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  • Anaemia- Ferric Maltol Treatment Algorithm

    ® Ferric Maltol (Feraccru ) for the treatment of iron deficiency anaemia (IDA) Traffic light classification- Amber 3 Patient is suitable to start ferric maltol? • Assessment of cause of IDA • Intolerant/failed two or more first line oral iron salt...


  • Anaemia- Ferric Maltol Treatment Algorithm

    Review Date: Nov 2026


  • Wound Infection

    SKIN AND SOFT TISSUE INFECTIONS Wound Infection Step 1 – Antimicrobial wound care pathway Complete holistic wound assessment to establish wound characteristics, underlying aetiology and factors which could delay healing. Assess wound for signs of...


  • Leg Ulcers and Pressure Sores

    Leg Ulcers and Pressure Sores V2.1 Last reviewed: 18/05/2023 Review date: May 2026 SKIN AND SOFT TISSUE INFECTIONS Leg Ulcers and Pressure Sores A leg ulcer is a break in the skin below the knee which has not healed within 2 weeks. A pressure sore...


  • Cellulitis

    Cellulitis V2.3 Last reviewed: 22/05/2023 Review date: March 2026 SKIN AND SOFT TISSUE INFECTIONS Cellulitis (Cellulitis – acute, CKS Jan 23) Cellulitis is an acute bacterial infection of the dermis and subcutaneous tissue. The infected area is ch...


  • Acute Diverticulitis

    Acute Diverticulitis V2.1 Last reviewed: 15/09/2022 Review date: 15/09/2025 GASTRO-INTESTINAL TRACT INFECTIONS Acute Diverticulitis NICE guidance (NG147)(CKS Acute Diverticulitis) Diverticulitis is a condition where diverticula become inflamed and...


  • Vitamin B12 Treatment Guideline

    Vitamin B12 treatment guideline What are the signs of B12 deficiency? • Haematological (in order of increasing severity) Isolated red cell macrocytosis without anaemia Macrocytic anaemia (esp if MCV >110fl) Pancytopenia (esp if MCV >120fl) • Neuro...


  • Human and Animal Bite

    Human and Animal Bite V3.0 Last reviewed: 21/03/2024 Review date: March 2027 Skin and Soft Tissue Infections Human and Animal Bites (CKS Bites – Human and Animal) Management of non-infected wounds Bite has not broken the Bite has broken the skin b...


  • Neuropathic Pain Guideline

    Management of Neuropathic Pain for Adults in Primary Care V4.2 Last reviewed: 19/08/2021 Review date: 19/09/2024 Management of Neuropathic Pain for Adults in Primary Care SCOPE This prescribing guideline is to assist primary care prescribers in tr...


  • Overarching Pain Guidelines - Management of Chronic Pain in Adults

    Management of Chronic Pain in Patients above 16 years of age - The Overarching Pain Guideline for Primary Care Clinicians V 1.0 Last reviewed: September 2022 Review date: September 2025 Management of Chronic Pain in Patients above 16 years of age...


  • Clonidine for Tic Disorders in Children and Young People

    C lonidine for Tic Disorders in Children and Young People Traffic light classification - Amber 2 Information sheet for Primary Care Prescribers Indications Tic Disorders including: • Chronic Motor Tic Disorder • Chronic Vocal Tic Disorder • Transi...


  • Motor Neurone Disease - Riluzole Shared Care Protocol

    R iluzole– shared care protocol V3 Last reviewed: March 2024 Review date: March 2027 Shared care protocol: Riluzole for patients within adult services As well these protocols, please ensure that summaries of product characteristics (SPCs), British...


  • Nottingham & Nottinghamshire Continence Appliance Formulary

    Nottingham & Nottinghamshire Continence Appliance Formulary Contents – click on section to take you straight there Guidance on use of products within The Continence Formulary for Primary Care ........................ 1 Catheters & Accessories .......


  • Emollient Formulary

    Nottinghamshire Emollient Formulary V5.0 The prescribing of emollients should be reserved for the management of diagnosed dermatological conditions such as eczema or psoriasis, as per NHSE guidance. SELF-CARE: Patients with mild dry skin, who do n...


  • 4. APC Bulletin August 2021

    Nottinghamshire Area Prescribing Committee August 2021 Bulletin www.nottsapc.nhs.uk www.nottinghamshireformulary.nhs.uk nnccg.nottsapc@nhs.net New submissions Elecare Milk AMBER 2 Infant formula for severe cow’s milk allergy News from the APC - up...


  • Dementia - Donepezil Information Sheet

    Donepezil Prescribing Information sheet Produced: Jan 2024 Review date: Jan 2027 V2 Donepezil Traffic light classification - Amber 2 Information sheet for Primary Care Prescribers Licensed Indications Donepezil is indicated for the symptomatic tre...


  • 6. November 2023 APC Update

    Area Prescribing Committee / Interface Update November 2023 Please direct queries to your ICB medicines optimisation pharmacist or e-mail nnicb-nn.nottsapc@nhs.net 05/12/2023 Please provide your feedback to help us create the best resources for y...


  • High Cost Drugs - Ulcerative Colitis treatment algorithm

    N ottinghamshire commissioning guidance for the treatment of Ulcerative Colitis (UC) This algorithm is a tool to aid the implementation of NICE guidance for high cost medicines used in the treatment of UC. Moderate to severely active UC defined as...


  • Narcolepsy- Methylphenidate Information sheet

    M ethylphenidate for Narcolepsy Information Sheet V2.0 Last reviewed: July 2023 Review date: July 2026 Methylphenidate Traffic light classification - Amber 2 Information sheet for Primary Care Prescribers Indications Narcolepsy (unlicensed but est...


  • ADHD adult - Dexamfetamine Shared Care Protocol

    N ational shared care protocol adult for local use: Dexamfetamine for patients within adult services As well as these protocols, please ensure that summaries of product characteristics (SPCs), British national formulary (BNF) or the Medicines and...


  • ADHD children and young people - Methylphenidate Shared Care Protocol

    Children and Young People ADHD - Methylphenidate Shared Care Protocol V1.0 Last reviewed: January 2024 Review date: January 2027 Methylphenidate in children and young people services Adapted from local adult ADHD shared care protocol which is base...


  • ADHD adult- Methylphenidate Shared Care Protocol

    National shared care protocol adapted for local use: Methylphenidate within adult services As well as these protocols, please ensure that summaries of product characteristics (SPCs), British national formulary (BNF) or the Medicines and Healthcare...


  • Dementia - Galantamine Information Sheet

    G alantamine – Information Sheet for Primary Care Prescribers V5 Last reviewed: January 2024 Review date: January 2027 Galantamine Traffic light classification- Amber 2 Information sheet for Primary Care Prescribers Licensed Indications Galantamin...


  • Dementia - Rivastigmine Information Sheet

    Rivastigmine Prescribing Information sheet Produced: Jan 2024 Review date: Jan 2027 V1 Rivastigmine Traffic light classification - Amber 2 Information sheet for Primary Care Prescribers Licensed Indications Rivastigmine is indicated for the sympto...


  • 6. APC Bulletin November 2023

    Nottinghamshire Area Prescribing Committee November 2023 Bulletin Contents  Changes we have made to our formulary  New Formulary submissions  Feature of the month  New and Updated APC Guidelines ~ Should I stop my benzodiazepine or z-  Links...


  • ADHD children and young people - Dexamfetamine Shared Care Protocol

    Children and Young People ADHD - Dexamfetamine Shared Care Protocol V1.0 Last reviewed: January 2024 Review date: January 2027 Dexamfetamine for patients within children and young people services Adapted from local adult ADHD shared care protocol...


  • 2. Nottinghamshire Area Prescribing Committee Annual Report 2011-12

    Nottinghamshire Area Prescribing Committee Annual Report 2011/12 F igure 1 - Map of Nottinghamshire APC Member Organisations Bassetlaw CCG Mansfield and Ashfield CCG Sherwood Forest Hospitals NHS Foundation Trust Newark and Sherwood CCG Nottingha...


  • Lamotrigine Bipolar Disorder

    Lamotrigine – Use in Bipolar Disorder V4.0 Last reviewed: November 2023 Review date: November 2026 Lamotrigine Use in Bipolar Disorder Information Sheet for GPs AMBER 2 Lamotrigine has been licensed for the treatment of epilepsy for many years. In...


  • Bariatric Surgery - Monitoring and Medication Post Surgery

    DERBYSHIRE JOINT AREA PRESCRIBING COMMITTEE (JAPC) Monitoring and Medication after Bariatric Surgery Key messages • Long-term nutritional monitoring and follow-up are essential components of all bariatric surgical services. Patients will be requir...


  • 5. APC Bulletin December 2024

    A rea Prescribing Committee Bulletin December 2024 1 - Link to APC website 2 - Link to APC Joint Formulary The APC Team would like to thank everyone who took their time this year to read our bulletins, watch our webinars and listen to our podcast...


  • 5. APC Bulletin October 2021

    Nottinghamshire Area Prescribing Committee October 2021 Bulletin www.nottsapc.nhs.uk www.nottinghamshireformulary.nhs.uk nnccg.nottsapc@nhs.net New submissions AMBER 2 Recommended as an option for treating Inclisiran primary hypercholesterolaemia...


  • 4. APC Bulletin July 2019

    Nottinghamshire Area Prescribing Committee July 2019 Bulletin www.nottsapc.nhs.uk www.nottinghamshireformulary.nhs.uk MACCG.NottsAPC@nhs.net July 2019 APC Decisions There were no drug submissions to the APC this month News from the APC - updated/n...


  • D. Pregnancy and Breastfeeding

    Antimicrobials in Pregnancy and Breastfeeding 2.0 Last reviewed: 19/06/2023 Review date: 30/06/2026 Appendix 1 - Antimicrobials in Pregnancy and Breastfeeding General points: • It is important to adequately treat maternal infections during pregnan...


  • Oral Candidiasis

    Oral Candidiasis V2.2 Last reviewed: 18/10/2023 Review date: 21/07/2025 GASTROINTESTINAL TRACT INFECTIONS Oral Candidiasis (CKS Candida - oral) Candida is a yeast which is part of the normal commensal flora of the human gastrointestinal tract. Com...


  • PIL - Liothyronine

    Liothyronine- Information for patients What is liothyronine? Liothyronine (sometimes called T3) is a medicine used to treat an underactive thyroid gland. “Underactive” means that the thyroid gland does not work as well as it should. The usual trea...


  • Management of Irritable Bowel Syndrome (IBS) in Primary Care

    M anagement of Irritable Bowel Syndrome (IBS) in Primary Care Consider IBS if any the following symptoms persist for at least 6 months: • A - abdominal pain or discomfort • B - bloating (although not specific to IBS) • C - change in bowel habit. R...


  • Anticoagulants in AF

    Anticoagulants in AF V1.2 V1.2 Last reviewed: Review date: July 2024 July 2026 Atrial Fibrillation (Non-valvular): prescriber decision support on anticoagulation Contents Assessing patients for anticoagulation in AF Page 2 Patient factors and anti...


  • 3. APC Guideline Meeting Minutes May 2018

    N ottinghamshire Area Prescribing Committee th Minutes of the meeting held on Thursday 17 May at 2:00pm Boardroom, Duncan MacMillan House, Porchester Road, Nottingham, NG3 6AA All attendees should be aware that public authorities are legally requi...


  • Narcolepsy-Dexamfetamine Information Sheet

    Dexamfetamine for Narcolepsy Info Sheet V2.0 Last reviewed: July 2023 Review date: July 2026 Dexamfetamine Traffic light classification - AMBER 2 Information sheet for Primary Care Prescribers Licensed Indications Narcolepsy Therapeutic Summary De...


  • 3. APC Bulletin July 2022

    Nottinghamshire Area Prescribing Committee July 2022 Bulletin www.nottsapc.nhs.uk www.nottinghamshireformulary.nhs.uk nnicb-nn.nottsapc@nhs.net New submissions: • Hormone replacement therapy (HRT) for oestrogen deficiency symptoms in postmenopausa...


  • 5. APC Formulary Minutes October 2023

    These minutes are in draft form until ratified by the committee at th the next meeting on 14 December 2023 Nottinghamshire Area Prescribing Committee Formulary Meeting Minutes th APC Meeting 19 October 2023: The meeting took place as a web confere...


  • Restless Legs Treatment Algorithm

    R estless legs treatment algorithm V2.0 Last reviewed: March 2023 Review date: March 2026 Restless legs treatment algorithm Diagnosis of RLS (see note 1) Measure serum ferritin and renal function (2) Screen for exacerbating agents (3) (1) Recommen...


  • 1. APC Guideline Meeting Minutes January 2018

    N ottinghamshire Area Prescribing Committee th Minutes of the meeting held on Thursday 18 January at 2:00pm Room A01, Duncan MacMillan House, Porchester Road, Nottingham, NG3 6AA All attendees should be aware that public authorities are legally re...


  • Melatonin Use in Sleep Problems in Children

    GUIDELINE ON THE MANAGEMENT OF SLEEPING DIFFICULTIES IN CHILDHOOD Incorporating GUIDANCE ON THE USE OF MELATONIN FOR SLEEPING DIFFICULTIES IN CHILDREN/YOUNG PEOPLE WITH NEURODISABLING AND NEURODEVELOPMENTAL CONDITIONS Written by Dr Amy Taylor, Con...


  • 3. July 2022 APC Update

    Area Prescribing Committee / Interface Update July 2022 Please direct queries to your ICB medicines optimisation pharmacist or e-mail nnicb-nn.nottsapc@nhs.net New Submissions • Estradiol transdermal spray (Lenzetto®) – added as GREEN o Indicatio...


  • Eradication of Helicobacter Pylori

    Eradication of Helicobacter pylori V2.5 Last reviewed: November 2024 Review date: May 2026 GASTROINTESTINAL TRACT INFECTIONS Eradication of Helicobacter pylori Indications: The gastric bacterium H. pylori is widely present in the population but ca...


  • 4. Nottinghamshire Area Prescribing Committee Annual Report 2013-14

    N ottinghamshire Area Prescribing Committee (Incorporating the Nottinghamshire Joint Formulary Group) Annual Report 2013-14 CONTENTS PAGE Page Executive Summary …………………………………………………………………………………………….. 3 Purpose and Membership of Committee ………………………...


  • 5. Nottinghamshire Area Prescribing Committee Annual Report 2014-15

    Nottinghamshire Area Prescribing Committee (Incorporating the Nottinghamshire Joint Formulary Group) Annual Report 2014-15 CONTENTS PAGE Page Executive Summary 3 ………………………………………………………………………………………………….. Committee Membership, Purpose and Duties 4 …...


  • Rheumatological Conditions - Leflunomide Shared Care Protocol

    Rheumatological Condition: Leflunomide Shared Care Protocol V1.0 Last reviewed: 16/11/2023 Review date: November 2026 National shared care protocol adapted for local use: Rheumatological Conditions: Leflunomide for patients within adult services V...


  • 3. Nottinghamshire Area Prescribing Committee Annual Report 2012-13

    Nottinghamshire Area Prescribing Committee Annual Report 2012/13 T able of Contents Page Executive summary 3 Year in numbers 4 Purpose & Membership of the committee 5 Map of Nottinghamshire APC member 6 organisations Key achievements 7 Financial...


  • 2. APC Guideline Meeting Minutes March 2018

    N ottinghamshire Area Prescribing Committee th Minutes of the meeting held on Thursday 15 March at 2:00pm Boardroom, Duncan MacMillan House, Porchester Road, Nottingham, NG3 6AA All attendees should be aware that public authorities are legally req...


  • UTI Prophylaxis

    Guidelines for Recurrent Urinary Tract Infections in Adults: Antibiotic Prophylaxis Definition The symptoms of a lower urinary tract infection include frequency, dysuria, urgency and suprapubic pain. Recurrent lower urinary tract infection (rUTI)...


  • Heart Failure Quick Guide

    N ottinghamshire Heart Failure - Quick Guide Primary Care Referral and Management Considerations The purpose of these guidelines is to provide guidance for Primary and Secondary Care on the diagnosis, management, and referral of patients with or s...


  • Aminosalicylates in IBD in Adults - Information Sheet

    Aminosalicylates in Inflammatory Bowel Disease in Adults Last reviewed: 03/05/2022 Review date: 31/07/2025 V2.1 Aminosalicylates in Inflammatory Bowel Disease in Adults Traffic light classification- Amber 2 Information sheet for Primary Care Presc...


  • Alcohol Dependence Guidelines (Primary Care)

    Nottinghamshire Primary Care Alcohol Dependence Guidelines V6.1 Last reviewed: Nov 2024 (interim) Review date: July 2025 Title Nottinghamshire Primary Care Alcohol Dependence Guidelines Version 6.1 Lead - Dr Stephen Willott, GP Windmill Practice,...


  • Neuroinflammatory Conditions - Azathioprine Shared Care Protocol

    Neuroinflammatory Conditions – Azathioprine Shared Care Protocol V1.0 Last reviewed: May 2024 Review date: May 2027 National shared care protocol adapted for local use: Management of neuroinflammatory diseases in adults with the steroid sparing ag...


  • Parkinson's Disease - Apomorphine Information Sheet

    Management Of Parkinson’s Disease (PD) With Apomorphine Information Sheet V5.0 Last reviewed: July 2023 Review date: July 2026 Apomorphine Traffic light classification- Amber 1 Information sheet for Primary Care Prescribers CLINICAL INFORMATION Ke...


  • Rheumatological Conditions - Azathioprine Shared Care Protocol

    Rheumatological Conditions – Azathioprine Shared Care Protocol V1.1 Last reviewed: 16/11/2023 Review date: November 2026 National shared care protocol adapted for local use: Rheumatological Conditions: Azathioprine for patients within adult servic...


  • Rheumatological Conditions - Sulfasalazine Shared Care Protocol

    Rheumatological Condition: Sulfasalazine Shared care Protocol V1.0 Last reviewed: 16/11/2023 Review date: November 2026 National shared care protocol adapted for local use: Rheumatological Conditions: Sulfasalazine for patients within adult servic...


  • Auto-Immune Hepatitis - Azathioprine Shared Care Protocol

    Auto-Immune Hepatitis in Adults – Azathioprine Shared Care Protocol V1.0 Last reviewed: 21/09/2023 Review date: September 2026 National shared care protocol adapted for local use: Auto-immune Hepatitis in Adults – Azathioprine Version 1 The conten...


  • Dermatological Conditions - Azathioprine Shared Care Protocol

    Dermatological Conditions – Azathioprine Shared Care Protocol V1.0 Last reviewed: 21/03/2024 Review date: March 2027 National shared care protocol adapted for local use: Dermatological Conditions: Azathioprine for patients within adult services (n...


  • Inflammatory Bowel Disease - Azathioprine for Children >12 years

    Shared care protocol: Azathioprine for the Management of Inflammatory Bowel Disease in Children and Young People over 12 years old As well these protocols, please ensure that summaries of product characteristics (SPCs), British national formulary...


  • Inflammatory Bowel Disease - Azathioprine Shared Care Protocol

    Inflammatory Bowel Disease – Azathioprine Shared Care Protocol V1.0 Last reviewed: 21/03/2024 Review date: March 2027 National shared care protocol adapted for local use: Inflammatory Bowel Disease: Azathioprine for patients within adult services...


  • Inflammatory Bowel Disease - Mercaptopurine Shared Care Protocol

    Inflammatory Bowel Disease – Mercaptopurine Shared Care Protocol V1.0 Last reviewed: 21/03/2024 Review date: March 2027 National shared care protocol adapted for local use: Inflammatory Bowel Disease: Mercaptopurine for patients within adult servi...


  • ADHD children and young people - Lisdexamfetamine Shared Care Protocol

    Children and Young People ADHD - Lisdexamfetamine Shared Care Protocol V1.0 Last reviewed: January 2024 Review date: January 2027 Lisdexamfetamine for patients within children and young people services Adapted from local adult ADHD shared care pro...


  • 10. Nottinghamshire Area Prescribing Committee Annual Report 2019-20

    Nottinghamshire Area Prescribing Committee Annual Report 2019-20 APC annual report 201920 EXECUTIVE SUMMARY The Nottinghamshire Area Prescribing Committee (APC) works collaboratively with a number of different stakeholders* across Nottinghamshire...


  • 3. APC Formulary Minutes June 2022

    D RAFT Nottinghamshire Area Prescribing Committee Formulary Meeting Minutes Thursday 16th June 2022, 2-5 pm Online Microsoft Teams meeting, due to COVID-19 Present: Steve May (SM), Chief Pharmacist, SFHFT (Chair) Laura Catt (LC), Prescribing Inter...


  • Warfarin Prescribing Information

    Warfarin for anticoagulation Information sheet for Primary Care Prescribers Therapeutic Summary Warfarin is an anticoagulant that has a narrow therapeutic index and regular titration of the dose against the anticoagulant effect in the blood, as as...


  • Heart Failure - Palliative Care Guidance

    P alliative Care in End Stage Heart Failure Pocketbook Contents Contacts Page 2 Prognosis Page 4 Diuretic Therapy Page 6 Breathlessness Page 8 Pain Page 9 Nausea and Vomiting Page 9 Constipation Page 10 Psychological Issues Page 11 Fluid Retention...


  • Palliative Care Pocketbook

    Palliative Care Pocketbook 5 Contents Pain Guidelines page Nausea and Vomiting page Inoperable Bowel Obstruction page Constipation page Breathlessness page Agitation and Delirium page Respiratory Secretions page Anticipatory Prescribing page Palli...


  • Heart Failure Guideline

    Nottinghamshire Heart Failure Guidelines Primary Care Referral and Management Considerations Author: Dr Bara Erhayiem, Consultant Cardiologist, Nottingham University Hospitals NHS Trust with input from the Heart Failure Transformation Group Nottin...


  • ADHD adult - Lisdexamfetamine Shared Care Protocol

    N ational shared care protocol adapted for local use: Lisdexamfetamine for patients within adult services As well as these protocols, please ensure that summaries of product characteristics (SPCs), British national formulary (BNF) or the Medicines...


  • Inflammatory Bowel Disease - Methotrexate Shared Care Protocol

    Inflammatory Bowel Disease: Methotrexate SCP V1.0 Last reviewed: 19/09/2024 Review date: Sept 2027 National shared care protocol adapted for local use: Inflammatory Bowel Disease: Oral Methotrexate for patients in adult services (excluding cancer...


  • Rheumatological Conditions - Methotrexate Shared Care Protocol

    Rheumatological Conditions: Methotrexate Shared Care Protocol V1.1 Last reviewed: 16/11/2023 Review date: November 2026 National shared care protocol adapted for local use: Rheumatological Conditions: Oral Methotrexate for patients in adult servic...


  • Dermatological Conditions - Methotrexate Shared Care Protocol

    Dermatological Conditions: Methotrexate SCP V1.0 Last reviewed: 16/05/2024 Review date: May 2027 National shared care protocol adapted for local use: Dermatological Conditions: Oral Methotrexate for patients in adult services (excluding cancer car...