Prescribing Advice for GPs

An NHS Prescribing Advisers' Blog

Orange Book updated

The Department of Health has started distributing revised copies of the Orange Book, otherwise known as Drug Misuse and Dependence - Guidelines on Clinical Management to GP practices and drug services. It is also available online via the National Treatment Agency for Substance Misuse.

The revised version aims to provide an evidence-based framework for the clinical treatment of drug misuse and places greater emphasis on the importance of planning care and the importance of keyworking. Detailed guidance on opioid drug treatment is provided with clearer distinctions made between detoxification treatment regimens and opioid maintenance regimens.

Action: Clinicians who treat drug misuse will find this updated guidance useful in ensuring that services are provided safely and effectively for the benefit of patients and their families.

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