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Self-care - Headache

Self-care Information Headaches & Migraines Tips on how you can self manage your headaches & migraines ”Supporting you to look after you” Key advice: • Drink plenty of fluids. • Relaxation can help with stress or tension headaches. • Avoid things...
Adult Headache Pathway

A DULT HEADACHE PATHWAY Background The primary focus of this document is the management of chronic headache, particularly migraine. The guidance is not targeted at acute headache / new onset headache (including thunderclap headache) or headache as...
2. March 2024 APC Update

Area Prescribing Committee / Interface Update March 2024 Please direct queries to your ICB Medicines Optimisation Pharmacist or e-mail nnicb-nn.nottsapc@nhs.net New Submissions ® Drospirenone (Slynd ) – AMBER 3 Indication: 2nd line Progestogen On...
2. May 2022 APC Update

Area Prescribing Committee / Interface Update May / June 2022 Please direct queries to your CCG medicines optimisation pharmacist or nnccg.nottsapc@nhs.net Edoxaban switching – risk mitigation • NHSE IIF (Investment and Impact Fund) includes two...
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...
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...
3. APC Formulary Minutes June 2024

th Nottinghamshire Area Prescribing Committee Formulary Meeting Minutes 20 June 2024: 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 F...
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...
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 -...
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...
3. May 2023 APC Update

Area Prescribing Committee / Interface Update May 2023 Please direct queries to your ICB medicines optimisation pharmacist or e-mail nnicb-nn.nottsapc@nhs.net New Submissions Selenium – AMBER 2 • Indication – For the treatment of deficiencies in...
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 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...
1. APC Bulletin January 2024

Nottinghamshire Area Prescribing Committee January 2024 Bulletin Contents  Changes we have made to our formulary  New Formulary submissions  Feature of the month  New and Updated APC Guidelines ~ GLP1 RA updated safety alert & actions  Links...
3. APC Formulary Minutes June 2025

th Nottinghamshire Area Prescribing Committee Formulary Meeting Minutes Thursday 19 June 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 w...
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 1.2 Last reviewed: September 2022 Review date: May 2026 Management of Chronic Pain in Patients above 16 years of age - The...
6. APC Formulary Minutes December 2023

th These minutes are in draft form until ratified by the committee at the next meeting on 28 February 2024. Nottinghamshire Area Prescribing Committee Formulary Meeting Minutes th APC Meeting 14 December 2023: Room GF02, Home Brewery Building, Sir...
3. APC Bulletin July 2024

Area Prescribing Committee Bulletin July 2024 1 - Link to APC website 2 - Link to APC Joint Formulary New Formulary Submissions Alverine 60mg/ simeticone 300mg capsules (SimAlvia®) - AMBER 2 Temporary classification: will be revised on development...
1. January 2024 APC Update

Area Prescribing Committee / Interface Update January 2024 Please direct queries to your ICB medicines optimisation pharmacist or e-mail nnicb-nn.nottsapc@nhs.net New Submissions Spironolactone for Acne – AMBER 3 Indication: treatment of persiste...
Relugolix-estradiol-norethisterone (Ryeqo®) and linzagolix (Yselty®) Prescribing information sheet

® Relugolix-estradiol-norethisterone (Ryeqo ) ® and linzagolix (Yselty ) Information sheet for Primary Care Prescribers Traffic light classification - Amber 2 Key Points  Relugolix-estradiol-norethisterone and linzagolix may be prescribed locally...
2. APC Guideline Meeting Minutes May 2022

N ottinghamshire Area Prescribing Committee Meeting Minutes th APC meeting 19 May 2022: 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 legall...
Nausea and Vomiting in Pregnancy

P RIMARY CARE MANAGEMENT OF NAUSEA AND VOMITING IN EARLY PREGNANCY Introduction Nausea and vomiting affects up to 80% of pregnant women and is one of the most common indications for hospital admission in the first trimester of pregnancy. For many...
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...
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...
4. APC Bulletin September 2025

Area Prescribing Committee Bulletin September 2025 Quick Overview Stay up to date with the Nottinghamshire APC decisions from July and August meetings. This bulletin covers guideline updates, formulary changes and upcoming agenda items. 1 - Link t...
APC Bulletin March 2026

A rea Prescribing Committee Bulletin March 2026 Quick Overview Stay up to date with the Nottinghamshire APC decisions from December 2025 and January 2026 meetings. This bulletin covers guideline updates, formulary changes and upcoming agenda items...
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...
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...
4. APC Guideline Meeting Minutes July 2024

th Nottinghamshire Area Prescribing Committee Guideline Meeting Minutes 18 July 2024: 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 F...
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...
14. Nottinghamshire Area Prescribing Committee Annual Report 2023-24

N ottinghamshire Area Prescribing Committee Annual Report 2023-24 *The Nottinghamshire APC is a partnership committee with clinical representation from; - Nottingham University Hospitals NHS Trust - Sherwood Forest Hospitals Foundation Trust - Not...
1. APC Formulary Minutes February 2024

th These minutes are in draft form until ratified by the committee at the next meeting on 18 April 2024. Nottinghamshire Area Prescribing Committee Formulary Meeting Minutes th 29 February 2024: The meeting took place as a web conference using Mic...
1. APC Guideline Meeting Minutes January 2020

N ottinghamshire Area Prescribing Committee rd Minutes of the meeting held on Thursday 23 January 2020 2:00pm Boardroom, Duncan MacMillan House All attendees should be aware that public authorities are legally required to comply with the Freedom o...
1. Nottinghamshire Area Prescribing Committee Annual Report 2010-11

N ottinghamshire Area Prescribing Committee Annual Report 2010-11 Executive Summary  6 meetings of the Nottinghamshire Area Prescribing Committee were held in 2010-11. All meetings were quorate with representation from all partner organisations....
HRT Formulary Choices Summary

HRT Prescribing: Quick reference guide and FAQs. These guidelines aim to provide concise guidance on the management of those experiencing menopausal symptoms. More comprehensive guidance is available from the NUH website. Figure 1: Summary of syst...
3. APC Guideline Meeting Minutes May 2023

th These minutes are in draft form until ratified by the committee at the next meeting on 20 July 2023. Nottinghamshire Area Prescribing Guidelines Meeting Minutes th APC Meeting Thursday 18 May 2023: The meeting took place as a web conference usi...
1. APC Meeting Minutes Jan 2026

nd Nottinghamshire Area Prescribing Committee Guideline Meeting Minutes Thursday 22 January 2026: The meeting took place as a web conference using Microsoft Teams. All attendees should be aware that public authorities are legally required to compl...
11. Nottinghamshire Area Prescribing Committee Annual Report 2020-21

Nottinghamshire Area Prescribing Committee Annual Report 2020-21 APC annual report 202021 EXECUTIVE SUMMARY The Nottinghamshire Area Prescribing Committee (APC) works collaboratively with a number of different stakeholders* across Nottinghamshire...
6. APC Formulary Minutes December 2022

t h These minutes are in draft form until ratified by the committee at the next meeting on 16 February 2022. Nottinghamshire Area Prescribing Committee Formulary Meeting Minutes th APC meeting 15 December 2022: the meeting took place as a web conf...
2. APC Formulary Minutes April 2023

th These minutes are in draft form until ratified by the committee at the next meeting on 15 June 2023 Nottinghamshire Area Prescribing Committee Formulary Meeting Minutes th APC Meeting 20 April 2023: The meeting took place as a web conference us...
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...
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...
Valproate Medicines for Patients of Childbearing Potential - Shared Care Protocol

Valproate medicines for patients of child-bearing potential – shared care protocol V2.0 Last reviewed: January 2026 Review date: January 2029 National shared care protocol adapted for local use: Valproate medicines for patients of child-bearing po...
4. APC Bulletin July 2020

Nottinghamshire Area Prescribing Committee July 2020 Bulletin www.nottsapc.nhs.uk www.nottinghamshireformulary.nhs.uk MACCG.NottsAPC@nhs.net COVID – 19 You can find a dedicated section on the APC website for use during the COVID crisis. According...
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...