A49 E Fluticasone is a potent corticosteroid that is available as a nasal spray indicated in allergic rhinitis (hay fever) and as an inhaler used in asthma. A50 A Prednisolone is a corticosteroid that may be used orally for long-term disease suppression. A51 D Proprietary preparations of hydrocortisone for skin administration present a low-potency corticosteroid for topical skin administration. A52 D Prolonged febrile convulsions can be treated by administration of diazepam (benzodiazepine) as a slow intravenous infusion or rectally. A53 B Glaucoma is characterised by an increase in intraocular pressure. Clinical features of glaucoma include ocular pain, visual disturbances, headache and sometimes nausea and vomiting. A54 B Predisposing factors for low back pain include osteoporosis, trauma and pregnancy. A55 C Loperamide is an antimotility drug indicated for diarrhoea. Side-effects of loperamide include skin reactions and abdominal cramps. A56 B Sympathomimetics, such as dobutamine and isoprenaline, mimic the sympathetic system. Orphenadrine is an antimuscarinic drug acting as an antagonist to the parasympathetic system. A57 B Prophylaxis of angina may be managed by beta-adrenoceptor blockers, such as atenolol, and long-acting nitrates, such as isosorbide dinitrate. Digoxin is a cardiac glycoside that increases the force of myocardial contraction and reduces the conductivity of the heart. Digoxin is indicated as a positive inotrope in heart failure and as an anti-arrhythmic drug in atrial fibrillation. A58 B Angiotensin-converting enzyme inhibitors are indicated for use in hypertension and heart failure. Angiotensin-converting enzyme inhibitors have no use in the management of arrhythmias. A59 E Treatment of an acute attack of gout is managed by non-steroidal antiinflammatory drugs, such buy xanax overnight delivery to uk as naproxen. Drugs such as allopurinol and other uricosurics are not indicated for the treatment of an acute attack of gout as they may prolong the attack. Allopurinol is indicated for prophylaxis of gout and is used on a long-term basis. Indapamide is a thiazide diuretic, which may precipitate an acute attack of gout. A60 D Gentamicin is an aminoglycoside active against some Gram-positive bacteria and many Gram-negative bacteria. Monitoring of the renal function is important when administering gentamicin. A61 E Patient information leaflets are intended to provide information about the medicine to the patient. The leaflets are produced for many medicines whether presented as original packs or patient packs. For medicines presented in bulk dispensing packs, the manufacturer may supply additional copies of the leaflet. Within the European hydrocodone needed no rx Union, Directive 92/27/EEC outlines the contents of patient information leaflets and the use hydrocodone dependecy of the rINN is required. Tinnitus is the perception of sound, such as buzzing, hissing or pulsating noises, in the ears. Tinnitus may be caused by hydrocodone dependecy aspirin overdosage, furosemide or gentamicin toxicity. Tinnitus may also be an accompanying symptom of senile deafness, otosclerosis and injecting oxycontin how Meniere's disease. A63 A Adverse drug reactions may be characterised by urticaria, fever or maculopapular rashes. A64 B Selective serotonin re-uptake inhibitors (SSRIs) and tricyclic antidepressants are equally hydrocodone dependecy effective. However, SSRIs tend to have fewer antimuscarinic side- effects and are less cardiotoxic in case of overdosage. Both SSRIs and tricylic antidepressants exhibit a time lag before the action of the hydrocodone dependecy antidepressants becomes effective. A65 B Decreased mobility or immobility and incontinence are risk factors for the development of pressure ulcers. The use of appropriate barrier skin creams may protect against the development of pressure sores, especially in bedridden patients. A66 A Clinical trials involve different phases of studies of the drug. The aim of clinical trials is to assess safety and efficacy of a drug in humans. Clinical trials must follow good clinical practice guidelines.
A67 D Iron salts should always be administered by mouth unless there are good reasons for using another route. Ferrous salts are better absorbed than ferric salts. Iron salts may cause gastrointestinal disturbances and are therefore administered after food.
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