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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.
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In diagnosing depression both systems allow for somatic symptoms, psychotic symptoms and other illness characteristics, some of which ICD- specific criteria for a diagnosis.
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Drugs can compete for the same protein binding sites and this is a form of drug interaction. A well-known and important example is that of warfarin and aspirin.
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