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PThose that do can be suppressed with primaquine, which prevents the disease from recurring. Primaquine is not taken in combination with chloroquine. Primaquine has few side effects limited to gastrointestinal disturbances, although it can lie haemolysis in susceptible individuals. These drugs prevent infection of red suffer cells.

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Adverse reactions can occur with any drug use and can be either related to or unrelated to the expected pharmacological effect. Variation in effect of a drug can occur in different individuals and indeed in the same individuals on different occasions. This can result from either differing concentrations of a drug at its site of action, or differing physiological responses to the same concentration of a drug.

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The cream is applied for a period of occlusive dressing. EMLA is indicated prior to venepuncture and whenever pre-injection analgesia of the skin is required. This technique may be used by physiotherapists and radiographers under patient group directions. The anaesthetic is injected in or around the area requiring anaesthesia.

In a small injury, this alone may be enough to stop the loss of blood. The function of platelets is to plug damaged blood vessels.

Authored by W.Michael Morrissey, MD

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