Clinical Guidelines
The following guidelines have been approved by the Nottinghamshire Area Prescribing Committee and the relevant secondary care trust(s) Drugs and Therapeutics Committee(s) (D&TCs).
They have been developed in association with the relevant clinicians in primary, secondary and tertiary care (where applicable).
Please click here if you would like the NAPC to consider any clinical guidelines you are developing.
A to Z List of Clinical Guidelines
- Alcohol Dependence Guidelines (primary care) (1201 kb) Review date: August 2022
- Allergic Rhinitis Primary Care Pathway (315 kb) Review date: March 2022
- Aminosalicylates in Inflammatory Bowel Disease in Adults - information sheet (175 kb) Review date: September 2020
- Amiodarone Information Sheet (62 kb) Review date: January 2022
- Anaemia in IBD pathway (243 kb) Review date: July 2021
- Anaemia in IBD- Ferric Maltol Treatment Algorithm (145 kb) Review date: July 2021
- Anticoagulants in AF (1149 kb) Review date: June 2022
- Antidepressants in Primary Care - Prescribing, Stopping & Swapping (909 kb) Review date: May 2022
- Antimicrobial Guidelines (222 kb)
- Antipsychotics - depot (314 kb) Review date: March 2021
- Asthma in adults (121 kb) Review date: November 2019
- Asthma self management plan (197 kb) Review date: Dec 2022
- Atypical antipsychotics - amisulpride information sheet (Amber 2) (240 kb) Review date: March 2021
- Atypical antipsychotics - aripiprazole information sheet (Amber 2) (251 kb) Review date: March 2021
- Atypical antipsychotics - clozapine information sheet (Red) (263 kb) Review date: March 2021
- Atypical antipsychotics - Lurasidone information sheet (Red) (307 kb) Review date: May 2021
- Atypical antipsychotics - olanzapine information sheet (Amber 2) (267 kb) Review date: March 2021
- Atypical antipsychotics - paliperidone information sheet (Amber 2) (272 kb) Review date: March 2021
- Atypical antipsychotics - quetiapine information sheet (Amber 2) (275 kb) Review date: March 2021
- Atypical antipsychotics - risperidone information sheet (Amber 2) (258 kb) Review date: March 2021
- Bariatric Surgery - Monitoring and Medication Post Surgery (94 kb) Review date: May 2022
- Barrier Preparations Formulary (268 kb) Review date: March 2021
- Benzodiazepine & Hypnotics Guidance (April 2019) - Nottinghamshire Healthcare Trust (332 kb) Review date: April 2022
- Benzodiazepines and Sleep Medications - Guidance for Reviewing Long Term Use (580 kb) Review date: August 2021
- Biosimilar Position Statement (351 kb)
- Blood glucose testing meters formulary - Nottingham & Nottinghamshire CCG (723 kb) Review date: March 2022
- Blood Pressure and Heart Rate Monitoring in Children (886 kb) Review date: September 2023
- Buccal Midazolam Guideline for patients under paediatric care (549 kb) Review date: March 2023
- Catheter associated problems - Encrustation management. CityCare (200 kb)
- Catheter associated problems and treatment considerations - CityCare (104 kb)
- Ciclosporin eye drops information sheet (92 kb) Review date: February 2022
- Cinacalcet prescribing information sheet (278 kb) Review date: May 2023
- Cluster Headaches - Home Oxygen Pathway (84 kb) Review date: May 2020
- Colistimethate for non CF bronchiectasis - information sheet (Amber 2) (616 kb) Review date: March 2023
- Constipation - links to national guidelines (282 kb)
- Continence Formulary County wide - Primary Care (1048 kb) Review date: March 2023
- COPD emergency supply medicines – prescribing information (189 kb) Review date: March 2021
- COPD guideline (545 kb) Review date: May 2019
- COPD self management plan (335 kb) Review date: Dec 2022
- Cows Milk Allergy - City CCG flowchart for Breastfeeding Mothers (85 kb) Review date: Nov 2021
- Cows Milk Allergy - City CCG flowchart for Formula fed infants (94 kb) Review date: Nov 2021
- Cows Milk Allergy - Greater Notts CCG flowchart for Breastfeeding Mothers (85 kb) Review date: Nov 2021
- Cows Milk Allergy - Greater Notts CCG flowchart for Formula fed infants (94 kb) Review date: Nov 2021
- Cows Milk Allergy - Mid Notts CCG flowchart for Breastfeeding Mothers (85 kb) Review date: Nov 2021
- Cows Milk Allergy - Mid Notts CCG flowchart for Formula fed infants (94 kb) Review date: Nov 2021
- Cows Milk Allergy - supplementary Guidance County CCGs (143 kb) Review date: Nov 2021
- Cows Milk Allergy -supplementary Guidance City CCGs (318 kb) Review date: Nov 2021
- Cows Milk Allergy- Overarching Guidelines (527 kb) Review date: Nov 2021
- Dementia - donepezil information sheet (Amber 2) (350 kb) Review date: July 2023
- Dementia - galantamine information sheet (Amber 2) (354 kb) Review date: July 2023
- Dementia - managing behaviour and psychological problems (525 kb) Review date: November 2021
- Dementia - memantine information sheet (Amber 2) (347 kb) Review date: July 2023
- Dementia - rivastigmine information sheet (Amber 2) (358 kb) Review date: July 2023
- Desmopressin (Noqdirna) Prescribing Information Sheet (195 kb) Review date: Sept 2022
- Diabetes - type 2 treatment algorithm (1203 kb) Review date: July 2021
- Direct Oral Anticoagulants for DVT and PE (prescribing information) (463 kb) Review date: July 2021
- Direct Oral Anticoagulants patient alert card (123 kb) Review date: September 2018
- DOAC Position Statement (203 kb) Review date: December 2020
- Domperidone for lactating mothers - standard letter (123 kb) Review date: July 2021
- Emergency Supply and Retrospective Prescribing CCG Position Statement (22 kb)
- Emollient Formulary (713 kb) Review date: May 2022
- End of Life guidance (1663 kb) Review date: March 2022
- End of Life Prescribing Guidance (177 kb) Review date: March 2022
- Enoxaparin information sheet (578 kb) Review date: Sep 2022
- Eye Lubricant formulary (606 kb) Review date: January 2021
- Eye Lubricant prescribing advice (355 kb) Review date: January 2021
- Fact sheet Clozapine and constipation (167 kb)
- Falls - medicines which may increase the risk (391 kb) Review date: November 2022
- Freestyle Libre prescribing criteria (175 kb) Review date: April 2021
- Gluten Free foods in Nottingham and Nottinghamshire Position Statement (131 kb) Review date: May 2023
- Glycopyrronium - instructions for switch from 1mg/5ml to Sialanar (227 kb) Review date: Nov 2021
- Glycopyrronium - Sialanar liquid dosing information (198 kb) Review date: Nov 2021
- Gonadorelin analogues for prostate and breast cancer - position statement (137 kb) Review date: May 2023
- Gynaecomastia Guidelines (206 kb) Review date: March 2023
- Headache in adults guideline (240 kb) Review date: January 2023
- Heart failure traffic light treatment guidelines (1226 kb) Review date: May 2023
- High Cost Drugs - Ankylosing Spondylitis treatment algorithm (40 kb) Review date: July 2021
- High Cost Drugs - Atopic Dermatitis treatment algorithm (55 kb) Review date: July 2021
- High Cost Drugs - Crohns Disease treatment algorithm (41 kb) Review date: July 2021
- High Cost Drugs - Psoriasis treatment algorithm (50 kb) Review date: July 2021
- High Cost Drugs - Psoriatic Arthritis treatment algorithm (31 kb) Review date: July 2021
- High Cost Drugs - Rheumatoid Arthritis treatment algorithm (36 kb) Review date: July 2021
- High Cost Drugs - Ulcerative Colitis treatment algorithm (32 kb) Review date: July 2021
- Homeopathy medicines - position statement (117 kb) Review date: Dec 2021
- HRT Formulary Choices Summary (440 kb) Review date: March 2021
- Hyperlipidaemia Guidelines (486 kb) Review date: Sept 2020
- Hypertriglyceridaemia guidelines (400 kb) Review date: March 2021
- Inappropriate request - template letter (20 kb) Review date: Nov 2022
- Infant feeds premature infants (315 kb) Review date: March 2019
- Lactose intolerance - guideline (335 kb) Review date: Sept 2021
- Lactose intolerance - patient information leaflet for secondary intolerance (329 kb) Review date: Sept 2021
- Lamotrigine Bipolar disease (167 kb) Review date: Oct 2020
- Limited Clinical Value Medicines and Appliances (previously called Low Priority List) (245 kb) Review date: Oct 2020
- Liothyronine for hypothyroidism position statement (181 kb) Review date: March 2023
- Lithium Prescribing Guideline (Amber 2) (266 kb) Review date: November 2021
- Male LUTS clinical guideline (343 kb) Review date: May 2022
- Medicines Supply Issues (1199 kb)
- Midodrine Monitoring Guidance (227 kb) Review date: January 2022
- Naltrexone information sheet (407 kb) Review date: June 2022
- Nausea and Vomiting in Pregnancy (136 kb) Review date: May 2023
- Neuropathic Pain Guideline (564 kb) Review date: July 2021
- Opioid Deprescribing for Persistent Non-Cancer Pain (384 kb) Review date: April 2023
- Opioids for Non-Cancer Pain (1036 kb) Review date: February 2021
- Oral Nutritional Supplements (ONS) in Adults - care home request form (800 kb)
- Oral Nutritional Supplements (ONS) in Adults - Food First Leaflet (379 kb)
- Oral Nutritional Supplements (ONS) in Adults - full guideline (1218 kb) Review date: Sept 2023
- Oral Nutritional Supplements (ONS) in Adults - quick reference guide (671 kb) Review date: Sept 2023
- Osteoporosis guideline (613 kb) Review date: July 2022
- Out of Area Prescribing Requests (198 kb) Review date: July 2022
- Overactive bladder - clinical guidance (320 kb) Review date: Jan 2023
- Palliative Care Pocketbook (468 kb) Review date: Dec 2022
- Palliative care stocklist scheme (92 kb)
- Parkinsons disease - cabergoline information sheet (Amber 2) (120 kb) Review date: March 2021
- Parkinsons disease - pergolide information sheet (Amber 2) (120 kb) Review date: March 2021
- Parkinsons disease - pramipexole information sheet (Amber 2) (125 kb) Review date: March 2021
- Parkinsons disease - ropinirole information sheet (Amber 2) (123 kb) Review date: March 2021
- Parkinsons disease - rotigotine information sheet (Amber 2) (174 kb) Review date: March 2021
- Penicillin allergy awareness leaflet (750 kb) Review date: Sept 2022
- Pregabalin and gabapentin- misuse potential statement (258 kb) Review date: Nov 2020
- Psoriasis (Adults & Children) (812 kb) Review date: July 2023
- Restless legs treatment algorithm (371 kb) Review date: Jan 2023
- Smoking Cessation - Position Statement (56 kb) Review date: March 21
- Solar keratosis - primary care pathway (213 kb) Review date: Nov 2022
- Stoma Ancillaries Items formulary (446 kb) Review date: July 2022
- Testosterone Information Sheet (602 kb) Review date: Sept 2023
- Transgender & Non-Binary Adults - Prescribing & Monitoring Responsibilities in Primary Care (445 kb) Review date: May 2020
- Unlicensed "Specials" - alternatives and options for prescribing (536 kb) Review date: March 2021
- Urticaria Primary Care Pathway (634 kb) Review date: June 2022
- Venlafaxine higher dose - information sheet (140 kb) Review date: May 2021
- Verkazia prescribing information sheet (217 kb) Review date: May 2023
- Vitamin B12 treatment guideline (175 kb) Review date: November 21
- Vitamin D guideline for Adults (483 kb) Review date: Nov 2021
- Vitamin D guideline for Children (580 kb) Review date: January 2022
- Woundcare Formulary CityCare (241 kb) Review date: Jan 2021
- Woundcare formulary County CCGs (1013 kb)
