Prescribers should be alert for neuropsychiatric reactions in patients taking montelukast and carefully consider the benefits and risks of continuing treatment if they occur.
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Musculoskeletal ; Osteoporosis ; Nutrition and obesity ; Falls ; HR ; Research Methods ; Information Governance ; Bladder, bowel and pelvic healthcare ; Rheumatology ; Medicines and healthcare products regulatory agency (circulated email)
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It's very important that these findings aren't taken out of context. Many people across the UK are prescribed statins and the reports may cause undue alarm that everyone should be on a higher dose. People who have risk factors for heart disease and a raised cholesterol, but who have no history of heart attack or stroke, are recommended to start on a low-dose statin (usually 20mg atorvastatin).
The people in this study were specifically high-risk patients, most of whom had already had a heart attack or stroke. Current UK guidelines already recommend that these people are given a high-dose statin (usually 80mg atorvastatin).
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We’ve just heard that SSOTP will not be renewing their agreement with SSSFT LKS for library services for this financial year. Because of this we will be reviewing our Be Aware bulletins. Sadly we won’t be accepting any new sign-ups from SSOTP staff and will be withdrawing some of the physical healthcare bulletins that we…
Prescribing by suitably-trained pharmacists and nurses offers similar outcomes to prescribing by doctors, at least in the management of chronic conditions.
This Cochrane review pooled clinical outcomes and patient satisfaction across 45 studies of nurse or pharmacist prescribing compared with doctor prescribing.
This document summarises the evidence-base on asthma: medicines optimisation priorities (previously titled: high-dose inhaled corticosteroids in asthma). It is a key therapeutic topic which has been identified to support medicines optimisation. It is not formal NICE guidance.
In November 2016 a footnote about 2 MHRA drug safety alerts was added to recommendations in section 1.6 covering angiotensin-converting enzyme (ACE) inhibitors. These alerts cover ACE inhibitor use during pregnancy and breastfeeding.
Come and visit our first pop-up library at Severn Fields, Shrewsbury 19th July 11.00am-3.00pm. Join the library, borrow and return books, get help finding information and evidence, set up an Athens account, find out what the library can do for you and your team.
Prescribing nurse
There has been much discussion about when and for whom we should use dual bronchodilators but some degree of confusion persists, not helped by conflicting national and international guidelines. Practice Nurse provides some clarity
By the end of this article you should be aware of:
- The GOLD ABCD algorithm as a method of categorising patients' symptoms and exacerbation risk
- How to identify which patients are likely to benefit most from ICS/LABA versus single or dual long acting bronchodilation
- How to recognise each of the four dual bronchodilators currently available
- How to help patients to choose the most appropriate inhaler for them
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