Dr Paul Ryan will discuss the history of tacrolimus, the guidelines for use, and the advantages of using tacrolimus over topical corticosteroids. He will also discuss the adverse effects of using tacrolimus and how to overcome these effects.

Dr Paul Ryan will discuss initiating single-drug therapy & dual therapy at diagnosis. He will also discuss triple therapy for hypertension.

Dr Paul Ryan will discuss thiazide diuretics, alpha blockers & spironolactone.

 Dr Paul Ryan will discuss two main pharmacological agents used to treat hypertension, RAAS inhibitors & calcium channel blockers. 

Dr Paul Ryan will discuss how hypertension is diagnosed and how Stage 1 and Stage 2 hypertension are defined. He will also discuss the management of both Stage 1 and Stage 2 hypertension.

Dr Paul Ryan will discuss the next steps after repeat clinic BP reading remains >140/90mmHg  as per current NICE, ESC, ESH, ACC, and AHA guidelines including, ABPM monitoring, specific blood tests & urinary investigations. He will also discuss what specifically to look for on ECG.

Dr Paul Ryan will discuss high altitude illness, zika virus, cholera, tick-borne encephalitis, Japanese encephalitis & paediatric travel vaccines.

Dr Paul Ryan will discuss yellow fever, hepatitis B, rabies & meningitis ACWY.

Dr Paul Ryan will discuss general advice given to those travelling abroad, traveller's diarrhoea, mosquito avoidance, malaria prophylaxis & travel vaccines.

Dr Paul Ryan will discuss sulphonylureas & pioglitazones. He will also discuss the follow-up with diabetic patients and a memory aid that can be used in deciding on appropriate treatment after metformin.