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  • Diagnosis of UTI - Quick Reference Guide

    Quick Reference Guide for the Diagnosis of UTI Last reviewed: 08/12/2023 Review date: 30/05/2025 V2.2 URINARY TRACT INFECTIONS Quick Reference Guide for the Diagnosis of UTI in Adults in Primary Care Dipsticks become more unreliable with increasin...

  • 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...

  • 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...

  • 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...

  • Epididymitis With or Without Orchitis

    Epididymitis With or Without Orchitis V2.2 Last reviewed: June 2024 Review date: 31/03/2026 GENITAL TRACT INFECTIONS Epididymitis +/- Orchitis Pain and swelling of the epididymis +/- testis (orchitis), pyrexia, with or without urethral discharge....

  • Clinical Pathway For The Use Of SGLT2 inhibitors In Chronic Kidney Disease(CKD) and Type 2 Diabetes(T2DM)

    Clinical pathway for the use of Sodium- Glucose Co-transporter-2 inhibitors (SGLT-2 i) in Chronic Kidney Disease (CKD) and Type 2 Diabetes Mellitus (T2DM) • Ensure patient is already on maximum tolerated licenced dose of Angiotensin Converting Enz...

  • Antimicrobial Bulletin Issue 2

    N OTTINGHAMSHIRE AREA PRESCRIBING COMMITTEE ANTIMICROBIAL BULLETIN VOL 2 ISSUE 02 | JUNE 2022 A REMINDER NEWS Diagnosis and Treatment of UTI  Hidradenitis Suppurativa—New guideline. Diagnosis, Remember : This is also known as acne inversa. It is...

  • Antimicrobial Bulletin Issue 3

    N OTTINGHAMSHIRE AREA PRESCRIBING COMMITTEE ANTIMICROBIAL BULLETIN VOL 3 ISSUE 03 | OCTOBER 2023 UTI Fluoroquinolone antibiotics: suicidal thoughts and behaviour Recurrent Antibiotics Healthcare professionals prescribing fluoroquinolone antibiotic...

  • 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)...

  • 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...

  • Antimicrobial Bulletin Issue 1

    N OTTINGHAMSHIRE AREA PRESCRIBING COMMITTEE ANTIMICROBIAL BULLETIN VOL 3 ISSUE 01 | MARCH 2023 A randomised control trial in 2022 demonstrated methenamine RECURRENT UTI was non-inferior to prophylactic antibiotics for reducing the Methenamine hipp...

  • Acute Pyelonephritis in Adults

    Upper UTI/ Acute Pyelonephritis in Adults Last reviewed: June 2024 Review date: 30/05/2025 V2.3 URINARY TRACT INFECTIONS Acute Pyelonephritis in Adults / Upper UTI • Define as: ✓ Patients with pyelonephritis usually have ▪ flank/ loin pain ▪ rigor...

  • Complicated UTI

    Complicated UTI Last reviewed: November 2024 Review date: 30/05/2025 V2.2 URINARY TRACT INFECTIONS Complicated UTI See also specific patient groups and conditions below Complicated UTIs are more likely in the following situations: o Recurrent infe...

  • Nausea and Vomiting in Pregnancy

    Primary Care Management of Nausea and Vomiting in Early Pregnancy V3.0 Last reviewed: 18/01/2024 Review date: January 2027 PRIMARY CARE MANAGEMENT OF NAUSEA AND VOMITING IN EARLY PREGNANCY Introduction Nausea and vomiting affects up to 80% of preg...

  • 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...

  • HRT Formulary Choices Summary

    Systemic HRT Treatment - Formulary Choices V2.2 Last reviewed: June 2022 Review date: June 2025 Systemic HRT Treatment - Formulary Choices  See Nottinghamshire Area Prescribing Committee Formulary for full details of formulary choices and guidanc...

  • 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...

  • 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...

  • Antimicrobial Guideline Summary of Changes

    Nottinghamshire Area Prescribing Committee Antimicrobial Guideline March 2019 Update www.nottsapc.nhs.uk www.nottinghamshireformulary.nhs.uk Maccg.nottsapc@nhs.net The Antimicrobial guidelines for primary care have been refreshed. The guideline ca...

  • Lower UTI/ Cystitis

    URINARY TRACT INFECTIONS Lower UTI /Cystitis (i.e., no fever or flank pain, in men and women) Organisms • Escherichia coli, Coliforms, Proteus mirabilis Staphylococcus saprophyticus, Enterococcus spp. Treatment • Advise paracetamol or ibuprofen fo...

  • 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...

  • Barrier Preparations Formulary

    B arrier Preparations Formulary All barrier preparations, if used in excess (i.e., lathered on), can transfer onto incontinence pads and leave a ‘waterproof’ layer over the pad's surface; this can lead to increased moisture damage to the skin, as...

  • 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...

  • 5. APC Guideline Meeting Minutes November 2022

    T hese minutes are in draft form until ratified by the committee at the next meeting on th 19 January2023. Nottinghamshire Area Prescribing Committee Meeting Minutes th APC meeting 17 November 2022: the meeting took place as a web conference using...

  • 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...

  • 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 .......

  • 2. APC Bulletin May 2022

    Nottinghamshire Area Prescribing Committee May 2022 Bulletin www.nottsapc.nhs.uk www.nottinghamshireformulary.nhs.uk nnccg.nottsapc@nhs.net New submissions: • For Treating Chronic Heart Failure with Reduced Ejection Fraction. • As per NICE TA773....

  • 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...

  • Meningitis

    Meningitis 3.1 Last reviewed: 21/09/2023 Review date: 30/09/2026 MENINGITIS Transfer all patients to the hospital as an emergency by telephoning 999. For suspected meningococcal disease (meningitis with non-blanching rash or meningococcal septicae...

  • 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...

  • 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...

  • 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...

  • 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...

  • 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 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...

  • 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...

  • 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...

  • Urticaria & Angioedema Primary Care Pathway

    U rticaria and/or Angioedema Management Pathway (Adults) V2.0 Last reviewed: Review date: 19/01/2026 19/01/2023 Urticaria and Angioedema Primary Care Pathway (Adults) Please use algorithms below to assess and manage patients with either urticaria...

  • 1. APC Guideline Meeting Minutes March 2022

    t h These minutes are in draft form until ratified by the committee at the next meeting on 19 May 2022. Nottinghamshire Area Prescribing Committee Meeting Minutes th APC meeting 17 March 2022: due to the COVID-19 Pandemic the meeting took place as...

  • 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...

  • 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...

  • 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...

  • 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...

  • 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...

  • 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...

  • 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...

  • 4. APC Guideline Meeting Minutes September 2022

    t h These minutes are in draft form until ratified by the committee at the next meeting on 17 November 2022. Nottinghamshire Area Prescribing Committee Meeting Minutes th APC meeting 15 September 2022: due to the COVID-19 Pandemic, the meeting too...

  • 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...

  • 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...

  • 2. JFG meeting minutes April 2022

    N ottinghamshire Joint Formulary Group Meeting Minutes st Thursday 21 April 2022, 2-5 pm Online Microsoft Teams meeting, due to COVID-19 Present: Laura Catt (LC), Prescribing Interface Advisor, NHS Nottingham and Nottinghamshire CCG (Chair) Asifa...

  • 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...

  • 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...

  • 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...

  • Amiodarone Shared Care Protocol

    National shared care protocol adapted for local use: Amiodarone 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 He...

  • 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...

  • 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 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...

  • 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...

  • Valproate Medicines for Patients of Childbearing Potential - Shared Care Protocol

    Valproate medicines for patients of child-bearing potential – shared care protocol V1.1 Last reviewed: November 2024 Review date: July 2025 National shared care protocol adapted for local use: Valproate medicines for patients of child-bearing pote...

  • Osteoporosis Guideline

    Nottinghamshire osteoporosis and fracture prevention guideline for Primary Care This guideline is based on the recommendations from NICE, NOGG, SIGN, Dutch and Canadian national guidelines, and the local expert opinion. Contents Page number Primar...

  • 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,...