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As an alternative to listing medicines individually, the CMP may refer to recognized and accepted local or national clinical guidance in written or electronic form. Any guidelines referred to should be easily available to all concerned in the patients care ( CMP must include). Supplementary prescribing must include arrangements for regular clinical review of the patients progress by the independent prescriber, at appropriate predetermined intervals, depending on the patients condition and the medicines prescribed for them. The intervals should be no longer than one year apart and more frequent if antibiotics are included in the CMP. The independent prescriber may, at any time, review the patient andor resume full responsibility for their care. For the safety of patients, it is essential that the independent prescriber and the supplementary prescriber use and share access to the same common patient record and jointly keep it up to date.
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Withdrawal must be gradual to avoid symptoms and the need to return to drug use. Tolerance develops to the sleep effects of benzodiazepines but not the antianxiety effects.
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Classes of antidepressants Tricyclic antidepressants were named after their characteristic chemical structure, although a number of the newer drugs in this group have a different chemical structure but still share similar pharmacological profiles.
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