In Focus: DAMN Drugs - NHS Dorset CCG
The polypharmacy working group have been reviewing the Polypharmacy indicators available on ePACT2. As a CCG we are an outlier on the following indicator associated with kidney injury: prostaglandin the afferent arteriole and may increase the Percentage of patients prescribed an NSAID and one or more other unique medicines likely to
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QTc Prolongation: Guidance for Mental Health Prescribers
www.dorsetccg.nhs.uket, Aftab A, Coverdale J. J Psychiatr Pract. 2014 May;20(3):196-206 Written By Mental health and cardiology working groups Spring 2019 Approved By Dorset Medicines Advisory Group July 2019 Date of next review July 2021 or before, in light of new evidence or information.
Adult Pain Management Guidance - NHS Dorset CCG
www.dorsetccg.nhs.uk• Offer non-pharmacological treatments alongside education, explanation and reassurance • Effervescent preparations should be reserved for patients who cannot swallow. Use with care as these have high sodium content • If for OA of hand or knee, consider topical NSAID initially (as per NIE G177) such as Ibuprofen 5% gel
Patient information - NHS Dorset CCG
www.dorsetccg.nhs.ukPatient information leaflet for the treatment of leg cramps. Leg cramps are a common and ... as paracetamol or ibuprofen. Quinine Quinine was originally designed as a medication to treat malaria. It can ... with other information. Please see the back cover of this leaflet for a copy of the diary. References
Information, Patients, Leaflet, Patient information leaflet, Patient information, Ibuprofen
Delaying menstruation during holidays. - NHS Dorset CCG
www.dorsetccg.nhs.ukreduce heavy menstrual bleeding. Dr Sarah Grey (personal communication) recommends 20mg medroxyprogesterone to be taken daily, starting 3 days before the expected onset of menses. However, (MPA) is not licensed for this use and the prescriber should follow the rules of off label prescribing. References
INHALED CORTICOSTEROIDS LABA/ICS COMBINATION
www.dorsetccg.nhs.ukINHALED CORTICOSTEROIDS LABA/ICS COMBINATION Corticosteroid Type Trade name Low dose Medium dose High dose Trade name and components Low dose Medium dose High dose Beclometasone MDI Qvar MDI Autohaler Easibreathe 50 2bd £4.72 £4.72 £4.64 100 2bd £10.33 £10.33 £10.17 100 4bd £20.66 £20.66 £20.34 ...
Emollient comparison chart - NHS Dorset CCG
www.dorsetccg.nhs.ukeczema, xeroderma, ichthyosis and senile pruritus associated with dry skin Colloidal oatmeal 1% Also contains [PR-010017] Aqua, Glycerin, Distearyldimonium Chloride, Isopropyl Palmitate, Paraffinum Liquidum, Cetyl Alcohol, Dimethicone, Avena Sativa Kernel Flour, Allantoin, Paraffin, Cera Microcristallina, Isopropyl Alcohol, Stearyl
When to issue a steroid TREATMENT card or a steroid ...
www.dorsetccg.nhs.ukAloflute® and Seretide® ≥ 400 micrograms daily ≥ 200 micrograms daily Sirdupla® Only for use in adults over 18 years of age ≥ 400 micrograms daily Unlicensed – give with any dose Relvar Ellipta® Adults (>12 years). All patients should be given a steroid treatment card5 Unlicensed – give with any dose Trelegy Ellipta®
The management of hypomagnesaemia in primary care
www.dorsetccg.nhs.ukThe management of hypomagnesaemia in primary care Magnesium is a cofactor in enzyme systems involving energy metabolism and protein and nucleic acid synthesis. It also plays a role in the active transport of calcium and potassium ions across cell membranes, important to nerve impulse conduction, muscle contraction, and heart rhythm.
THE MANAGEMENT OF PSORIASIS IN ADULTS
www.dorsetccg.nhs.ukTar based preparations e.g. Polytar (plus) ® or Capasal ® shampoo are useful when scale is present - massage into the scalp for five minutes to allow the shampoo to penetrate the scale and then wash out Some patients are not keen on the smell of tar based preparations and may wish to try an alternative such as Dermax ® shampoo
Criteria Based Access Protocol - NHS Dorset CCG
www.dorsetccg.nhs.ukdocuments\specifications\02_gms_0033\02_gms_0033 v2 app 2 access protocol.docx 4.2. The fact that treatment is likely to be effective for a patient is not, itself a basis for exceptional circumstances. In order for funding to be agreed there must be some unusual or unique clinical factor in respect of the patient that suggests that they are:
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Good for you, good for us, good for everybody: a plan to ...
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Structured Medication Review (SMR) Process for Pharmacists ...
medicines.blmkccg.nhs.ukPatients with complex and problematic polypharmacy, specifically those on 10 or more medications 2.Optimising the impact of medicines Patients taking medicines commonly associated with medication errors Patients with severe frailty, who are particularly isolated or housebound or who have had recent hospital admissions and/or falls.