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  • Blood Glucose and Ketone Testing - Frequency and Eligibility

    Frequency of Blood Glucose Self-Monitoring: Adults Type 1 Diabetes (T1DM) Type 2 Diabetes (T2DM) Self-Monitoring of Blood Glucose: Essential for ALL patients with T1DM Diet + exercise, metformin, DPP-4i, SGLT-2i, pioglitazone + GLP-1RA only Monito...

  • Blood Pressure and Heart Rate Monitoring in Children

    B lood Pressure and Heart Rate Monitoring in Children Last reviewed: July 2023 Review date: July 2026 V2 Blood Pressure and Heart Rate Monitoring in Children Information Sheet for Primary Care Prescribers I. Blood Pressure Manual blood pressure me...

  • Blood Glucose Testing Meters Formulary - N&N ICB

    Nottingham and Nottinghamshire ICB Adults Blood Glucose & Ketone Meter Formulary Self-Monitoring Blood Glucose (SMBG) Criteria All adult patients with Type 1 Diabetes Mellitus (T1DM) should be offered SMBG (if Continuous Glucose Monitoring (CGM) i...

  • Blood Pressure and Heart Rate Monitoring in Children

    Review Date: July 2026

  • Blood Glucose and Ketone Testing - Frequency and Eligibility

    Review Date: March 2026

  • Blood Glucose Testing Meters Formulary - N&N ICB

    Review Date: March 2026

  • PIL - Neuroinflammatory conditions - azathioprine

    A ZATHIOPRINE Information sheet for patients with autoimmune neurological disorders Why am I being prescribed azathioprine? Azathioprine reduces the activity of the immune system and is therefore effective in conditions in which the body’s immunit...

  • Self-care - Haemorrhoids

    Self-care Information Haemorrhoids (Piles) Tips on how you can manage haemorrhoid symptoms “Supporting you to look after you’’ Key Points: • Symptoms include bright red blood after you poo, an itchy bottom and lumps and pain around your bottom. •...

  • Antipsychotics - Clozapine Information Sheet

    Clozapine Information Sheet V5.0 Last reviewed: September 2024 Review date: September 2027 Clozapine Red Information Sheet for Primary Care 1 Please consult the manufacturers Summary of Product Characteristics (SPC) for further information Clozapi...

  • Midodrine Monitoring Guidance

    Midodrine prescribing information sheet V2 Last reviewed: Review date: July 2025 July 2022 MIDODRINE Traffic light classification- Amber 2 Information sheet for Primary Care Prescribers Key points/interactions • Midodrine should only be considered...

  • 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...

  • Fludrocortisone for Orthostatic Hypotension

    FLUDROCORTISONE for Orthostatic Hypotension Traffic light classification- Amber 2 Information sheet for Primary Care Prescribers Key points/interactions • Fludrocortisone should only be considered when non-pharmacological strategies have failed to...

  • 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...

  • 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...

  • 3. APC Bulletin June 2021

    Nottinghamshire Area Prescribing Committee June 2021 Bulletin www.nottsapc.nhs.uk www.nottinghamshireformulary.nhs.uk nnccg.nottsapc@nhs.net New submissions Bempedoic Primary hypercholes- As per NICE TA 694 acid with AMBER 2 terolaemia or mixed ez...

  • Prostatitis

    Prostatitis V2.2 Last reviewed: June 2024 Review date: 31/03/2026 GENITAL TRACT INFECTIONS Acute Prostatitis Acute prostatitis is a rare and potentially severe condition. Acute prostatitis is accompanied by an infection of the urinary tract. Patie...

  • dexcom one primary care info

    Dexcom ONE+ primary care information sheet What is Dexcom ONE+? Dexcom ONE+ is a real-time continuous glucose monitoring system for self-monitoring glucose levels. Unlike traditional fingerprick devices (that measure glucose levels in the blood),...

  • Hybrid Closed Loop Interim Position Statement

    Nottingham and Nottinghamshire Integrated Care Board (NNICB) Interim Position Statement: Hybrid Closed Loop (HCL) Systems for Managing Blood Glucose Levels in Type 1 Diabetes. Approved by – Nottingham and Nottinghamshire Integrated Care System (NN...

  • Freestyle Libre and Dexcom One Prescribing Criteria

    isCGM and rtCGM prescribing criteria V5 Last reviewed: Review date: December 2022 December 2025 FreeStyle Libre 2 Plus® ® and Dexcom One + Inclusion Criteria in Type 2 Diabetes (Adults) Traffic light classification- AMBER 3 Based on NICE Guidance...

  • Lithium Prescribing Guideline

    N ottinghamshire Area Prescribing Committee Lithium Prescribing Guideline for Mental Health Indications Amber 2 Contents Page Quick reference Algorithm for Prescribing and Monitoring Lithium across 2 secondary and primary care Licensed indications...

  • Falls- Medicines and Falls Chart (medicines that may increase risk of falls)

    Medicines and Falls Chart L a s t r e v i e w e d : R e v i e w D a t e : V4.0 January 2023 January 2026 Potential effect on falls risk n n k e s o o s t c i s i i n d n s r s n e s l o r e e s i a n n g n a e e i s d Medicine e s e b r r e n m s...

  • ADHD children and young people - Atomoxetine Shared Care Protocol

    C hildren and Young People ADHD - Atomoxetine Shared Care Protocol V1.0 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...

  • 1. APC Bulletin January 2023

    Nottinghamshire Area Prescribing Committee January 2023 Bulletin Contents  Links to our APC webinar and podcast  Changes we have made to our formulary  New Formulary submissions  Feature of the month  New and Updated APC Guidelines ~Type 2 di...

  • 3. APC Bulletin May 2018

    Nottinghamshire Area Prescribing Committee May 2018 Bulletin www.nottsapc.nhs.uk www.nottinghamshireformulary.nhs.uk MACCG.NottsAPC@nhs.net May 2018 APC Decisions Medicine Status Indication Other Information People with poorly controlled diabetes...

  • New patient and uncontrolled asthma

    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...

  • Traveller's Diarrhoea

    Traveller’s Diarrhoea V2.3 Last reviewed: November 2024 Review date: 17/11//2025 GASTRO-INTESTINAL TRACT INFECTIONS Travellers’ diarrhoea (CKS Diarrhoea - prevention and advice for travellers) Antibiotics should not routinely be prescribed for the...

  • Tresiba supply disruption

    D ISRUPTION TO SUPPLY OF TRESIBA® FLEXTOUCH® (Insulin degludec) 100units/ml 3mL PENS. When: From August 2023 For how long: Disruption is expected to last until December 2024 Why: Disruption to plastic supply used for FlexTouch® pens Actions: Durin...

  • Diabetes - Type 2 Treatment Algorithm

    Type 2 Diabetes Treatment Guideline V5.9 Last reviewed: Nov 2022 Review date: Nov 2025 Nottinghamshire Health Community Treatment Guideline for the Management of Type 2 Diabetes (T2D) in Adults These guidelines are intended to support prescribing...

  • Transgender - Collaborative Care Protocol

    Adult Transgender – Collaborative Care Protocol V1.0 Last reviewed: July 2022 Review date: July 2025 Nottinghamshire Area Prescribing Committee Collaborative Care Protocol Hormone treatment for transgender adults Objectives • To define the respons...

  • Cow’s Milk Protein Allergy Focused Clinical History Form for Healthcare Professionals

    Allergy Focused Clinical History Form for Healthcare Professionals Family history of allergy Feeding History Mother Father Sibling ☐ ☐ ☐ ☐ Asthma ☐ Exclusively breastfed (until……….…………….…) ☐ ☐ ☐ ☐ Eczema ☐ Mixed feeding (from ……………………….………) ☐ ☐ ☐...

  • Amoebiasis

    Amoebiasis V3.1 Last reviewed: 15/09/2022 Review date: 15/09/2025 GASTRO-INTESTINAL TRACT INFECTIONS Amoebiasis (CKS Gastroenteritis) Parasitic infection acquired via the ingestion of contaminated food or water. Person-to-person transmission may a...

  • 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...

  • Transgender - Masculinising Hormones Information Sheet

    A dult Transgender – Masculinising Hormones Information Sheet V1.0 Last reviewed: July 2022 Review date: July 2025 Masculinising Hormone Treatment for Adults Part of the collaborative care protocol for prescribing hormone treatment for transgender...

  • Gynaecomastia Guidelines

    Gynaecomastia in Adults Guideline V2.1 Last reviewed: 16/03/2023 Review date: March 2026 Gynaecomastia in Adults Guideline Introduction Gynaecomastia is defined as the benign enlargement of male breast tissue, resulting from a proliferation of the...

  • Guidelines for management of Chronic Kidney Disease (CKD) for adults

    Guidelines for the Management of Chronic Kidney Disease (CKD) for Adults 1 V1.0 Approved: November 2024 Review date: November 2027 Guidelines for the Management of Chronic Kidney Disease (CKD) for Adults Contents Page CKD definition 2 Who to test...

  • Novo Nordisk Insulin Discontinuation Guidance Feb 2025

    N OVO NORDISK INSULIN DISCONTINUATION GUIDANCE Novo Nordisk Ltd has announced the discontinuation of the following insulin presentations. Below is a summary and guidance notes for clinicians on the alternative insulin options. This guidance is onl...

  • 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...

  • Transgender - Feminising Hormones Information Sheet

    A dult Transgender – Feminising Hormones Information Sheet V1.0 Last reviewed: July 2022 Review date: July 2025 Feminising Hormone Treatment for Adults Part of the collaborative care protocol for prescribing hormone treatment for transgender adult...

  • 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...

  • 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...

  • Agomelatine Prescribing Information Sheet

    Agomelatine Information Sheet V2.0 Last reviewed: September 2024 Review date: September 2027 Agomelatine Traffic light classification- Amber 2 Information sheet for Primary Care Prescribers 1 Licensed Indications • Agomelatine is licensed for the...

  • Hybrid Closed Loop FAQs for patients

    I nformation on Hybrid Close Loop (HCL) for People with Type 1 Diabetes Frequently Asked Questions This leaflet provides information for people with Type 1 diabetes and their carers/families about Hybrid Close Loop System (HCL), a new way of manag...

  • 1. February 2023 APC Update

    Area Prescribing Committee / Interface Update February 2023 Please direct queries to your ICB medicines optimisation pharmacist or e-mail nnicb-nn.nottsapc@nhs.net New Submissions • Tacrolimus ointment (generic) – AMBER 2 o Indication – facial vi...

  • 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...

  • 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...

  • Leg and Lower Limb Inflammation (CityCare)

    Guidance for the assessment and management of lower limb inflammation (commonly known as red legs) The aim of this document is to provide: Practical information for clinical decision-making for health care professionals managing red legs. Cellulit...

  • Hyperlipidaemia Guidelines - Summary of National Guidance for Lipid Management for Primary and Secondary Prevention of CVD

    Summary of National Guidance for Lipid Management for Primary and Secondary Prevention of CVD INITIAL CONSIDERATIONS: ● Measure non-fasting full lipid profile (total cholesterol, HDL-C, non-HDL-C, triglycerides) and HbA1c as part of an initial bas...

  • 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...

  • 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...

  • Rheumatological Conditions - Ciclosporin Shared Care Protocol

    Rheumatological Conditions – Ciclosporin Shared Care Protocol V1.0 Last reviewed: 16/11/2023 Review date: November 2026 National shared care protocol adapted for local use: Ciclosporin (oral) for patients within adult services (non- transplant ind...

  • 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...

  • 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...

  • 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...

  • 4. July 2024 APC Update

    Area Prescribing Committee / Interface Update. June - July 2024 meetings. Please direct queries to your ICB Medicines Optimisation Pharmacist or e-mail nnicb-nn.nottsapc@nhs.net Contents ® • New submissions – SimAlvia • Antimicrobial guidelines -...

  • UTI in Children

    UTI in Children 3.1 Last reviewed: 17/11/2022 Review date: 30/11/2025 URINARY TRACT INFECTIONS UTI in Children UTI is associated with a higher risk of underlying congenital renal anomalies, pyelonephritis, acquired renal scarring and recurrent inf...

  • Parkinson's Disease - Pramipexole Information Sheet

    Pramipexole Traffic light classification- Amber 2 Information sheet for Primary Care Prescribers Key points/interactions • Nausea is a common early side effect but usually responds to domperidone (10mg tds, or lowest effective dose – see MHRA advi...

  • Rheumatological Conditions - DMARDs Summary of Monitoring

    See individual Shared Care Protocols for more information. Summary of Monitoring Requirements for Medicines used in Nottinghamshire APC Rheumatology Shared Care Protocols (Note – monitoring requirements are NOT indicative of transfer of care times...

  • 6. APC Bulletin November 2017

    Nottinghamshire Area Prescribing Committee November 2017 Bulletin www.nottsapc.nhs.uk www.nottinghamshireformulary.nhs.uk MACCG.NottsAPC@nhs.net Medicine Traffic light Indication Other Information status RESTRICTED for patients with Parkinson’s Me...

  • 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...

  • Head Lice

    Head lice V2.1 Last reviewed: 16/03/2023 Review date: March 2026 SKIN AND SOFT TISSUE INFECTIONS Head lice (CKS Head lice) Head lice is a condition that should be treated over the counter and is on the NHSE list of conditions for which OTC items s...

  • Modafinil Information Sheet

    Modafinil Traffic light classification - AMBER 2 Information sheet for Primary Care Prescribers 1 Indications Modafinil is indicated in adults for the treatment of excessive sleepiness associated with narcolepsy with or without cataplexy (licensed...

  • 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...

  • Continuous Glucose Monitoring Devices - device selection principals

    I mplementing a Continuous Glucose Monitoring (CGM) Formulary for Nottingham and Nottinghamshire 1. Background Studies (see appendix for details of some of the studies) have shown that CGM technology reduces HbA1c, hypoglycaemia admissions, DKA ad...

  • Testosterone Information Sheet

    Testosterone for Adult Male Hypogonadism Last reviewed: July 2023 Review date: July 2026 V3 Testosterone replacement therapy for adult male hypogonadism Traffic light classification- Amber 2 Information sheet for Primary Care Prescribers Relevant...

  • Self-care - Cough

    Self-care Information Coughs Treating a cough - Tips for adults and children “Supporting you to look after you and your family” • Rest as much as you can. • Drink plenty of fluids. • Have a steamy shower. • Most coughs will clear up on their own w...

  • Self-care - Cystitis (mild)

    Self-care Information Cystitis (Mild) Tips on how you can self manage mild cystitis. “Supporting you to look after you” Key advice: • Take paracetamol or ibuprofen. • Drink plenty of water. • Hold a hot water bottle on your tummy. • Avoid having s...

  • 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...

  • Self-care - Sore throat

    Self-care Information Sore Throat Tips on how you can self manage a sore throat in adults & children “Supporting you to look after you and your family” Key advice: • Drink plenty of fluids. • Eat soft or cool foods. • Suck ice cubes, or hard sweet...

  • Self-care - Hayfever

    Self-care Information Hay fever Tips on how you can self manage your hay fever. ”Supporting you to look after you” Hay fever is an allergic reaction to pollen. It can start at any age and at anytime in your life and lasts for weeks or months, unli...

  • Antipsychotics Prescribing Guideline

    Antipsychotics – Prescribing Guideline V2.2 Last reviewed: July 2024 Review date: July 2027 Antipsychotics Traffic light classification - Amber 2 Prescribing Guideline for Primary Care Prescribers Scope This prescribing guideline is for the use of...

  • 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...

  • Self-care - Diarrhoea

    Self-care Information Diarrhoea & Vomiting Tips on how you can self-manage diarrhoea and vomiting. “Supporting you to look after you’’ Key Points: • Drink plenty of fluids. • Wash hands thoroughly after going to the toilet. • Clean toilet, seat an...

  • 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...

  • 4. APC Bulletin November 2024

    Area Prescribing Committee Bulletin November 2024 1 - Link to APC website 2 - Link to APC Joint Formulary New Formulary Submissions Vibegron (Obgemsa®) - AMBER 3 Indication: • Approved in NICE TA guidance with the same place in therapy as mirabegr...

  • 2. APC Bulletin May 2025

    Area Prescribing Committee Bulletin May 2025 1 - Link to APC website 2 - Link to APC Joint Formulary 💊New Formulary Submissions Amantadine and modafinil for fatigue in Multiple Sclerosis (MS) - AMBER 2 🟠 Indication: • Off- label use for fatigue...

  • 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 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...

  • Drospirenone Prescribing Information Sheet

    Drospirenone Prescribing Information sheet Produced: March 2024 Review date: March V1 2027 Drospirenone Traffic light classification- Amber 3 Information sheet for Primary Care Prescribers Licensed Indication Contraception Therapeutic summary Dros...

  • Bronchiectasis Self Management Plan

    N ottinghamshire Pulmonary Rehabilitation More information Bronchiectasis Pulmonary Rehabilitation is an exercise Breathe Easy support group program tailored to your needs. It can Would you like to meet other people who Self-management plan improv...

  • Male LUTS clinical guideline

    M ale Lower Urinary Tract Symptoms (LUTS) Guideline V5.2 Last reviewed: 19/05/2022. Review date: 19/05/2025 • Male LUTS consist of voiding symptoms, storage symptoms or both. • Storage symptoms include frequency, nocturia, urgency and incontinence...

  • 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...

  • 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...

  • 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...

  • 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...

  • 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...

  • 3. APC Guideline Meeting Minutes May 2024

    t h Nottinghamshire Area Prescribing Committee Guideline Meeting Minutes Thursday 16 May 2024: The meeting took place as a Hybrid Meeting in the Boardroom, Sir John Robinson House, Arnold, Nottingham. All attendees should be aware that public auth...

  • 3. APC Guideline Meeting Minutes June 2021

    N ottinghamshire Area Prescribing Committee Meeting minutes th APC meeting 17 June 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 legal...

  • 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...

  • ADHD medication shortages; guidance on management for clinicians

    ADHD Medication Supply Disruption and Advice Advice and guidance to support healthcare professionals to respond to individual patient cases – Version 49 A National Patient Safety Alert has been issued warning of an impending shortage of specific m...

  • 2. APC Bulletin March 2023

    Nottinghamshire Area Prescribing Committee March 2023 Bulletin Contents  Links to our APC webinar and podcast  New Formulary submissions  Changes we have made to our formulary  New and Updated APC Guidelines  Feature of the month ~ Inclisiran...

  • 3. APC Bulletin May 2023

    Nottinghamshire Area Prescribing Committee May 2023 Bulletin Contents  Links to our APC webinar and podcast  New Formulary submissions  Changes we have made to our formulary  New and Updated APC Guidelines  Feature of the month ~ Biosimilar I...

  • 2. APC Bulletin April 2021

    Nottinghamshire Area Prescribing Committee April 2021 Bulletin www.nottsapc.nhs.uk www.nottinghamshireformulary.nhs.uk nnccg.nottsapc@nhs.net COVID – 19 We have added a dedicated section to the APC website for use during the COVID pandemic. You wi...

  • 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...

  • Cows Milk Allergy - Quick Reference Guide

    Managing non-IgE Cow’s Milk Protein Allergy (CMPA) in Infants Pathway Symptoms suggest CMPA • Acute immediate reaction IgE mediated No immediate reactions non-IgE mediated (2-72hours) (0-2hours) If at all possible, encourage Formula exclusive brea...

  • 2. APC Guideline Meeting Minutes March 2025

    th Nottinghamshire Area Prescribing Committee Guidelines Meeting Minutes 27 March 2025: The meeting took place as a web conference using Microsoft Teams. All attendees should be aware that public authorities are legally required to comply with the...

  • B. Principles of Treatment

    A ntimicrobial Prescribing Guidelines for Primary Care The electronic versions of this full guideline and its appendices can be accessed at: https://www.nottsapc.nhs.uk/guidelines-formularies/antimicrobial-guidelines/ Principles of Treatment 1. Th...

  • 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...

  • Finerenone For Treating Chronic Kidney Disease (CKD) In Type 2 Diabetes - Prescribing Information Sheet

    Finerenone for trea�ng chronic kidney disease (CKD) (stage 3 and 4 with albuminuria) associated with type 2 diabetes in adults: Prescribing Informa�on Sheet Produced: March 2024 Review date: March 2027 V1 Finerenone for treating chronic kidney dis...

  • 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. •...

  • PIL - Strong opioids

    Integrated Care System Nottingham & Nottinghamshire Strong Oral Opioids for Acute Pain: Information for Adult Patients (Over 16 years) This leaflet is relevant to NEW or CHANGED prescriptions for: ® ®  Immediate release Morphine Sulphate (e.g. Or...

  • 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...

  • 5. November 2022 APC Update

    Area Prescribing Committee Update: October/ November 2022 Please direct queries to your ICB medicines optimisation pharmacist or e-mail nnicb-nn.nottsapc@nhs.net APC submission process How to request a new medicine • Requests for new medicines to...

  • UTI Treatment - Patient Leaflet

    TREATING YOUR INFECTION – URINARY TRACT INFECTION (UTI) For women under 65 years with suspected lower urinary tract infections (UTIs) or lower recurrent UTIs (cystitis or urethritis) Possible urinary signs & symptoms The outcome Recommended care T...

  • Parkinson's Disease - Ropinirole Information Sheet

    Ropinirole Traffic light classification- Amber 2 Information sheet for Primary Care Prescribers CLINICAL INFORMATION Key points/interactions • Nausea is a common early side effect but usually responds to domperidone (10mg tds, or lowest effective...

  • 1. APC Guideline Meeting Minutes January 2023

    t h These minutes are in draft form until ratified by the committee at the next meeting on 16 March 2023. Nottinghamshire Area Prescribing Committee Meeting Minutes th APC meeting 19 January 2023: the meeting took place as a web conference using M...

  • 2. APC Guideline Meeting Minutes April 2021

    N ottinghamshire Area Prescribing Committee Meeting minutes nd APC meeting 22 April 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 lega...

  • Direct Oral Anticoagulants for DVT and PE - Prescribing Information

    The use of Direct Oral Anticoagulants (DOACs) for treatment of DVT or PE, or prevention against recurrent DVT or PE (in adults) There are four DOACs available for the treatment of DVT or PE, and prevention of recurrent DVT or PE, these are: • Riva...

  • 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...

  • Dermatological Conditions - Hydroxychloroquine Shared Care Protocol

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

  • 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...

  • Inflammatory Bowel Disease - Azathioprine Shared Care Protocol

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