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The use of medicines is not always optimized, so there can be waste and patients can suffer harmful effects. Consequently, Trusts have medicines management policies in place to address issues such as: managing risk; minimizing potential of harm; maximizing the use of advanced competencies; improving the patient experience; maximizing cost-effective use of resources. Medicines management encompasses all aspects of the use of medicines in NHS Trusts, and includes the selection, procurement, delivery, prescription, dispensing and administration of medicines. Figure part in the management of medicines. The structure, format and terms of reference of medicines management structures and committees vary between Trusts because they are locally agreed, but the existence of medicines management procedures is mandatory.

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These drugs exert their effect in exercise-induced angina by reducing the increase in heart rate and force of contraction in response to exercise, thereby reducing the oxygen demand of the myocardium. β-blockers may be used prophylactically in the treatment of stable angina.

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