Prescribing Advice for GPs

An NHS Prescribing Advisers' Blog

CKS Updates - January 2017

During January 2017 Clinical Knowledge Summaries were updated for the following topics:

The following topics were all reviewed:

The majority of topics have undergone minor restructures. More significant changes are as follow:

  • Edoxaban was added to the Anticoagulation - oral topic along with the MHRA information about the interaction between vitamin K antagonists and hepatitis C treatments
  • A section on end of life care was added to the Delirium topic
  • The Palliative Care topics were updated in line with NICE 2015 guidance Care of dying adults in the last days of life
  • Aspiration and corticosteroid injection are no longer recommended as treatments in primary care in the Pre-patellar Bursitis topic
  • The Temporomandibular disorders topic has been updated in line with recommendation from the Royal College of Surgeons Faculty of Dental Surgery

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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NICE Guidance - January 2017

The National Institute of Health and Care Excellence (NICE) have published new or updated guidance for the month of January 2017. This month there are two guidelines that impact upon primary care.

The Cerebral palsy in under 25s guideline covers diagnosing, assessing and managing cerebral palsy in children and young people from birth up to their 25th birthday. It aims to make sure they get the care and treatment they need for the developmental and clinical co-morbidities associated with cerebral palsy, so that they can be as active and independent as possible.

The Antimicrobial stewardship guideline covers making people aware of how to correctly use antimicrobial medicines (including antibiotics) and the dangers associated with their overuse and misuse. It also includes measures to prevent and control infection that can stop people needing antimicrobials or spreading infection to others. It aims to change people’s behaviour to reduce antimicrobial resistance and the spread of resistant microbes.

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

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CKS Updates - December 2016

During December 2016 Clinical Knowledge Summaries were updated for the following topics:

The following topics were all reviewed:

The shingles topic updated changed recommendations with respect to the choice of drugs for neuropathic pain and also added sections on prevalence, risk factors, and differential diagnosis. There were also minor changes to the prescribing information section on antiviral drugs. The remaining changes for the other topics were minor structural changes.

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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NICE Guidance - December 2016

The National Institute of Health and Care Excellence (NICE) have published new or updated guidance for the month of December 2016. This month there are two guidelines and one technology appraisal that impact upon primary care.

The HIV testing guideline covers how to increase the uptake of HIV testing in primary and secondary care, specialist sexual health services and the community. It describes how to plan and deliver services that are tailored to the local prevalence of HIV, promote awareness of HIV testing and increase opportunities to offer testing to people who may have undiagnosed HIV.

The End of life care for infants, children and young people with life-limiting conditions guideline covers the planning and management of end of life and palliative care in for infants, children and young people (aged 0–17 years) with life-limiting conditions. It aims to involve children, young people and their families in decisions about their care, and improve the support that is available to them throughout their lives.

The Ticagrelor for preventing atherothrombotic events after myocardial infarction technology appraisal recommends this treatment as an option for preventing atherothrombotic events in adults who had a myocardial infarction and who are at high risk of a further event. Treatment should be stopped when clinically indicated or at a maximum of 3 years.

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

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CKS Updates - November 2016

During November 2016 Clinical Knowledge Summaries were updated for the following topics:

Two new topics were added:

The following topics were all reviewed:

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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