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Name of the patient Illnessconditions which may be treated by supplementary prescribing Date on which the plan takes effect When the plan is to be reviewed by the doctordentist Reference to the classdescription of medicines or types of appliances which may be prescribed or administered under the plan Any restrictions or limitations of strengthdose of any medicine which may be prescribed or administered under the plan Any period of administration or use of any medicineappliance which may be prescribed or administered under the plan Relevant warnings about known sensitivities of the patient or known difficulties of the patient with particular medicinesappliances Arrangements made for notification of suspectedknown reactions of clinical significance to any medicine prescribed or administered under the plan, or suspected or known clinically significant adverse reactions to any other medicine taken at the same time as any prescribed or administered under the plan Circumstances in which the supplementary prescriber should refer to, or seek the advice of the doctordentist. In addition to the CMP the independent prescriber and supplementary prescriber must share access to a common patient record. Ideally, this would be electronic, but paper records or patient held records can also be used. The independent prescriber will determine the level of responsibility the supplementary prescriber has under the CMP.

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High plasma levels of uric acid can precipitate gout, or interfere with treatment for pre-existing gout, or uric acid can deposit in the kidneys and cause kidney damage. Concurrent use of allopurinol can reduce the production of uric acid. Tumour cells can become resistant to chemotherapy. It seems that this is likely to happen as a result of low-dose single drug chemotherapy. Drugs are therefore generally more effective in combination and may act synergistically.

Warts can appear on any part of the skin, but are most common on the hands and feet. Warts on the sole of the foot are generally known as verrucas or plantar warts. The HPV- can also cause them.

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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.

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