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  • 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...

  • 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 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...

  • Overactive Bladder Clinical Guidance

    Overactive Bladder – clinical guidance V2.2 Last reviewed: Jan 2023. Review date: Jan 2026 Overactive Bladder Clinical Guideline Overactive Bladder (OAB) is urgency with or without urge incontinence, usually with frequency and nocturia. Urge Urina...

  • 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...

  • 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...

  • 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 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...

  • 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...

  • 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...

  • 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...

  • 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...

  • 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...

  • 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...

  • 5. APC Bulletin September 2017

    Nottinghamshire Area Prescribing Committee September 2017 Bulletin www.nottsapc.nhs.uk www.nottinghamshireformulary.nhs.uk MACCG.NottsAPC@nhs.net September 2017 APC Decisions Medicine Traffic light Indication Other Information status Sucroferric A...

  • 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...

  • 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...

  • 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...

  • 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...

  • 3. APC Bulletin May 2019

    Nottinghamshire Area Prescribing Committee May 2019 Bulletin www.nottsapc.nhs.uk www.nottinghamshireformulary.nhs.uk MACCG.NottsAPC@nhs.net May 2019 APC Decisions Medicine Status Indication Other Information  Women: 25 microgram daily, one hour b...

  • 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...

  • 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...

  • 5. APC Bulletin September 2023

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

  • 4. APC Bulletin July 2017

    Nottinghamshire Area Prescribing Committee July 2017 Bulletin www.nottsapc.nhs.uk www.nottinghamshireformulary.nhs.uk MACCG.NottsAPC@nhs.net July 2017 APC Decisions Medicine Classification Indication Other Information Phosphate To be added to the...

  • 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...

  • 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...

  • 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...

  • 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...

  • 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 &...

  • 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...

  • 5. APC Guideline Meeting Minutes September 2017

    N ottinghamshire Area Prescribing Committee Minutes of the meeting held on Thursday 21st September 2017 at 2:00pm The Boardroom, Duncan MacMillan House, Porchester Road, Nottingham, NG3 6AA All attendees should be aware that public authorities are...

  • Growth Hormone Information Sheet

    Growth Hormone Shared Care Protocol V4 Last reviewed: Feb 2022 Review date: July 2025 Growth Hormone (Somatropin) in children and young people Traffic light classification – Amber 1 Information sheet for Primary Care Prescribers Indications • Grow...

  • 2. APC Bulletin March 2019

    Nottinghamshire Area Prescribing Committee March 2019 Bulletin www.nottsapc.nhs.uk www.nottinghamshireformulary.nhs.uk MACCG.NottsAPC@nhs.net March 2019 APC Decisions Medicine Status Indication Other Information Spasticity in  Deferred to the Tru...

  • 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...

  • 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...

  • Influenza

    Influenza A and B Last reviewed: 06/02/2024 Review date: 21/07/2025 V2.2 UPPER RESPIRATORY TRACT INFECTIONS Influenza A and B (CKS Treatment of influenza) Annual vaccination is strongly recommended for all those at risk of influenza. Prescribing o...

  • ADULTS - Primary Care Management during ADHD Medication Shortages

    ADULTS: Primary Care Management during ADHD Medication Shortage V10 Last reviewed: 17/03/25 CONTINUE. Be aware demand may later affect this medication supply. Be prudent with use and review supply status. No Prescribe 12-hour Prolonged Release Met...

  • CHILDREN - Primary Care Management during ADHD Medication Shortages

    CHILDREN: Primary Care Management during ADHD Medication Shortage V8 Last Updated 17/03/2025 CONTINUE. Be aware demand may later affect this medication supply. Be prudent with use and review supply status. No Medication in Prescribe 12 hour Prolon...

  • 4. APC Guideline Meeting Minutes July 2020

    N ottinghamshire Area Prescribing Committee th APC meeting 16 July 2020, 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 legally required to c...

  • 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...

  • Dementia - Memantine Information Sheet

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

  • 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...

  • 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...

  • 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...

  • 4. APC Formulary Minutes October 2024

    th Nottinghamshire Area Prescribing Committee Formulary Meeting Minutes Thursday 17 October 2024: The meeting was held as a web conference using Microsoft Teams. All attendees should be aware that public authorities are legally required to comply...

  • 1. March 2022 APC Update

    APC and Interface Update March / April 2022 Please direct queries to your CCG medicines optimisation pharmacist or nnccg.nottsapc@nhs.net New Submissions ® Trurapi ▼(insulin aspart biosimilar) – AMBER 2 ® • Biosimilar to Novorapid , offers signif...

  • Vortioxetine Information Sheet

    Vortioxetine Information Sheet V1.0 Last reviewed: January 2023 Review date: January 2026 Vortioxetine Traffic light classification- Amber 3 Information sheet for Primary Care Prescribers 1 Licensed Indications • Vortioxetine is licensed for the t...

  • Desmopressin (Noqdirna) Prescribing Information Sheet

    ® Desmopressin (Noqdirna ) V2.0 Last reviewed: 16/09/2022 Review date: 16/09/2025 ® Desmopressin(Noqdirna ) Traffic light classification - Amber 2 Information sheet for Primary Care Prescribers Licensed Indications ® Desmopressin (Noqdirna ) is in...

  • 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...

  • 4. APC Formulary Minutes August 2023

    th These minutes are in draft form until ratified by the committee at the next meeting on 19 October 2023 Nottinghamshire Area Prescribing Committee Formulary Meeting Minutes th APC Meeting 17 August 2023: The meeting took place as a web conferenc...

  • 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...

  • Gastroprotection (with PPI) for Patients on NSAID or Antiplatelet

    Gastroprotection (with PPI) for patients on NSAID or antiplatelet Advisory guidance on when to initiate a PPI with a NSAID (or antiplatelet) for gastro-protection. Where a NSAID (or antiplatelet) is indicated, and to reduce the risk of gastrointes...

  • 2. April 2025 APC update

    Area Prescribing Committee / Interface Update. February 2025 - March 2025 meetings. Please direct queries to your ICB Medicines Optimisation Pharmacist or e-mail nnicb-nn.nottsapc@nhs.net April 2025 Contents • Guidelines: • Heart Failure guidelin...

  • 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...

  • Testosterone in Children and Adolescents Born Biologically As Male For Constitutional Delay In Growth and Puberty (CDGP) and Hypogonadism Prescribing Information Sheet

    ® ® Testosterone (Sustanon 250 injection and Tostran 2% gel) Therapy for Hypogonadism and Constitutional Delay in Growth and Puberty in male children and adolescent information sheet V2.0 Last reviewed: January 2023 Review date: January 2026 A ® ®...

  • 3. JFG meeting minutes September 2021

    D RAFT Nottinghamshire Joint Formulary Group Meeting Minutes th Thursday 16 September 2021, 2-5 pm On line Microsoft Teams meeting due to COVID-19 Present: Tanya Behrendt (TB), Senior Medicines Optimisation Pharmacist NHS Nottingham and Nottingham...

  • 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...

  • 8. Nottinghamshire Area Prescribing Committee Annual Report 2017-18

    Nottinghamshire Area Prescribing Committee Annual Report 2017-18 EXECUTIVE SUMMARY The Nottinghamshire Area Prescribing Committee (APC) works collaboratively with a number of different stakeholders* across Nottinghamshire to make recommendations...

  • 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...

  • Enoxaparin Info Sheet

    Enoxaparin Information Sheet V4.2 January 2025. Review January 2027 Enoxaparin sodium for long term anticoagulation in patients unsuitable for oral anticoagulants **Prescribe by brand name** ® ® ® (Arovi , Inhixa , Clexane ) Traffic light classifi...

  • 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...

  • 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...

  • 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 ………………………...

  • 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...

  • 4. APC Guideline Meeting Minutes July 2023

    st These minutes are in draft form until ratified by the committee at the next meeting on 21 September 2023. Nottinghamshire Area Prescribing Guidelines Meeting Minutes th APC Meeting Thursday 20 July 2023: The meeting took place as a web conferen...

  • 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,...

  • 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...

  • 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...

  • Headache in Adults Guideline

    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...

  • 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...

  • Dronedarone Shared Care Protocol

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

  • 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 …...

  • 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...