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The use of during pregnancy is associated with congenital abnormalities, and use in the last trimester may cause fetal drug dependence and withdrawal symptoms in the post-natal period as well as neonatal flaccidity and respiratory problems. See also: Benzodiazepine dependence and Benzodiazepine withdrawal syndrome. Withdrawal and rebound symptoms commonly occur and necessitate a gradual reduction in dosage to minimize withdrawal effects when discontinuing.
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Anxiety can be associated with pain and breathing difficulties. Anxiety can be a reaction to major life events, such as moving house, changing jobs or bereavement. As such, it is a normal, but short-lived response to a potentially threatening event. Anxiety becomes a medical problem when it is excessive, long lasting or inappropriate and incapacitating.
Then it can be called anxiety neurosis, or an anxiety syndrome.
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In light of the recent extension to the exemptions list with regards to local anaesthetics, it has also been highlighted that podiatrists and podiatric surgeons also require keeping up to date with their resuscitation skills, with immediate life support being the minimum level. For further details of how supplementary prescribing will work and information about which health care professionals can undertake supplementary prescribing, which medicines can be prescribed under supplementary prescribing arrangements and training, see Chapter Acknowledgements I would like to take this opportunity to thank Mr Thomas Galloway, Consultant Podiatric Surgeon, Hereford PCT for his input in helping me produce this section.