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Health care professionals are able to prescribe all medicines, including unlicensed medicines and controlled drugs since July All supplementary prescribers may prescribe for the full range of medical conditions, provided that they do so under the terms of a patient-specific CMP and within the limits of their competence.
Supplementary prescribing may only commence following assessment and diagnosis by the independent prescriber and the development of a written CMP agreed between the independent prescriber, the supplementary prescriber and the patient.
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It is due to factors peculiar to the individual that may be genetic in origin, but the mechanisms are usually poorly understood. The magnitude of the response to a given dose of a drug in a population of patients shows a normal distribution.
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Vancomycin also inhibits cell wall synthesis by a slightly different mechanism at an earlier stage. This antibiotic is still effective against most strains of MRSA and has to be given intravenously because it is not absorbed well enough to be effective orally.
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