Summary: The prescription of two or more drugs for simultaneous use by a patient always raises the possibility that one of those drugs will affect the intensity and duration of effect of the other(s), and can introduces the possibility of serious side effects occurring. This book provides a convenient, user-friendly approach to this problem, providing information on potential adverse affects by drug class. By establishing a system of grading throughout the book and appropriate coding through the use of special icons, the authors highlight immediately to the reader those interactions that are likely to give rise to life-threatening reactions and must therefore be completely avoided in addition to other, less threatening but nonetheless important interactions to be aware of.
Presented in tabular form for ease of reference, the book also provides a brief summary of the mechanism underlying a particular interaction, alternative drugs lacking the same reactions that may be considered and instructions for monitoring patients when adverse affects may occur. All advice is supported by the appropriate evidence, graded according to a universally accepted system. Drug naming follows the recommendations of INN. Throughout, interactions with OTC medications, herbal remedies and dietary supplements are also considered.
* Portable guide covering all major drug groups * At a glance tabular format gives immediate guidance on potential interactions, both by drug class and by individual agent * Use of complex pharmacological terminology minimised for the non-specialist * Also includes potential interactions with over the counter medications, herbal remedies and dietary supplements and constituents
Table of Contents: The History of the Autopsy The Future of the Autopsy The Role of the Autopsy in Medical Education Autopsies and the Law Religious Attitudes to the Autopsy The Safe and Healthy Autopsy The External Examination The Evisceration Routine Autopsy Dissection Examination of the Nervous System Fetal, Perinatal and Infant Autopsies The Maternal Autopsy Toxicology and Biochemical Analyses Microbiology of the Autopsy Autopsies of Patients with High-Risk Infections Investigating Possible Anaphylactic Deaths The Pathology of Wounds Perioperative and Postoperative Deaths The Radiological Autopsy The Unascertained Autopsy Reconstruction of the Body Autopsies and Clinical Audit 21. Atipsychotics 22. Anxiolytics and hypnotics (including antagonists) 23. CNS stimulants 24. Drug dependence therapies 25. Drugs used to treat neuromuscular disorders Part 3. Anticancer and immunomodulating drugs 26. Cytotoxics 27. Hormones/hormone antagonists 28. Other immunomodulating drugs Part 4. Anticoagulants 29. Oral 30. Parenteral 31. Thrombolytics Part 5. Anitdiabetics 32. Acarbose 33. Insulin 34. Metformin 35. Nateglinide/repaglimide 36. Pioglitazone/Rosiglitazone 37. Sulphorylureas Part 6. Other endocrine drugs 38. Anabolic steroids 39. Diazoxide (see centrally-acting antihypertensives in CVS chapter) 40. Drugs altering bone metabolism 41. Drugs altering the hypothalamic - pituitary axis 42. Glucagon 43. Sex hormones/Gonadotrophins (? drugs - see 0+G chapter) 44. Steroid replacement therapy (see corticosteroids in Anticancers and Other Immunomodulating Drugs chapter) 45. Thyroid hormones and antithyroid drugs Part 7. Analgesics 46. Nefopam 47. NSAIDs 48. Opioids (including antagonists) 49. Paracetamol Part 8. Muscoskeletal drugs 50. Antigouts 51. Antirheumatoid drugs (see other immunonodulatory drugs in Anticancers and Other Immunomodulating Drugs chapter) 52. Skeletal muscle relaxants Part 9: Anaesthetic drugs 53. Drugs used to treat malignant hyperpyrexia 54. Inhalational agents 55. IV induction agents 56. Local anaesthetics 57. Muscle relaxants 58. Parasympathomimetics (see CNS chapter) Part 10: Drugs to treat infections 59. Antibiotics 60. Antifungals 61. Antimalarials 62. Other antiprotozals 63. Antivirals Part 11: Drugs acting on the gastrointestinal tract 64. Antacids 65. Antidiarrhaeals 66. Antiemetics 67. Antispasmodics 68. Chelates - tripotassium dicitratobismuthate, sucralfate 69. Drugs to treat inflamatory bowel disease 70. H2 receptor blockes 71. Intestinal secretions - aprotirum, pancreatin, ursodeoxycholic acid 72. Laxatives 73. Proton pump inhibitors Part 12: Respiratory drugs 74. Antihistamines 75. Bronchodilators 76. Corticosteroids 77. Cromoglycate 78. Doxapram 79. Leukotriene antagonists 80. Mucolytics 81. Sufactants Part 13: Miscellaneous 82. Grapefruit/grapefruit juice 83. Herbal remedies 84. Over-the-Counter drugs 85. Nutritional supplements 86. Drugs available online
About the Author(s): Lakshman Karalliedde, Visiting Senior Lecturer, Department of Public Health Sciences, King’s College London School of Medicine; Consultant Medical Toxicologist, Health Protection Agency, London, UK Simon FJ Clarke, Consultant Emergency Medicine Physician, Frimley Park NHS Foundation Trust, UK; Honorary Consultant Medical Toxicologist, Chemical Hazards and Poisons Division (London), Health Protection Agency, UK Ursula Collignon, Senior Pharmacist, Guy’s & St Thomas’ NHS Foundation Trust, London, UK Janaka Karalliedde, Clinical Lecturer in Diabetes and Endocrinology, King’s College London School of Medicine, King’s College London, UK
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