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
- Agomelatine prescribing information sheet (516 kb) Review date: August 2024
- Alcohol Dependence Guidelines (primary care) (1132 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 (84 kb) Review date: January 2021
- Anaemia in IBD pathway (349 kb) Review date: Aug 2024
- Anaemia in IBD- Ferric Maltol Treatment Algorithm (148 kb) Review date: Aug 2024
- Anticoagulants in AF (2011 kb) Review date: June 2022
- Antidepressants in Primary Care - Prescribing, Stopping & Swapping (909 kb) Review date: May 2022
- Antimicrobial Guidelines (222 kb)
- Antipsychotics - clozapine information sheet (745 kb) Review date: June 2024
- Antipsychotics - Prescribing Guideline (1020 kb) Review date: June 2024
- Asthma in adults (484 kb) Review date: February 2024
- Asthma self management plan (197 kb) Review date: Dec 2022
- Bariatric Surgery - Monitoring and Medication Post Surgery (94 kb) Review date: May 2022
- Barrier Preparations Formulary (596 kb) Review date: June 2024
- Benzodiazepines and Z-hypnotics: Guidance on Prescribing and Deprescribing (590 kb) Review date: August 2024
- Biosimilar Position Statement (351 kb)
- Blood glucose testing meters formulary - Nottingham & Nottinghamshire CCG (216 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 (274 kb) Review date: May 2022
- Continence Formulary County wide - Primary Care (2681 kb) Review date: March 2023
- COPD emergency supply medicines – prescribing information (179 kb) Review date: February 2023
- COPD guideline (2247 kb) Review date: April 2024
- 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) (732 kb) Review date: July 2023
- Dementia - managing behaviour and psychological problems (525 kb) Review date: November 2021
- Dementia - memantine information sheet (Amber 2) (197 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 (643 kb) Review date: July 2021
- Direct Oral Anticoagulants for DVT and PE (prescribing information) (809 kb) Review date: April 2024
- Direct Oral Anticoagulants patient alert card (493 kb) Review date: June 2022
- DOAC Position Statement (203 kb) Review date: February 2021
- Domperidone for lactating mothers - standard letter (123 kb) Review date: July 2021
- Emergency Supply and Retrospective Prescribing CCG Position Statement (22 kb)
- Emollient Formulary (732 kb) Review date: May 2022
- End of Life guidance (1065 kb) Review date: March 2022
- Enoxaparin information sheet (586 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
- Fludrocortisone for Orthostatic Hypotension (773 kb) Review date: April 2024
- Freestyle Libre prescribing criteria (247 kb) Review date: June 2024
- Gluten Free foods in Nottingham and Nottinghamshire Position Statement (131 kb) Review date: May 2023
- 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 - Palliative Care Guidance (637 kb) Review date: March 2024
- Heart failure traffic light treatment guidelines (1227 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 (249 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
- HRT Formulary Choices Summary (239 kb) Review date: June 2024
- Hyperlipidaemia Guidelines (755 kb) Review date: Nov 2023
- Hypertriglyceridaemia guidelines (400 kb) Review date: March 2021
- Inappropriate request - template letter (20 kb) Review date: Nov 2022
- Infant feeds premature infants (803 kb) Review date: Nov 2023
- Lactose intolerance - guideline (607 kb) Review date: Aug 2024
- Lactose intolerance - patient information leaflet for secondary intolerance (615 kb) Review date: August 2024
- Lamotrigine Bipolar Disorder (639 kb) Review date: November 2023
- Limited Clinical Value Medicines and Appliances (previously called Low Priority List) (756 kb) Review date: Nov 2023
- 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
- Melatonin and use in sleep problems in children (1009 kb) Review date: August 2023
- Midodrine Monitoring Guidance (227 kb) Review date: January 2022
- Naltrexone information sheet (407 kb) Review date: June 2022
- Narcolepsy- Methylphenidate Information sheet (109 kb) Review date: January 2023
- Narcolepsy- Modafinil Information sheet (89 kb) Review date: January 2023
- Narcolepsy-Dexamfetamine Information sheet (111 kb) Review date: January 2023
- Nausea and Vomiting in Pregnancy (136 kb) Review date: May 2023
- Neuropathic Pain Guideline (1001 kb) Review date: September 2024
- Opioid Deprescribing for Persistent Non-Cancer Pain (384 kb) Review date: April 2023
- Opioids for Non-Cancer Pain (267 kb) Review date: September 2024
- 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 - List of Stock Holding Pharmacies (91 kb) Review date: September 2022
- Palliative Care Pocketbook (468 kb) Review date: Dec 2022
- Palliative care stocklist scheme (385 kb)
- Parkinsons disease - cabergoline information sheet (Amber 2) (548 kb) Review date: April 2024
- Parkinsons disease - pramipexole information sheet (Amber 2) (551 kb) Review date: April 2024
- Parkinsons disease - ropinirole information sheet (Amber 2) (543 kb) Review date: April 2024
- Parkinsons disease - rotigotine information sheet (Amber 2) (543 kb) Review date: April 2024
- Penicillin allergy awareness leaflet (750 kb) Review date: Sept 2022
- Prucalopride prescribing information sheet (413 kb) Review date: June 2024
- Psoriasis (Adults & Children) (804 kb) Review date: July 2023
- Renal function calculation and drug dosing/monitoring (622 kb) Review date: May 2024
- Restless legs treatment algorithm (371 kb) Review date: Jan 2023
- Smoking Cessation - Position Statement (295 kb) Review date: May 22
- Solar keratosis - primary care pathway (213 kb) Review date: Nov 2022
- Stoma Ancillaries Items formulary (448 kb) Review date: July 2022
- Testosterone Information Sheet (605 kb) Review date: Sept 2023
- Transgender & Non-Binary Adults - Prescribing & Monitoring Responsibilities in Primary Care (688 kb) Review date: May 2024
- Unlicensed "Specials" - alternatives and options for prescribing (536 kb) Review date: March 2021
- Urticaria Primary Care Pathway (634 kb) Review date: June 2022
- 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 (764 kb) Review date: February 2024
- Vitamin D guideline for Children (907 kb) Review date: February 2024
- Woundcare Formulary CityCare (241 kb) Review date: Jan 2022
- Woundcare formulary County CCGs (1013 kb)
