Associate Professor of Therapeutics and enthusiastic teacher of all things prescribing. Author of the '7 days of ...drug (various) series. Tweets are all my own
From my vision board to the driveway. Today i picked up my brand new car, paid for in full. It’s been an incredible year of growth, and I couldn’t have done it without the guidance of my mentor @kesleyshelton proof that when you focus on your goals, they become your reality ❤️
@Argos_online 3 of 3 orders wrong! Latest:email ‘packed and ready’, diary changed for delivery, Argos say ‘order cancelled’.Cust supp ‘ by the time order got to warehouse it’s out of stock! In what system can you order and pay with no link/reservation for your order? Pls resolve
Most people have no severe withdrawal from antidepressants https://t.co/2iX3tCmLcn
Patients who discontinued antidepressants experienced an average of one more symptom on the 43 symptom DESS scale than those who continued them or were taking placebos
@reesprescribe@drdave1999
Mother of two becomes first UK to get ‘groundbreaking’ new diabetes drug https://t.co/2mwoQ1q1ZD
@AskDrShashank@ParagSinghal09@reesprescribe
Teplizumab trains the immune system to stop attacking pancreatic cells
delaying the need for insulin by an average three years
🩺
Hundreds of weight loss and diabetes jab users report pancreas problems
patients have used
Mounjaro
Wegovy
Ozempic
liraglutide
with nearly half (181) involving tirzepatide
@Michell24423236 @AskDrShashank @reesprescribe https://t.co/F5mkiyTDaa
Tramadol associated with 👉lower risk of constipation than codeine - study https://t.co/ylQOXVvVPN
This is well known but must co-prescribe senna…💩💊
@reesprescribe
Just watched Sir Gareth Southgate deliver The Richard Dimbleby Lecture 2025 on @BBCOne . It is utterly outstanding - superbly composed , brilliantly delivered , compelling , bold and true . Its really is what we pay our licence fee for . You can watch it here . . . https://t.co/84XDtYy65b
The God given immune system is truly wondrous but even with that, before we had vaccines, 1 in 5 kids didn't survive to their 5th birthday
ONE IN FIVE
Vaccines save lives!
Day 7: #sirolimus is a preeminent drug in missions to reverse aging as mTOR shown to regulate longevity. Anti-cancer properties are deployed via #temsirolimus; the prodrug of sirolimus is given i.v to halt cell division in renal cell carcinoma & refractory mantle cell lymphoma
Day 6: Multiple ‘severe’ DDIs for #sirolimus. Many drugs increase concentration e.g clarithromycin, itraconazole & many decrease concentration e.g rifampicin, St John’s Wort. Avoid live vaccines. (NOT exhaustive)
Day 7. The unknown risk of excreted drug in sperm means advice is to avoid unprotected sex & also sexual contact in pregnancy. Blood donation is avoided 1 month after stopping for topical (unlicensed use) or oral #finasteride, as drug could affect male fetal development
Day 6: No drug-drug interactions are listed in the BNF for #finasteride. There is a theoretical impact from CYP450 inducers/inhibitors but no known clinical effects arise from such interactions