Aust Prescr
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People who are, or have been, in custody often have multiple morbidities and multi-dimensional disadvantage. A thorough clinical evaluation and multidisciplinary approach will assist in managing these patients. Treatment plans should be pragmatic and simple, and explained in an understandable manner. ⋯ There is also a risk of drug diversion. There is an increase in mortality after prisoners are released into the community. Preparations should therefore be made before release to ensure continuity of care.
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Most commonly used drugs are relatively safe for breastfed babies. The dose received via milk is generally small and much less than the known safe doses of the same drug given directly to neonates and infants. ⋯ Discussion with the mother about the possibility of either negative product information or ill-informed advice from others will reduce the confusion and anxiety that may be generated. Good resources about medicines and breastfeeding are available and include state-based medicines information services.
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Some athletes cheat by using drugs or medical methods such as transfusion to enhance their performance. However, this may put their health at risk. The World Anti-Doping Agency prohibits certain methods and drugs that may enhance performance, harm the athlete or violate the spirit of sport. ⋯ Prohibited substances include over-the-counter and prescription medicines. It is therefore important for athletes and health professionals to check what is permitted. There are many resources available through organisations such as the Australian Sports Anti-Doping Authority and the World Anti-Doping Agency.
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Oral targeted therapies are increasingly being used to treat cancer. They work by interfering with specific molecules or pathways involved in tumour growth. ⋯ They should be aware of potential adverse effects and drug interactions, and be able to manage toxicities when they occur. Despite the selectivity of these targeted therapies, they still have serious adverse effects including skin reactions, diarrhoea and altered organ function.