January 18th 2021

It is generally accepted that the management of symptoms in palliative care must involve appropriate polypharmacy. We are comfortable with using more than one medicine to help with one symptom provided the mechanisms of action are different and complementary – for example morphine plus gabapentin for pain with neuropathic characteristics. At the same time, we…

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March 30th 2020

In September 2019, the charity Hospices of Hope invited interested supporters on an insight visit to Serbia to see the new hospice building and meet the staff and patients. I have a family connection with Belgrade as my father was a Serbian pharmacist and our family supports the charity with the intention of trying to do something specific to help this particular site. There hasn’t been such an opportunity so far but this visit seemed a great chance to find out more in person…

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October 18th 2019

Articles in medical and pharmacy journals this month are asking us to adopt safer and more rational approaches to prescribing opioids. One comes from experts in chronic pain, notably Cathy Stannard, consultant in complex pain and Clinical Lead for the Pain Transformation Programme at NHS Gloucestershire CCG (1), and her…

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