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For this to become a reality, the profession needs to build a case for moving towards independent prescribing. Pharmacology would have to be incorporated into undergraduate programmes as it is in podiatry programmes. It is likely that many physiotherapists will have undertaken postgraduate education in order to use injection of anti-inflammatory drugs, for example to manage musculoskeletal injuries and they may have experiential knowledge of a range of medicines related to their areas of expertise. However, an understanding of the mechanism of action of various different drugs, drugdrug interactions and adverse drug reactions is necessary to appreciate the full importance of prescribing. An overall understanding of major body systems and common medications used in those systems is recommended.
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In addition, this group of drugs causes metabolic disturbances, particularly insulin resistance and hyperglycaemia, and fat redistribution leading to raised plasma lipid levels, which increases the risk of heart disease.
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This chapter gives a general overview of the endocrine system.
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