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We have introduced a phased return that meant we dealt with our emergency patients and those who needed our help during the practice closure. We have the correct enhanced PPE now and we have been successfully fit tested. As guidance allowed and as the restrictions eased we have started to introduce other treatments and routine care. Please do not come to the practice without an appointment as we have to keep the front door closed. Those who have appointments will be advised of the measures we must take to keep everyone safe.

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In hypertension, for example, the additive effects of multiple drug therapy is often necessary to achieve a reduction in blood pressure. Type B adverse drug reactions are much rarer than type A, but they are unpredictable and not dose-related and they are potentially more serious. Many are due to drug allergy, but there are other causes. Idiosyncratic reactions occur when the patient experiences an effect unrelated to the expected action of the drug. The effect is usually harmful and occurs in a very small proportion of individuals.