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They are intended to stimulate discussion not limit debate. The following patient was initially referred to the podiatrist because he has fungally infected toenails.
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- Side effects of these drugs include excessive salivation, muscle twitching and abdominal pain, nausea and diarrhoea.
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- When given orally, terbinafine binds strongly to plasma proteins and diffuses rapidly through the dermis concentrating in the stratum corneum.
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Symptoms are those of increased sympathetic activity including increased heart rate and blood pressure, sweating and tremor and a dry mouth. Anxiety can be associated with pain and breathing difficulties.
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Most rheumatic diseases require symptomatic treatment to relieve pain and increase joint movement using non-steroidal anti-inflammatory drugs and anti-inflammatory corticosteroids to limit or stop the inflammation. In addition treatment aims to prevent destruction of joints by the use of disease-modifying antirheumatic drugs.
Authored by Natalie Lama Monticciolo, DO
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