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Clearly Larry's last doctor wasn't buying into these sentiments, given the quantities of medication Larry was asking for — assuming there actually was a previous doctor in Larry's life.
An individual can import restricted quantities of medication for personal use without undergoing special procedures in Japan [ 4].
Lengthy treatment of MDR-TB consumed greater quantities of medication relative to that of other patients, at a much higher cost per dose for that medication.
However, dispensing greater quantities of medication may be limited by low stock levels or stock-outs in some resource-poor health facilities.
Specifically, we observed either different quantities of medication use, improper documentation of a non-purchased drug, drug purchase without nurse documentation and futile physician attempts to modify prescriptions of unpurchased medication.
Although the efficacy of levodopa has been established, it is associated with a high incidence of long-term adverse effects including augmentation, whereby the symptoms of RLS are worsened by the therapy, and increasing quantities of medication are required, often earlier in the day.
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In order to manage their situation, individuals with MOH use large quantities of medications, by definition triptans, ergots, opioids, or combination analgesics on at least 10 days/month or simple analgesics at least 15 days/month [2].
Figure 3 depicts the screens used by central pharmacy to add a new medication to the inventory, and to maintain or adjust quantities of medications available.
To generate an estimate of a comparable subsidy using the OCC-Q, self-reported daily quantities of medications were extrapolated to three-month quantities, and then multiplied by the appropriate medication unit cost as reported in the New Zealand Pharmaceutical Schedule [ 25].
Such databases give full details on the names, doses, and quantities of medications dispensed thus offering information that is almost impossible to obtain by questioning women who have to recall their use of medications over an extended period of time.
An initial path to implementation of such a screening program could be through governmental or nongovernmental organizations that either purchase or monitor large quantities of medications in low-resource settings.
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Justyna Jupowicz-Kozak
CEO of Professional Science Editing for Scientists @ prosciediting.com