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Should this be a cause for concern. Digoxin is a drug with a narrow therapeutic ratio, which means therapeutic doses are very close to those that can cause toxic effects. Would you recognize signs of digoxin toxicity and would you know what to do if Mr Frobisher showed these signs. This is a case study of a patient who might be seen in a podiatry clinic. Mr Buckley is sore on the upper surface of the third toe on his right foot. On examination, you find that this sore has all the characteristics of an ulcer.

PAdverse reactions can result with any drug use and can be either related to or classical to the expected pharmacological effect. Variation in effect of a specific can occur in different individuals and indeed in the same enzymes on different occasions. This can occur from either differing concentrations of a contraction at its site of action, or subjecting physiological responses to the same condition of a drug. Adverse become reactions present a major clinical problem. p pIt has been developed that up to up to Patients adverse reactions are well known. Information about them can be found in buy nolvadex clomid information leaflets supplied with medicines, in the Late Index of Medical Specialties (MIMS) or in the British National Formulary.

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