Treatment of complex oral lesionsSubscription
Patients with complex oral lesions are often prescribed treatments off-label. Pharmacists can assist in the care of these patients by counselling them on appropriate use of topical preparations.
Can someone start nicotine replacement therapy while taking theophylline to manage COPD?
Although there is no cure for this painful condition, pharmacists can play a key role in its management.
Managing heat exhaustion in primary careSubscription
Heat-related conditions account for more than 1,000 deaths in the UK each year, a death toll set to rise as extreme weather events become the new norm.
Amoebic dysentery in an elderly patientSubscription
A 70-year-old, 47kg woman was admitted via the accident and emergency department with a 14-day history of diarrhoea with recent urge incontinence, cramping abdominal pain and three episodes of vomiting. The patient was diagnosed with amoebic dysentery. Read on to learn about the patient’s signs and symptoms.
Should heparin-based solutions be used in preference to normal saline to prevent obstruction in indwelling intravascular catheters?
Patients who are taking clozapine require ongoing monitoring because of the risk of serious blood dyscrasias. What should pharmacists be checking before they dispense the medicine? The drug is subject to strict monitoring requirements because it is associated with serious side effects.
Osteoporosis: diagnosis and risk assessmentSubscription
Osteoporosis is caused by an imbalance in the process of bone remodelling and is most common in the ageing population
Deliberate overdose with paracetamol is a common method of self-harm. This is particularly true for young people of children aged under 15 years presenting to hospital after deliberate overdose, more than 50 per cent had taken paracetamol.
Ambulatory blood pressure monitoring provides information on how a patient’s blood pressure changes over a 24-hour period. Pharmacists are well placed to provide this service in primary care
Patients with osteoporosis may require pharmacological treatment to increase bone mineral density and correct low levels of calcium and vitamin D — thereby lowering their risk of fracture
Using sodium valproate during pregnancy can put babies at risk of developmental problems. Kalliopi Dodou and Paul Whiteley explore some ofthe recent evidence
Acne vulgaris Subscription
Acne affects eight out of ten teenagers and can persist into later life. Pharmacists have a wide range of treatments to offer patients.
HIV: pathology, diagnosis and preventionSubscription
The human immunodeficiency virus hijacks the immune system of its host. Despite the success of antiretroviral therapy, challenges still remain in reducing the spread of the virus
Combined antiretroviral therapy is taken by people with HIV infection to prolong and improve quality of life. Patients require a high level of support to help them adhere to the complex regimens prescribed
Bedaquiline in multi-drug resistant tuberculosisSubscription
The first new anti-tuberculosis drug since 1967 could revolutionise therapy and tackle resistant strains.
Thermotherapy and cryotherapySubscription
Hot and cold therapies are widely used to treat muscle pain and sports injuries. Help your patients choose the right treatment option with our essential guide
Heart failure: managementSubscription
Reducing mortality and delaying disease progression are two key aims of treating heart failure but, for many patients, controlling symptoms and improving quality of life are more important than longevity
Heart failure: clinical features and diagnosisSubscription
Around a third of patients diagnosed with heart failure will die within one year. Early identification of symptoms and diagnostic testing can lead to improved outcomes and better quality of life
Ever heard of Ehlers-Danlos syndrome?Subscription
One in 5,000 people has Ehlers-Danlos syndrome — at least twice the number as have sickle cell anaemia, phenylketonuria or haemophilia A. Learn more about it here
My Medication Passport was born out of a local research project to improve prescribing in the elderly. A year after it was made available nationally, one of the resource’s creators describes how it has grown
How a “Lung cancer awareness month” campaign demonstrated pharmacy’s crucial live-saving role in detecting the disease
The case for giving pharmacists access to patients’ records is growing stronger. Chris Rose describes how he used patient records to run a painmedicines management clinic
Your patient, a 68-year-old woman, has been taking alendronic acid for five and a half years. She has responded well to the treatment and manages the side effects fairly well. She has not had her therapy reviewed recently and you believe it might be time for a drug holiday. What is the next step?