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  • Renal Function Calculation and Drug Dosing/Monitoring

    Renal function calculation and drug dosing/monitoring Version 1 November 2024 Review date: November 2026 Renal function calculation and drug dosing/monitoring Local consensus is that: • Creatinine clearance (CrCl) must be used for calculating rena...

  • Lyme Disease

    Lyme Disease V2.1 Last reviewed: 17/11/2022 Review date: 17/11/2025 SKIN AND SOFT TISSUE INFECTIONS Lyme Disease (CKS April 22) Lyme disease is an infection caused by a group of bacteria transmitted to humans following a bite from an infected tick...

  • Primary Care Guidance - PERT Shortage

    Introduction to Pancreatic Enzyme Replacement Therapy (PERT) Guidance for GPs (this flow chart is intended for use by healthcare professionals and may not be accessible to screen readers) This document has been developed by Nottingham University H...

  • Oral Nutritional Supplements (ONS) in Adults - Care Home Request Form

    C are Home ONS Form - CONFIDENTIAL: Monthly Request for Oral Nutritional Supplement (ONS) Prescription *Must be ACBS indicated and clinically justified for GP to prescribe (refer to local ONS guidelines) To: From Care Home (Referrer & Signature):...

  • 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...

  • Dermatophyte Infection of the Scalp

    SKIN AND SOFT TISSUE INFECTIONS Dermatophyte Infection of the Scalp Fungal infection of the scalp is also known as 'tinea capitis' or 'scalp ringworm', and it describes infection of scalp hair follicles and the surrounding skin caused by dermatoph...

  • 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 - Sprains and strains

    Self-care Information Sprains & Strains Tips on how you can self-manage sprains & strains. “Supporting you to look after you.’’ Key Points: • Follow PRICE therapy for the first 2-3 days (Protection, Rest, Ice, Compression, Elevate). • Take paracet...

  • Oral Nutritional Supplements (ONS) in Adults - Quick Reference

    Quick Reference Guide: Oral Nutritional Supplements (ONS) Please first complete a MUST score and give Food First advice. Prescribe only if patient at Higher Risk (MUST 2+) where Over the Counter supplements have been unsuccessful. If patient meets...

  • Dermatophyte Nail Infection

    SKIN AND SOFT TISSUE INFECTIONS Dermatophyte nail infection (onychomycosis) If clinically infected: Start empirical treatment. Nail infections are best treated systemically. Nail specimens are only indicated and will only be accepted for processin...

  • Oral Nutritional Supplements (ONS) in Adults - Food First Leaflet

    3-2-1: Simple steps to follow when your appetite is poor and you are losing weight. Malnutrition makes it harder for the body to 3 2 1 fight infection and heal itself. It reduces your energy levels, muscle strength and mobility. Most people need t...

  • Oral Nutritional Supplements (ONS) in Adults - Full Guideline

    Full Guideline: Oral Nutritional Supplements (ONS) Quick Read Summary Quick Prescribing Guide to ONS on Notts APC Website Contents Page 2 Executive Summary 3 Introduction, Aims, Scope and Development 4 Indications for ONS prescribing 5 When to ref...

  • 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...

  • Cutaneous Candidiasis

    Cutaneous Candidiasis V2.1 Last reviewed: 19/01/2023 Review date: 19/01/2026 SKIN AND SOFT TISSUE INFECTIONS Cutaneous Candidiasis (CKS Candida - Skin) Offer appropriate advice to aid healing and prevent recurrence. In particular: • Advise the per...

  • Guanfacine restarting guidance

    G uideline for restarting Guanfacine following a period of no treatment- ADHD Children and Adults Represcribing Guidance for Guanfacine Prolonged Release (Intuniv) Patient on no medication or Patient currently on Clonidine medication other than Cl...

  • 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...

  • 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...

  • 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...

  • 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...

  • 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...

  • Omeprazole Liquid for Children - Review Algorithm

    Omeprazole liquid in children-information sheet V1.2 Last reviewed: December2021 Review date: December 2024 Algorithm for the review of children and young people taking Omeprazole liquid long term Why is the medication prescribed? Does the patient...

  • 1. APC Bulletin February 2021

    Nottinghamshire Area Prescribing Committee February 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...

  • 1. APC Bulletin January 2020

    Nottinghamshire Area Prescribing Committee January 2020 Bulletin www.nottsapc.nhs.uk www.nottinghamshireformulary.nhs.uk MACCG.NottsAPC@nhs.net New drug submissions— January 2020 APC Decisions Medicine Traffic light Indication Other Information st...

  • 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...

  • Self-care - Back pain

    Self-care Information Back Pain Tips on how you can self manage back pain. “Supporting you to look after you” • Back pain, particularly lower back pain, is very common. • It usually improves within a few weeks but can sometimes last longer or keep...

  • Rheumatological Conditions - DMARDs Summary of Monitoring

    See individual Prescribing Information Sheets for more information. Summary of Monitoring Requirements for Medicines used in Nottinghamshire APC Rheumatology Shared Care Protocols Weight Medicine Time period in Frequency of Monitoring FBC LFT U&E...

  • UTI in Pregnancy

    UTI in Pregnancy Last reviewed: 24/10/2024 Review date: 30/05/2025 V2.3 URINARY TRACT INFECTIONS UTI in pregnancy (Not if pyelonephritis is queried. See advice below) • Asymptomatic bacteriuria in pregnancy: isolation of the same organism in a pro...

  • Giardiasis

    Giardiasis V3.1 Last reviewed: 15/09/2022 Review date: 15/09/2025 GASTRO-INTESTINAL TRACT INFECTIONS Giardiasis (CKS Gastroenteritis) Parasitic infection acquired via the faecal-oral route; by contact with faeces of infected animals, after ingesti...

  • 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...

  • 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...

  • 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...

  • 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 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...

  • 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...

  • 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...

  • Eradication of Helicobacter Pylori

    Eradication of Helicobacter pylori V2.5 Last reviewed: November 2024 Review date: May 2026 GASTROINTESTINAL TRACT INFECTIONS Eradication of Helicobacter pylori Indications: The gastric bacterium H. pylori is widely present in the population but ca...

  • Management of Irritable Bowel Syndrome (IBS) in Primary Care

    M anagement of Irritable Bowel Syndrome (IBS) in Primary Care Consider IBS if any the following symptoms persist for at least 6 months: • A - abdominal pain or discomfort • B - bloating (although not specific to IBS) • C - change in bowel habit. R...

  • Self-care - Infant colic

    Self-care Information Infant Colic Tips on how you can manage colic in babies. “Supporting you to look after you and your baby’’ Key Points: • Colic eventually improves on its own. • It’s a common problem that usually gets better by around 3 to 4...

  • 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 - 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. •...

  • 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...

  • 4. APC Bulletin July 2023

    Nottinghamshire Area Prescribing Committee July 2023 Bulletin Our APC website is being refreshed! Please be patient with us while we transfer all our content onto the new site. Once live, any shortcuts should still direct you to the correct websit...

  • 1. APC Bulletin March 2022

    Nottinghamshire Area Prescribing Committee March 2022 Bulletin www.nottsapc.nhs.uk www.nottinghamshireformulary.nhs.uk nnccg.nottsapc@nhs.net New submissions: • Treating peanut allergy in children and young people. ® Palforzia Not yet • As per NIC...

  • 1. February 2025 APC update

    Area Prescribing Committee / Interface Update. November 2024 - January 2025 meetings. Please direct queries to your ICB Medicines Optimisation Pharmacist or e-mail nnicb-nn.nottsapc@nhs.net February 2025 Contents • Guidelines: • Osteoporosis • Ov...

  • 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...

  • 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...

  • 6. APC Guideline Meeting Minutes November 2023

    These minutes are in draft form until ratified by the committee at the next th meeting on 18 January 2024. Nottinghamshire Area Prescribing Committee Guidelines Meeting Minutes th APC Meeting 16 November 2023: The meeting took place as a web confe...

  • 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...

  • 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...

  • Buccal Midazolam Guideline for Patients under Paediatric Care

    Buccal Midazolam in paediatrics V2.0 Last reviewed: May 2023 Review date: May 2026 Nottinghamshire Health Community Guideline for the use of Buccal Midazolam (5mg/ml and 10mg/ml) in patients under paediatric care Introduction Buccal midazolam is a...

  • Antipsychotics Prescribing Guideline

    Antipsychotics – Prescribing Guideline V2.1 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...

  • 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 - 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...

  • 2. APC Guideline Meeting Minutes March 2019

    N ottinghamshire Area Prescribing Committee st Minutes of the meeting held on Thursday 21 March 2019 at 2:00pm Boardroom, Duncan MacMillan House, Porchester Road, Nottingham, NG3 6AA All attendees should be aware that public authorities are legall...

  • 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...

  • 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...

  • 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...

  • 5. APC Bulletin October 2021

    Nottinghamshire Area Prescribing Committee October 2021 Bulletin www.nottsapc.nhs.uk www.nottinghamshireformulary.nhs.uk nnccg.nottsapc@nhs.net New submissions AMBER 2 Recommended as an option for treating Inclisiran primary hypercholesterolaemia...

  • 6. APC Bulletin November 2020

    Nottinghamshire Area Prescribing Committee November 2020 Bulletin www.nottsapc.nhs.uk www.nottinghamshireformulary.nhs.uk Wishing our readers a safe and happy Christmas New Submissions November 2020 Methylphenidate To become Narcolepsy To be amend...

  • 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...

  • 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...

  • 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 1.0 Last reviewed: September 2022 Review date: September 2025 Management of Chronic Pain in Patients above 16 years of age...

  • APC work programme April 2025

    F orward Work Programme & Progress Report for Notts APC If you would like to be part of the consultation, would like to comment on the prioritisation or think there is something missing – please contact us at nnicb-nn.nottsapc@nhs.net Medicine or...

  • 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 - 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. •...

  • 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...

  • Rheumatological Conditions - Hydroxychloroquine Shared Care Protocol

    Rheumatological Conditions – Hydroxychloroquine Shared Care Protocol V1.0 Last reviewed: 16/11/2023 Review date: November 2026 National shared care protocol adapted for local use: Rheumatological Conditions: Hydroxychloroquine for patients within...

  • 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 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...

  • 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...

  • 1. APC Guideline Meeting Minutes Jan 2024

    N ottinghamshire Area Prescribing Committee Guidelines Meeting Minutes th APC Meeting 18 January 2024: The meeting took place as a web conference using Microsoft Teams All attendees should be aware that public authorities are legally required to c...

  • 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...

  • 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...

  • 2. APC Guideline Meeting Minutes March 2018

    N ottinghamshire Area Prescribing Committee th Minutes of the meeting held on Thursday 15 March at 2:00pm Boardroom, Duncan MacMillan House, Porchester Road, Nottingham, NG3 6AA All attendees should be aware that public authorities are legally req...

  • 6. APC Guideline Meeting Minutes November 2018

    N ottinghamshire Area Prescribing Committee th DRAFT Minutes of the meeting held on Thursday 15 November at 2:00pm Boardroom, Duncan MacMillan House, Porchester Road, Nottingham, NG3 6AA All attendees should be aware that public authorities are le...

  • Dementia - Managing Behaviour and Psychological Problems

    Managing Behaviour and Psychological Problems in Patients with Diagnosed or Suspected Dementia in Primary and Secondary Care V4.1 Last reviewed: July 2023 Review date: July 2025 Managing Behaviour and Psychological Problems in Patients with Diagno...

  • 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 ® ®...

  • 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...

  • 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...

  • 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...

  • Infant Feeds - Premature Infants

    Infant feeds: premature infants Last reviewed: January 2024 Review date: January 2027 Version 2.1 Prescribing Post Discharge Formulas for infants born at <34 weeks gestation and Supplements to Premature Infants born at <36 weeks gestation Contents...

  • 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...

  • 1. APC Guideline Meeting Minutes January 2019

    N ottinghamshire Area Prescribing Committee th Minutes of the meeting held on Thursday 17 January 2019 at 2:00pm Boardroom, Duncan MacMillan House, Porchester Road, Nottingham, NG3 6AA All attendees should be aware that public authorities are lega...

  • 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...

  • 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....

  • 5. APC Guideline Meeting Minutes September 2023

    th These minutes are in draft form until ratified by the committee at the next meeting on 16 November 2023. Nottinghamshire Area Prescribing Committee Guidelines Meeting Minutes st APC Meeting 21 September 2023: The meeting took place as a web con...

  • 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...

  • 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...

  • 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...

  • 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...

  • Scabies

    SKIN AND SOFT TISSUE INFECTIONS Scabies Scabies is an intensely itchy skin infestation caused by the human parasite Sarcoptes scabiei. Classical scabies (typical scabies) involves infestation with a low number of mites (about 5–15 per host). Crust...

  • 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...

  • Asthma in Children and Young People

    CYP Asthma Treatment Algorithm V1.0 March 2023 Review date: March 2025 Children and Young People (5 to 17 years) Asthma Treatment Algorithm At every step: Assess symptoms. Check and optimise inhaler technique and adherence . Make non-drug interven...

  • 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...

  • 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...

  • 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...

  • 2. APC Guideline Meeting Minutes March 2024

    N ottinghamshire Area Prescribing Committee Guideline Meeting Minutes 21st March 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...

  • 1. JFG meeting minutes February 2022

    D RAFT Nottinghamshire Joint Formulary Group Meeting Minutes th Thursday 10 February 2022, 2-5 pm Online Microsoft Teams meeting due to COVID-19 Present: Tanya Behrendt (TB), Senior Medicines Optimisation Pharmacist NHS Nottingham & Nottinghamshir...

  • 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...

  • 4. APC Guideline Meeting Minutes July 2019

    N ottinghamshire Area Prescribing Committee th Minutes of the meeting held on Thursday 18 July 2019 2:00pm Boardroom, Duncan MacMillan House All attendees should be aware that public authorities are legally required to comply with the Freedom of I...

  • Testosterone for Hypogonadism & Constitutional Delay in Growth and Puberty (CDGP) in Children & Adolescents Born Biologically As Male Shared Care Protocol

    Testosterone therapy for Hypogonadism and Constitutional Delay in Growth and Puberty in children and adolescents – Shared Care Protocol Agreement V2.0 Last reviewed: January 2023 Review date: January 2026 NOTTINGHAMSHIRE AREA PRESCRIBING COMMITTEE...

  • Cellulitis

    Cellulitis V2.3 Last reviewed: 22/05/2023 Review date: March 2026 SKIN AND SOFT TISSUE INFECTIONS Cellulitis (Cellulitis – acute, CKS Jan 23) Cellulitis is an acute bacterial infection of the dermis and subcutaneous tissue. The infected area is ch...

  • 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...

  • 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...

  • Lactose Intolerance - Patient Information Leaflet (secondary intolerance)

    T emporary lactose intolerance Patient information leaflet This advice leaflet has been produced to support families of children who are thought to be suffering from temporary lactose intolerance resulting from a recent gut illness (gastroenteriti...

  • 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...

  • 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...

  • 6. APC Guideline Meeting Minutes November 2020

    N ottinghamshire Area Prescribing Committee th APC meeting 19 November 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...

  • 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...

  • 2. APC Formulary Minutes April 2024

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