Prescribing Advice for GPs

An NHS Prescribing Advisers' Blog

SMC Update - April 2021

The Scottish Medicines Consortium (SMC) has issued its monthly advice on newly licensed medicines.

Dapagliflozin (Forxiga®) has been accepted for use in adults for the treatment of symptomatic chronic heart failure with reduced ejection fraction.

Action: Clinicians should be aware of the recommendations of the SMC. Routine use of rejected and restricted medicines should be avoided.

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CKS Updates - March 2021

During March 2021 Clinical Knowledge Summaries were published or updated in the following areas.

The Platelets - abnormal counts and cancer topic is new. The other topics have been reviewed and updated in keeping with current guidance with minor layout changes. The Contraception - progestogen-only methods topic has been updated in line with Faculty of Sexual and Reproductive Healthcare (FSRH) guidance and references to some retired QOF indicators have been removed. The Itch - widespread topic has been updated to recommend the use of non-sedating oral antihistamines first line unless there is a history of troublesome nocturnal itch. As such new sections on cetirizine, loratadine and fexofenadine have been added to the section on Prescribing information.

Action: Clinicians who see patients with any of these conditions may find the new and updated information useful when reviewing current clinical practice.

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