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Independent prescribers take responsibility for: the clinical assessment of the patient; establishing a diagnosis; indicating the clinical management required and prescribing where necessary. They prescribe medicines from the British National Formulary (or part thereof) in accordance with their professional competency. Supplementary prescribing is defined as a voluntary prescribing partnership between an independent prescriber and a supplementary prescriber to implement an agreed patientspecific CMP with the patients agreement.
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The pain and swelling of gout is caused by the deposition of uric acid crystals in the joint.
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The advantage of using such systems is said to be that it has led to standardization of diagnostic practice across psychiatry and countries and allowed more accurate description of syndromes.
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Ankylosing spondylitis particularly affects the iliosacral and vertebral joints which eventually become fused.
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Nevertheless, it is recommended that maintenance therapy should be for two to four years only and then gradually reduced to avoid possible long-term adverse effects.
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