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In order to understand diseases of the respiratory system and how they can be treated, it is necessary to have an overview of the normal function of the respiratory system; that is the structures involved, the mechanism of breathing and gas exchange and the control and variation of breathing rate. Air must be able to get in and out of the lungs efficiently and gas exchange must be adequate.
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They should generally be reserved for patients in whom other anti-inflammatory drugs are unsuccessful or until other drugs take effect (see DMARDs below). However, the use of corticosteroids does depend on individual circumstances.
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They exhibit the expected response to the drug but in a greater magnitude than would be acceptable.
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Adverse effects are bone marrow suppression and nausea and vomiting.
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There is a case for the physiotherapy profession to have an exemption order to the Medicines Act similar to that enjoyed by podiatrists.
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CMPs should be kept as simple as possible.
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There are other drugs not classified as SSRIs but which work in similar ways.
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Treatment is by replacement therapy with thyroxine. Adverse effects of thyroxine therapy are due to overdose and are essentially those seen with hyperthyroidism together with the risk of angina, cardiac arrhythmia or cardiac failure.