Treatment Of Adolescents

When treating adolescents there are some important considerations: the patient's age and weight can affect the dose of the drug; for example, the dose of hepatitis B vaccine is different for under-15s from the dose for adults. Some drugs may have particular side-effects, making them unsuitable for teenagers: for example, doxycycliney's effects on teeth and bone development. The dosing and administration of treatment should be carefully considered so that minimal disruption is caused to the patient's schooling - for example, dosing three or four times daily or attending the GUM clinic for daily injections may not be feasible. It is important to elicit a full drug history from patients, particularly with regard to alcohol and illicit drug use. The need for parental consent and the patient's need for confidentiality combine to form a complex issue that is covered in another part of this book.

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