Prevention of Medication errors

Philip A Routledge James Coulson All Wales Therapeutics and Toxicology Centre Cardiff Wales UK Case Study A 44 yearold woman had a urinary tract infection and was prescribed the antibiotic nitrofurantoin for 10 days Two weeks later she noticed numbness pins and needles and tingling of the lower limbs up to midthigh She was examined by a neurologist three months later who stated that this was likely to have been a peripheral neuropathy related to the previous course of nitrofurantoin She is referred to you as a clinical pharmacologist for advice

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