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Prescribing Advice for GPs

An NHS Prescribing Advisers' Blog

August NICE Guidance

The National Institute of Health and Clinical Excellence has published new guidance for the month of August.

Included in this months guidance are Clinical Guidelines covering chronic fatigue syndrome / Myalgic encephalomyelitis and urinary tract infection in children.

The Quick Reference Guide (QRG) for chronic fatigue syndrome contains information about general principles of care and management strategies. This includes the following list of medications that should not be used to treat the condition.

  • Monoamine oxidase inhibitors
  • Glucocorticoids (such as hydrocortisone)
  • Mineralocorticoids (such as fludrocortisone)
  • Dexamphetamine
  • Methylphenidate
  • Thyroxine
  • Antiviral agents

The QRG for urinary tract infection (UTI) in children contains information on initial diagnosis, acute management, imaging tests, surgical intervention and follow up. Together, these sections provide a comprehensive treatment pathway detailing specific actions based upon a child's age, symptoms, symptom severity and urine dipstick results.

Action: Clinicians who diagnose and treat patients with chronic fatigue syndrome or who see children with symptoms of a UTI will find these guidelines useful. They contain a wealth of useful information to aid diagnosis and management.

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