. The chemist and druggist [electronic resource] . Registering for Update 2009 costs £ (inc VAT) and can be done easilyat or by calling 01732 up also ensures that C+Ds weekly Update article is delivereddirectly to your inbox free every week with C+Ds email newsletter. Get an RPSGB-approved CPD certificate for your portfolio when yousuccessfully complete the 5 Minute Test online Methotrexate interaction: what must you do?. At the Update Pharmacy a patienthas presented a prescription from aconsultant rheumatologist at a localhospital for me


. The chemist and druggist [electronic resource] . Registering for Update 2009 costs £ (inc VAT) and can be done easilyat or by calling 01732 up also ensures that C+Ds weekly Update article is delivereddirectly to your inbox free every week with C+Ds email newsletter. Get an RPSGB-approved CPD certificate for your portfolio when yousuccessfully complete the 5 Minute Test online Methotrexate interaction: what must you do?. At the Update Pharmacy a patienthas presented a prescription from aconsultant rheumatologist at a localhospital for methotrexate and amoxicillin 500mgcapsules 1 tds for five days. Pre-registration pharmacist trainee,Joanna, takes it to pharmacistDavid Spencer. Ive checked this out on thecomputer, David, Joanna says, andit comes up with a red lightinteraction warning. The BNFconfirms that the interactionbetween methotrexate andpenicillins is potentially hazardous, as excretion of methotrexate isreduced increasing the risk of toxicity,and advises that the combinationshould be avoided. What should we do about it? Iwouldnt want us to be heldresponsible if the patient is harmed. What do you think we should doabout it? David replies Contact the prescriber, I suppose,and ask him to change the antibioticto one that doesnt interact withmethotrexate. I certainly agree we shouldcontact the prescriber, and thatswhat Im going to do, says David. Fifteen minutes later Davidreturns from h


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Keywords: ., bookcentury1800, bookdecade185, booksubjectpharmacy, bookyear1859