Generally, safeMedicate usernames expire in line with the duration of your course. If you have taken a break from your course and rejoined in a different year and cohort, please contact your university / place of work to have your access extended.
If you have finished your course or have purchased a personal licence for safeMedicate then you can extend your access when logged in to your account by choosing Account Settings | Module Access from the main menu. You'll then see a number of different account purchasing options.
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