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Practice advice

Question from practice: Contraception for overweight women

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Q. I’ve been given another prescription from my GP for my pill (Femulen). But this time he says I should take two a day instead of one because I’ve put on a lot of weight so it won’t work as well. I know I’ve put on weight but I’m a bit worried about taking two — wouldn’t that be bad for me?

Management of malignant glioma

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A case report describing the treatment of malignant glioma

BNF case study: Intranasal flu vaccine: points to note

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Synopsis: 
Last year the Joint Committee on Vaccination and Immunisation advised that Fluenz should be the vaccine of choice for children. A BNF case study highlights some important points

Question from practice: Advice on high fluoride toothpastes

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Q. I’ve been given this prescription [sodium fluoride 1.1 per cent, 5,000ppm] by my dentist. Can I share it with the rest of my family?

Melatonin and its use in children

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Synopsis: 
Ray Bunn looks at the rationale behind the use of melatonin in children with neurodevelopmental disorders and highlights some considerations for prescribing

Do proton pump inhibitors reduce the clinical efficacy of clopidogrel?

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Synopsis: 

UK Medicines Information summarises the evidence for this frequently asked question.

 

How to put together a strong business case

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Synopsis: 

A business case acts as a formulaic approach to ensure a request for funding is well considered and has a solid strategic footing

Possible compromises for the dosing of IV tobramycin in cystic fibrosis

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Synopsis: 

Francis J. Gilchrist et al explain the uses of tobramycin in cystic fibrosis and present data to suggest that most patients need less than the currently recommended dose

Question from practice: Be alert to the danger of sepsis for patients who are having chemotherapy

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Q. I think I’m coming down with something. Can I get some Night Nurse? I’ve been having chemotherapy; will it be ok for me to take?

 

Anaemia in kidney disease explained

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Synopsis: 
With the increasing prevalence of diabetes, hypertension and obesity, chronic kidney disease is also on the rise in the UK. John Sexton looks at one facet: renal anaemia