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  • Benzodiazepines and Z-hypnotics: Guidance on Prescribing and Deprescribing

    B enzodiazepines and Z-Hypnotics Guidance on Prescribing and Deprescribing 2.1 Last reviewed: October 2025 Review date: September 2027 Nottinghamshire Area Prescribing Committee Benzodiazepines and Z-Hypnotics Guidance on Prescribing and Deprescri...

  • Self-care - Heartburn

    Self-care Information Heartburn & Indigestion Tips on how you can self manage heartburn & indigestion in adults “Supporting you to look after you” Key advice: • Avoid food and drink that triggers your symptoms (usually spicy, fatty or acidic foods...

  • Standard of Practice Stoma Leakage Notification System

    Introduction Stoma forming surgery can have extensive, negative impacts on a patient’s psychological (McGrogan and Proctor 2024). wellbeing Fear and anxiety around public humiliation can lead ostomates to avoid circumstances where they might be at...

  • Dementia - Managing Behaviour and Psychological Problems

    M anaging Behavioural and Psychological symptoms in People with Diagnosed or suspected Dementia in Primary Care Guidelines for use in people with dementia in Nottingham and Nottinghamshire Ratified by: Trust Medicines Optimisation Group March 2025...

  • 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...

  • Sleeping Well with Autism and ADHD

    S leeping well with Autism and ADHD A short guide to improving sleep with added techniques adapted for those with neurodevelopmental conditions. Contents How much sleep do I need? .................................................... 2 Recommended...

  • 5. November 2024 APC Update

    Area Prescribing Committee / Interface Update. Sept - Oct 2024 meetings. Please direct queries to your ICB Medicines Optimisation Pharmacist or e-mail nnicb-nn.nottsapc@nhs.net Contents ® • New submissions: vibegron (Gemtesa ), ® ® latanoprost &...

  • 5. APC Bulletin November 2022

    Nottinghamshire Area Prescribing Committee November 2022 Bulletin www.nottsapc.nhs.uk www.nottinghamshireformulary.nhs.uk nnicb-nn.nottsapc@nhs.net New submissions: Trimbow 172/5/9 pMDI 200 For maintenance treatment of asthma in adults not adequat...

  • Principles for adding brand names to the formulary

    Principles for specifying brand names on the Nottinghamshire Joint Formulary V2.0 Last reviewed: 21/09/2023 Review date: Sept 2026 Principles for specifying brand names on the Nottinghamshire Joint Formulary Scope This policy outlines the principa...

  • Hidradenitis Suppurativa

    SKIN AND SOFT TISSUE INFECTIONS Hidradenitis Suppurativa Hidradenitis suppurativa (HS) or acne inversa, is a painful chronic inflammatory disease of the apocrine gland, characterised by persistent or recurrent boil-like nodules, scarring, and absc...

  • COPD Self Management Plan

    More information Pulmonary Rehabilitation Breathe Easy support group Would you like to meet other people who COPD Pulmonary rehabilitation is an exercise have a lung condition? Breathe Easy is a programme designed for people with lung Chronic Obst...

  • Self-care - Constipation

    Self-care Information Constipation Tips on how you can self manage constipation in adults. “Supporting you to look after you” Key advice: • Try to eat foods that are higher in fibre, such as fruit and vegetables. • Try to drink plenty of water. •...

  • Opioid Deprescribing in Persistent Non-Cancer Pain

    OPIOID DEPRESCRIBING FOR PERSISTENT NON-CANCER PAIN Key Messages • Opioids are very good analgesics for acute pain and for pain at the end of life but there is little evidence that they are helpful for long term pain such as lower back pain, fibro...

  • 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...

  • Support Tools for Adults - Non-pharmacological Approaches to ADHD

    N eSS have developed a set of support resources for people with ADHD. These fall into the following categories: • Links to other resources and services (signposting) • Information about symptoms and advice or strategies • Handouts • Worksheets and...

  • 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 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...

  • ADHD children and young people - Lisdexamfetamine Shared Care Protocol

    Children and Young People ADHD - Lisdexamfetamine Shared Care Protocol V1.1 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...

  • 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...

  • Modafinil Information Sheet

    Modafinil Traffic light classification - AMBER 2 Information sheet for Primary Care Prescribers Key Points • Modafinil may be prescribed locally for narcolepsy and fatigue in MS (off-label) as per the APC formulary. • Regular monitoring requiremen...

  • ADHD adult - Atomoxetine Shared Care Protocol

    N ational shared care protocol adopted for local use: Atomoxetine 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...

  • 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...

  • ADHD children and young people - Methylphenidate Shared Care Protocol

    Children and Young People ADHD - Methylphenidate Shared Care Protocol V1.2 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 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...

  • Asthma in Adults and Children over 12 years old

    New or Uncontrolled Asthma Adult and Children ≥12 Years. SIT (Single Inhaler Therapy) Asthma Treatment Summary. Check: self-management plan, symptoms, exacerbations, inhaler technique, adherence, how many inhalers used (too few/ many), vaccines of...

  • Bupropion for Severe Depression, prescribing information sheet

    Bupropion (for depression) Traffic light classification - Amber 2 Off-label use Information sheet for Primary Care Prescribers Licensed and Off-label Indications • Bupropion is licensed an aid to smoking cessation in combination with motivational...

  • Take-Home Naloxone - prescriber information sheet

    T ake-Home Naloxone Medicine Traffic Light Classification - Amber 3 Information Sheet for Primary Care Prescribers Licensed Indication 1 2 Prenoxad® Injection and Nyxoid® Nasal Spray are intended for emergency use in non- medical and healthcare se...

  • Alcohol Dependence Guidelines (Primary Care)

    Nottinghamshire Primary Care Alcohol Dependence Guidelines Version 6.1 Section Content i. Summary 2 1. Introduction 4 2. Scope 4 3. Aims of Community Detoxification 4 4. Identifying suitable patients 5 5. Medical risks of community detoxification...

  • 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...

  • ADHD children and young people - Atomoxetine Shared Care Protocol

    C hildren and Young People ADHD - Atomoxetine Shared Care Protocol V1.1 Last reviewed: January 2024 Review date: January 2027 Atomoxetine for patients within children and young people services Adapted from local adult ADHD shared care protocol whi...

  • 3. APC Bulletin July 2025

    Area Prescribing Committee Bulletin July 2025 1 - Link to APC website 2 - Link to APC Joint Formulary Contents • New Formulary Submissions and Re-submissions • New and updated Guidelines, Shared Care Protocols and Information sheets • Horizon scan...

  • 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...

  • 5. APC Guideline Meeting Minutes September 2024

    Nottinghamshire Area Prescribing Committee Guideline Meeting Minutes, th 19 September 2024: the meeting took place as a hybrid meeting with guests and some members attending online using Microsoft Teams, and some members attending in person in the...

  • Neuropathic Pain Guideline

    M anagement of Neuropathic Pain for Adults in Primary Care SCOPE This prescribing guideline is to assist primary care prescribers in treating patients with neuropathic pain BEFORE referral to specialist services. CONTENTS NEUROPATHIC PAIN TREATMEN...

  • 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...

  • 1. APC Guideline Meeting Minutes February 2021

    N ottinghamshire Area Prescribing Committee Meeting minutes th APC meeting 25 February 2021, due to the COVID-19 Pandemic the meeting took place as a web conference using Microsoft Teams. All attendees should be aware that public authorities are l...

  • 5. APC Formulary Minutes December 2024

    th Nottinghamshire Area Prescribing Committee Formulary Meeting Minutes Thursday 12 December 2024: The meeting took place as a web conference using Microsoft Teams. All attendees should be aware that public authorities are legally required to comp...

  • End of Life Guidance

    Nottinghamshire Guidelines for Care in the Last Year of Life V5.2 Last reviewed: 19/05/2022 Review date: 19/12/2025 The Nottinghamshire and Nottingham Guidelines for Care in the Last Year of Life A Guide for Professionals This guide was produced i...

  • Continuous Glucose Monitoring Devices - commissioning policy

    Continuous Glucose Monitoring in Patients with Diabetes Mellitus Policy April 2023 Version Control Record: Version No. Description of Change Author Date 1.0 New policy developed in Laura Stokes-Beresford, August 2022 response to the release of Sen...

  • Hybrid Closed Loop - Commissioning Policy

    Hybrid Closed Loop Technology for Patients with Type 1 Diabetes Mellitus Commissioning Policy Date of adoption August 2025 Date of publication September 2025 Review date April 2026 Version Control Record: Version No. Description of Change Author D...

  • 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...

  • Antidepressants in Primary Care - Prescribing, Stopping & Swapping

    P RIMARY CARE GUIDE TO A NTIDEPRESSANTS P RESCRIBING , S TOPPING & S WAPPING Contents Page Summary of NICE guidance (NG222) 2 Talking therapies and sleep hygiene 2 Initiating antidepressant treatment 2-3 Monitoring antidepressant treatment 3-4 Con...

  • 3. APC Guideline Meeting Minutes May 2025

    th These minutes are in draft form until ratified by the committee at the next meeting on 17 July 2025. th Nottinghamshire Area Prescribing Committee Guideline Meeting Minutes Thursday 15 May 2025: The meeting took place as a web conference using...

  • 5. APC formulary minutes October 2022

    t h These minutes are in draft form until ratified by the committee at the next meeting on 15 Dec 2022. Nottinghamshire Area Prescribing Committee Formulary Meeting Minutes th APC meeting 13 October 2022: the meeting took place as a web conference...

  • Adult Headache Pathway

    ADULT HEADACHE PATHWAY RED FLAGS - headache that is new or unexpected Patient presents with headache • Do you have a headache all the time or does it • Thunderclap headache (intense headache of “explosive” onset come & go? (Tension Type Headache o...

  • Antipsychotics Prescribing Guideline

    Antipsychotics Traffic light classification - Amber 2 Prescribing Guideline for Primary Care Prescribers Scope This prescribing guideline is for the use of antipsychotic medication (excluding clozapine) in the context of mental illness. Contents 1...