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[Expert Solution]: Patients current medication: Ibuprofen…

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Patients current medication: Ibuprofen 200mgs x 3 daily Ramipril 10mgs daily Loperamide 2mgs (when required) Omeprazole 20mgs daily Paracetamol 1g 4 x daily Atorvastatin 20mgs daily Sertraline 50mgs daily New medication for Rheumatoid arthritis (RA) Methotrexate 7.5mgs once weekly Prednisolone 10mgs daily (2-3 months) 1. Look at the BNF and identify the interactions between new medication and current medication? List all interactions. 2. Is there a risk of hepatoxicity? Identify the medication 3. Is there a risk of nephrotoxicity? Identify the medication 4. Looking at the 7 steps. List each of the 7 steps in relation to polypharmacy? 5. What monitoring might be required for the patient? 6. What long term interventions may be required for a patient whose immunosuppressed? 7. How does Methotrexate affect the pathophysiology of RA?

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