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The majority of medicines are supplied or administered in this way. A PSD can be a written statement defining the care of a named patient agreed between the doctor and other health care professionals. An example could be the variation of dose range of analgesic in a rheumatology patient by a physiotherapist. A PGD is a relatively new method (an amendment to the Prescription Only Medicines [Human Use] Order supplied or administered without a normal prescription to specified groups of patients. These are written directions made in favour of health care professionals and require the signature of a doctor and a pharmacist. Since podiatrists, dieticians, occupational therapists, orthoptists, paramedics, physiotherapists, prosthetists and orthotists, radiographers and speech and language therapists comprise the list of professionals able to supply medicinal products under PGDs.

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