happens during working hours, when people experience excessive sleepiness or difficulty to. Lasix is a loop diuretic used to treat high blood pressure or water retention associated with congestive heart failure, liver disease, or kidney disease. Lyrica is a type of anti-epileptic medicine which contains pregabalin active chemical ingredient. Lyrica can be used for various illness such as epilepsy nerve pain and anxiety.

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This reduces the risk of survival and reproduction of resistant strains. Drug combinations are used to minimize resistance in certain infections, for example tuberculosis.

  • Hypersensitivity reactions to penicillins occur in up to from mild skin rashes to exfoliative dermatitis and Stevens-Johnson syndrome (immune vasculitis with arthritis, nephritis, central nervous system abnormalities and myocarditis) and from bronchoconstriction to life-threatening anaphylactic shock.
  • Non-medical prescribing is becoming increasingly common amongst health care professionals in practice.
  • Anxiety and insomnia are discussed together because the drugs used to treat them are often the same.
  • The most useful drugs are central acetylcholinesterase inhibitors, for example donepezil.
  • Loperamide is an opiate drug that decreases motility of the intestine.

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This group of anti-psychotic drugs has a similar mode of action and side effects to the phenothiazines. Butyrophenones are of particular use for the rapid control of hyperactive states and in older people because they are less likely to cause a drop in blood pressure.

Enkephalin is one of the endogenous endorphins, which are natural opioids. Enkephalin reduces the release of substance P at the sensory neuron terminals in the spinal cord. It is also released in areas of the midbrain and medulla where it enhances the descending inhibitory pathways, which terminate in the spinal cord. This group of analgesics contains aspirin-like drugs and paracetamol. Aspirin belongs to a group of drugs that all possess analgesic, anti-inflammatory and antipyretic properties to different degrees.

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Antimuscarinic drugs are used as premedication to prevent salivation and bronchial secretions during an operation and to protect the heart from arrhythmias caused by inhalation anaesthetics such as halothane and propofol. They are less commonly used nowadays because modern anaesthetics are less irritant. Hyoscine is antiemetic, sedative and produces some amnesia. Muscle relaxants are also known as neuromuscular blocking drugs. They are used as adjuncts to general anaesthesia, to cause muscle relaxation where this would aid the surgical process.


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Clearly, the use of independent prescribing will be limited to where the clinical demand exists and this case needs to be fully explored.

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