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Stimulant laxatives work by stimulating enteric nerves, which results in smooth muscle contraction and an increase in peristalsis. At the same time they increase fluid secretion from the intestinal mucosa. Stimulant laxatives can cause abdominal cramps. Stimulant laxatives are unsuitable for prolonged use because this can lead to excessive loss of potassium ions and a colon that no longer responds to stimulation. They are, however, useful for emptying the bowel before surgery and radiological imaging.

The current arrangements are that these radiographers work within PGDs. However, on examining the definition of an independent prescriber, it is clear that they meet the requirements. The interesting aspect of this practice is that a major growth area of radiographer valacyclovir price australia advancement currently is the reporting of accident centre images by radiographers, which is a precursor to radiographer-led discharge and the associated supply and administration of medicines. Anticipating that radiographers will gain independent prescribing responsibilities at some stage, then the following is suggested. PGDs will continue to be used where large groups of patients undergo imaging procedures that routinely require medicinal administration in a set format, as indicated earlier.

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All are buy zovirax tablets online in courses that are of a number of months in duration rather than weeks. Classes of antidepressants Tricyclic antidepressants were named after their characteristic chemical structure, although a number of the newer drugs in this group have a different chemical structure but still share similar pharmacological profiles. Tricyclic antidepressants inhibit the re-uptake of serotonin and noradrenaline into nerve endings. This leads to a build up of neurotransmitter at receptor sites in synapses. They also reduce the number of some receptors, which may contribute to the therapeutic action, but their complete mechanism of action is unknown.

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. These effects are collectively known as lipodystrophy syndrome, which appears to be similar to what happens with long-term corticosteroid use. All drugs in this group inhibit liver enzymes and cause interactions with many other drugs. In particular, they increase the risk of myopathy with statins. Some antiviral drugs in this group act by blocking an ion channel that allows the release of genetic material from viruses once they are inside the host cell and which allows viral particles to leave the infected host cell to infect other cells. Amantadine is such a drug, but its use in influenza A is no longer recommended by the National Institute for Health and Clinical Excellence.

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