any additional information, such as specific instructions for giving a medicine and any known drug allergies. Some people may also be at risk of getting more serious problems, including the reactivation of infections such as tuberculosis (TB) if they have had them in the past.

It is important that information about medicines is shared with the person and their family members or carers, and between health and social care practitioners, to support high‑quality care. Social care practitioners include, but are not limited to, care workers, case managers, care coordinators and social workers. Menopause symptoms such as hot flushes, difficulty sleeping, tiredness and low mood usually improve during the first months of taking letrozole. There's no strong evidence to suggest that specific dietary changes can improve rheumatoid arthritis, although some people with rheumatoid arthritis feel their symptoms get worse after they have eaten certain foods.

In this case, surgery, radiotherapy or chemotherapy is the first ("primary") treatment and letrozole is an additional ("adjuvant") therapy. Review patient knowledge, understanding and concerns about medicines, and a patient's view of their need for medicine at intervals agreed with the patient, because these may change over time. If you think this may be the case for you, it may be useful to try avoiding problematic foods for a few weeks to see if your symptoms improve.

An occupational therapist can provide training and advice that will help you to protect your joints, both while you're at home and at work. Common side effects can be like menopause symptoms and include hot flushes, difficulty sleeping, tiredness and low mood. Understanding what factors are most important to the patient offers appropriate fuel for a tailored intervention. Stop watching TV and using electronic devices like mobiles or tablets at least 1 hour before bedtime.The term 'medicines support' is defined as any support that enables a person to manage their medicines. In addition to, or instead of, painkillers such as paracetamol, your doctor may prescribe a non-steroidal anti-inflammatory drug (NSAID).