Prescribing Advice for GPs

An NHS Prescribing Advisers' Blog

NICE Guidance - November 2014

The National Institute of Health and Care Excellence (NICE) has published new guidance for the month of November 2014. This month there is one technology appraisal and one public health guideline that impacts upon primary care.

The Nalmefene for reducing alcohol consumption technology appraisal recommends this drug a possible treatment for people with alcohol dependence who:

  • are still drinking more than 7.5 units per day (for men) and more than 5 units per day (for women) 2 weeks after an initial assessment and
  • do not have physical withdrawal symptoms and
  • do not need to either stop drinking straight away or stop drinking completely

The guidance also recommends that nalmefene should only be taken if the person is also having ongoing support to change their behaviour and to continue to take their treatment, to help them reduce their alcohol intake.

The Vitamin D: increasing supplement use among at-risk groups public health guideline aims to increase supplement use to prevent vitamin D deficiency among at-risk groups including:

  • infants and children aged under 5
  • pregnant and breastfeeding women, particularly teenagers and young women
  • people over 65
  • people who have low or no exposure to the sun, for example, those who cover their skin for cultural reasons, who are housebound or confined indoors for long periods
  • people with darker skin, for example, people of African, African-Caribbean or South Asian family origin

Action: Clinicians should be aware of this month's new guidance and implement any necessary changes to practice.

Share 'NICE Guidance - November 2014' on Email Share 'NICE Guidance - November 2014' on Delicious Share 'NICE Guidance - November 2014' on Digg Share 'NICE Guidance - November 2014' on Facebook Share 'NICE Guidance - November 2014' on Google+ Share 'NICE Guidance - November 2014' on reddit Share 'NICE Guidance - November 2014' on StumbleUpon Share 'NICE Guidance - November 2014' on Twitter

NICE Guidance - October 2014

The National Institute of Health and Care Excellence (NICE) has published new guidance for the month of October 2014. This month there are three clinical guidelines that impact upon primary care.

The Multiple sclerosis guideline offers evidence-based advice on the diagnosis, care and treatment of adults with multiple sclerosis.

The Acute heart failure guideline offers evidence-based advice on the care and management of adults with acute heart failure or possible acute heart failure.

The Gallstone disease guideline offers evidence-based advice on the diagnosis and management of gallstone disease in adults.

Action: Clinicians should be aware of this month's new guidance and implement any necessary changes to practice.

Share 'NICE Guidance - October 2014' on Email Share 'NICE Guidance - October 2014' on Delicious Share 'NICE Guidance - October 2014' on Digg Share 'NICE Guidance - October 2014' on Facebook Share 'NICE Guidance - October 2014' on Google+ Share 'NICE Guidance - October 2014' on reddit Share 'NICE Guidance - October 2014' on StumbleUpon Share 'NICE Guidance - October 2014' on Twitter

BNF 68

The 68th Edition of the British National Formulary has been published and it is currently being distributed in the NHS. As previously noted, the BNF will now only be distributed annually in the NHS.

New or revised content in this version includes updated advice in the following areas:

  • Updated guidance on the incidence of venous thromboembolism associated with combined hormonal contraceptives
  • Updated oral doses of amoxicillin and ampicillin for children
  • New MHRA restrictions on the use of domperidone following a review of the risks and benefits of its use
  • Changes made to the recommendations on interchangeability of oral mesalazine preparations
  • New MHRA advice on self-administration of adrenaline for anaphylaxis
  • The dose of naloxone for acute opioid overdosage in adults and children has been revised
  • Updates to recommendations on doses and indications of paracetamol in children
  • Updates to guidance on the treatment of epilepsy

The web version has already been updated but requires registration or an Athens account for continued access. The printed version is available for purchase.

Action: All clinicians should start using BNF 68 as soon as the print version arrives. The web version can be used to access the latest information if necessary.

Share 'BNF 68' on Email Share 'BNF 68' on Delicious Share 'BNF 68' on Digg Share 'BNF 68' on Facebook Share 'BNF 68' on Google+ Share 'BNF 68' on reddit Share 'BNF 68' on StumbleUpon Share 'BNF 68' on Twitter

NICE Guidance - September 2014

The National Institute of Health and Care Excellence (NICE) has published new guidance for the month of September 2014. This month there are three clinical guidelines that impact upon primary care.

The Long-acting reversible contraception guideline has been re-issued with an addendum which updates the recommendations on progestogen-only subdermal implants. The new advice relates to information provided to women about these implants.

The Drug allergy guideline offers evidence-based advice on the diagnosis and management of drug allergy in adults, children and young people.

The Dyspepsia and gastro‑oesophageal reflux disease guideline offers evidence-based advice on the care and treatment of adults (aged 18 and over) with symptoms of dyspepsia, symptoms suggestive of gastro-oesophageal reflux disease (GORD), or both. It replaces CG17 that was published in August 2004 and contains new recommendations about investigation and referral, Helicobacter pylori eradication therapy, specialist management, and surveillance of Barrett’s oesophagus in people with dyspepsia.

Action: Clinicians should be aware of this month's new guidance and implement any necessary changes to practice.

Share 'NICE Guidance - September 2014' on Email Share 'NICE Guidance - September 2014' on Delicious Share 'NICE Guidance - September 2014' on Digg Share 'NICE Guidance - September 2014' on Facebook Share 'NICE Guidance - September 2014' on Google+ Share 'NICE Guidance - September 2014' on reddit Share 'NICE Guidance - September 2014' on StumbleUpon Share 'NICE Guidance - September 2014' on Twitter

Domperidone Now Prescription Only

The Medicines and Healthcare products Regulatory Agency (MHRA) has announced that domperidone will no longer be available to purchase from pharmacies with effect from the 4th September 2014.

The Drug Safety Update from May 2014 warned of the risk of cardiac side effects especially in those with existing cardiac conduction conditions, impaired liver function or taking medication that may interact with domperidone.

It was noted that while community pharmacists are able to manage the majority of risks identified with this medicine, they would not routinely have access to a patient’s full medical history and would not quickly and accurately be able to assess which patients were at risk of cardiac side effects.

Action: Clinicians should be aware of this over the counter (OTC) drug withdrawal. Patients may present to GPs to enable continued access to this medication on prescription.

Share 'Domperidone Now Prescription Only' on Email Share 'Domperidone Now Prescription Only' on Delicious Share 'Domperidone Now Prescription Only' on Digg Share 'Domperidone Now Prescription Only' on Facebook Share 'Domperidone Now Prescription Only' on Google+ Share 'Domperidone Now Prescription Only' on reddit Share 'Domperidone Now Prescription Only' on StumbleUpon Share 'Domperidone Now Prescription Only' on Twitter

« Older Posts

Prescribing Advice for GPs is powered by WordPress.
Subscribe for Free to our RSS or Atom Feeds for New Entries.
Akismet has protected Prescribing Advice for GPs from 787,202 spam comments.

atomic-wealth
fond-illness
summer