SPS - Specialist Pharmacy Service
The first stop for professional medicines advice
About
Log in
Register
NHS
Guidance
Guidance
Guidance index
Search Guidance
Guidance by Care Setting
Adults
Care homes
Care of the elderly
Community Health Services
Dentistry
Emergency medicine and urgent care
Health and Justice
Neonates
Occupational Health
Paediatrics
Palliative and End of Life Care
Primary Care
Transfer of care
Trusts
Guidance by Specialty
Allergy and immunology
Anaesthesia and pain
Cancers
Cardiovascular system disorders
Diabetes
Endocrine system disorders
Eyes and vision
Gastrointestinal disorders
Haematological disorders
Infection and infectious diseases
Mental health and illness
Neurological disorders
Nutritional and metabolic disorders
Obstetrics and gynaecology
Public Health
Radiology
Renal and urologic disorders
Reproductive health
Respiratory disorders
Sexual health
Skin disorders
Smoking cessation
Vaccinating
Wounds and injuries
Events
Events
Events index
Search Events
Events by Care Setting
Community Health Services
Health and Justice
Primary Care
Events by Guidance area
Adverse effects
Aseptic services
Medication Safety
Patient Group Directions
Polypharmacy
Safety in Pregnancy
Events by Specialty
Cardiovascular system disorders
Endocrine system disorders
Infection and infectious diseases
Mental health and illness
Neurological disorders
Planning
Planning
Planning index
Search Medicines planning
Planning by Care Setting
Transfer of care
Trusts
Planning by Specialty
Eyes and vision
Gastrointestinal disorders
Musculo-skeletal disorders
Neurological disorders
Skin disorders
Training
Training
Training index
Search Training and Development
Publications
Publications
Publications index
Search Publications
Publications by Care Setting
Emergency medicine and urgent care
Publications by Specialty
Infection and infectious diseases
Neurological disorders
Public Health
Radiology
Renal and urologic disorders
Reproductive health
Respiratory disorders
Sexual health
Skin disorders
Smoking cessation
Tools
Medicines Tools
Medicines Tools index
Search
Home
Search
Guidance
664 results
Applied filters
Guidance
Filter
Care Setting
(104)
Adults
(2)
Care homes
(10)
Care of the elderly
(4)
Community Health Services
(3)
Dentistry
(8)
Emergency medicine and urgent care
(7)
Health and Justice
(2)
Neonates
(1)
Occupational Health
(6)
Paediatrics
(6)
Palliative and End of Life Care
(4)
Primary Care
(37)
Transfer of care
(19)
Trusts
(27)
Events
(14)
Next Events
(3)
Past Events
(11)
Guidance
(664)
Adherence
(9)
Administering
(54)
Advanced therapy medicinal products
(26)
Adverse effects
(8)
Anaphylaxis
(1)
Aseptic services
(94)
Good Manufacturing Practice
(12)
COVID-19 Treatments
(5)
Cautions and contraindications
(9)
Clean rooms
(4)
Clinical trials
(17)
Complementary medicines
(4)
Deprescribing
(2)
Dosing
(10)
Excipients
(14)
Formulation
(9)
Homecare
(13)
Implementation
(12)
In-use stability
(3)
Interactions
(22)
Intrathecal medicines
(30)
Medical gases
(11)
Medication Safety
(57)
Patient Group Directions
(141)
Poisoning
(3)
Policy, Commissioning and Managerial
(39)
Polypharmacy
(7)
Preparing
(22)
Prescribing
(16)
Radiopharmaceuticals
(2)
Record keeping
(13)
Safety in Breastfeeding
(53)
Safety in Pregnancy
(28)
Service advice and planning
(42)
Stability of cytotoxics
(31)
Supply
(40)
Swallowing difficulties
(21)
Switching
(32)
Temperature management
(14)
Cold chain management
(3)
Unlicensed medicines
(18)
Medicine
(294)
Acenocoumarol
(1)
Acetylcysteine
(1)
Aciclovir
(3)
Acrivastine
(1)
Adrenaline
(2)
Agomelatine
(3)
Alendronic acid
(2)
Alfacalcidol
(2)
Almotriptan
(1)
Alprazolam
(2)
Aluminium hydroxide
(1)
Alverine
(1)
Amantadine
(1)
Amikacin
(1)
Aminophylline
(1)
Amitriptyline
(4)
Amlodipine
(3)
Amoxicillin
(3)
Amphotericin B
(1)
Amphotericin B (lipid formulation)
(1)
Amphotericin B liposomal
(1)
Ampicillin
(1)
Apixaban
(6)
Articaine + Adrenaline
(2)
Aspirin
(4)
Atenolol
(1)
Atomoxetine
(2)
Atorvastatin
(4)
Azacitidine
(1)
Azithromycin
(4)
Bacillus Calmette-Guerin
(1)
Baclofen
(1)
Beclometasone
(3)
Beclometasone + Formoterol
(1)
Bendamustine
(1)
Bendroflumethiazide
(1)
Benperidol
(1)
Benzathine benzylpenicillin
(1)
Benzylpenicillin
(4)
Betamethasone
(3)
Bisacodyl
(1)
Bisoprolol
(1)
Bromocriptine
(1)
Budesonide
(4)
Budesonide + Formoterol
(1)
Bupivacaine
(1)
Buprenorphine
(4)
Buprenorphine + Naloxone
(1)
COVID-19 vaccine
(22)
Cabazitaxel
(1)
Cabergoline
(1)
Calcitriol
(1)
Calcium carbonate
(1)
Calcium carbonate + Ergocalciferol
(1)
Calcium carbonate + Sodium alginate + Sodium bicarbonate
(1)
Candesartan
(2)
Captopril
(2)
Carbamazepine
(3)
Carbidopa + Levodopa + Entacapone
(1)
Carboplatin
(1)
Carvedilol
(1)
Cefalexin
(1)
Ceftolozane + tazobactam
(1)
Ceftriaxone
(1)
Celecoxib
(2)
Cetirizine
(1)
Chloramphenicol
(1)
Chlordiazepoxide
(2)
Chlorphenamine
(1)
Chlorpromazine
(1)
Cholera vaccine
(1)
Ciclosporin
(2)
Cilostazol
(1)
Cimetidine
(1)
Cinacalcet
(1)
Cinchocaine
(1)
Cisplatin
(1)
Citalopram
(6)
Clarithromycin
(8)
Clobazam
(3)
Clomipramine
(3)
Clonazepam
(2)
Clonidine
(1)
Clopidogrel
(4)
Clotrimazole
(2)
Clozapine
(5)
Co-amoxiclav
(1)
Co-beneldopa
(1)
Co-careldopa
(1)
Co-trimoxazole
(1)
Codeine
(5)
Colecalciferol
(5)
Colecalciferol + Calcium carbonate
(1)
Colistimethate
(2)
Copper
(2)
Cyanocobalamin
(1)
Cyclizine
(1)
Cyclomethicone + Isopropyl myristate
(1)
Cyclophosphamide
(1)
Cytarabine
(2)
Dabigatran etexilate
(5)
Dacarbazine
(1)
Dalteparin
(2)
Darifenacin
(1)
Dasatinib
(1)
Daunorubicin
(1)
Deflazacort
(1)
Demeclocycline
(1)
Desloratadine
(1)
Dexamethasone
(3)
Dexamfetamine
(2)
Diamorphine
(3)
Diazepam
(6)
Diclofenac
(1)
Diclofenac sodium
(1)
Dicycloverine
(1)
Digoxin
(1)
Dihydrocodeine
(5)
Dihydrocodeine + Paracetamol
(2)
Diltiazem
(4)
Dimeticone
(1)
Diphtheria + Tetanus + Pertussis + Poliomyelitis + Haemophilus influenzae type B vaccine
(1)
Diphtheria + Tetanus + Pertussis + Poliomyelitis vaccine
(1)
Diphtheria + Tetanus + Poliomyelitis vaccine
(1)
Dipyridamole
(2)
Docetaxel
(1)
Docusate
(1)
Domperidone
(1)
Dornase alfa
(1)
Dosulepin
(1)
Doxazosin
(1)
Doxepin
(2)
Doxorubicin
(1)
Doxycycline
(3)
Dulaglutide
(1)
Duloxetine
(5)
Edoxaban
(6)
Emtricitabine
(1)
Emtricitabine + Tenofovir disoproxil
(1)
Enalapril
(2)
Enoxaparin
(1)
Entacapone
(1)
Epirubicin
(1)
Eprosartan
(1)
Ergocalciferol
(5)
Erlotinib
(1)
Erythromycin
(9)
Escitalopram
(4)
Esomeprazole
(5)
Estradiol + Dienogest
(1)
Estradiol + Nomegestrol
(1)
Ethinylestradiol + Desogestrel
(1)
Ethinylestradiol + Drospirenone
(1)
Ethinylestradiol + Etonogestrel
(1)
Ethinylestradiol + Gestodene
(1)
Ethinylestradiol + Levonorgestrel
(1)
Ethinylestradiol + Norelgestromin
(1)
Ethinylestradiol + Norethisterone
(1)
Ethinylestradiol + Norgestimate
(1)
Etodolac
(1)
Etonogestrel
(2)
Etoposide
(2)
Etoricoxib
(2)
Exenatide
(1)
Ezetimibe
(1)
Famotidine
(2)
Felodipine
(3)
Fentanyl
(3)
Fexofenadine
(1)
Fidaxomicin
(1)
Flecainide
(1)
Flucloxacillin
(4)
Fluconazole
(1)
Fludarabine
(1)
Fludrocortisone
(1)
Flumazenil
(1)
Fluocinolone
(1)
Fluorescein
(1)
Fluorouracil
(1)
Fluoxetine
(4)
Flurazepam
(1)
Fluticasone
(4)
Fluticasone + Formoterol
(1)
Fluticasone + Salmeterol
(1)
Fluvastatin
(3)
Fluvoxamine
(3)
Folic acid
(3)
Fusidic acid
(3)
Gabapentin
(2)
Gadobutrol
(1)
Gadopiclenol
(1)
Gadoteric acid
(1)
Gadoteridol
(1)
Gadoxetic acid
(1)
Ganciclovir
(1)
Gemeprost
(1)
Gentamicin
(1)
Glucose
(1)
Glycerol
(1)
Glyceryl trinitrate
(1)
Guanfacine
(2)
Haloperidol
(1)
Heparin
(2)
Hepatitis A + B vaccine
(1)
Hepatitis A + Typhoid vaccine
(1)
Hepatitis A vaccine
(1)
Hepatitis B vaccine
(1)
Human papillomavirus vaccine
(1)
Hydrocortisone
(6)
Hydrogen peroxide
(2)
Hydromorphone
(4)
Hydroxocobalamin
(1)
Hydroxyzine
(1)
Hyoscine butylbromide
(1)
Hyoscine hydrobromide
(1)
Ibandronic acid
(2)
Ibuprofen
(3)
Ifosfamide
(1)
Imatinib
(1)
Imipramine
(4)
Imiquimod
(1)
Indometacin
(1)
Influenza vaccine
(5)
Insulin aspart
(1)
Insulin detemir
(1)
Insulin glargine
(1)
Insulin glulisine
(1)
Insulin human
(1)
Insulin isophane human
(1)
Insulin lispro
(1)
Iodixanol
(1)
Iohexol
(2)
Iomeprol
(1)
Iopamidol
(1)
Ioversol
(1)
Ipratropium
(1)
Irbesartan
(2)
Irinotecan
(2)
Isocarboxazid
(2)
Isopropyl alcohol
(1)
Ispaghula husk
(1)
Itraconazole
(1)
Ketamine
(1)
Ketoprofen
(1)
Labetalol
(1)
Lacidipine
(1)
Lactose
(1)
Lactulose
(1)
Lansoprazole
(5)
Lercanidipine
(1)
Levobupivacaine
(1)
Levocetirizine
(1)
Levodopa
(1)
Levodopa + Carbidopa + Entacapone
(1)
Levonorgestrel
(3)
Levothyroxine
(1)
Lidocaine
(8)
Lidocaine + Adrenaline
(2)
Lidocaine + Prilocaine
(2)
Liraglutide
(1)
Lisdexamfetamine
(2)
Lisinopril
(2)
Lithium
(4)
Lithium carbonate
(2)
Lithium chloride
(1)
Lithium citrate
(1)
Lofepramine
(3)
Loprazolam
(1)
Loratadine
(1)
Lorazepam
(3)
Lormetazepam
(1)
Losartan
(2)
Macrogol 3350
(1)
Magnesium aspartate
(1)
Magnesium carbonate
(1)
Magnesium citrate
(1)
Magnesium glycerophosphate
(1)
Magnesium sulfate
(1)
Magnesium trisilicate
(1)
Malathion
(1)
Measles + Mumps + Rubella vaccine
(1)
Mebeverine
(1)
Medroxyprogesterone
(3)
Mefenamic acid
(2)
Meglumine gadobenate
(1)
Melatonin
(2)
Meloxicam
(1)
Mepivacaine
(2)
Mepivacaine + Adrenaline
(2)
Mercaptopurine
(1)
Mesalazine
(2)
Metformin
(1)
Methadone
(2)
Methotrexate
(5)
Methylphenidate
(4)
Methylprednisolone
(1)
Metoclopramide
(1)
Metolazone
(1)
Metoprolol
(1)
Metronidazole
(2)
Mexiletine
(2)
Mianserin
(1)
Miconazole
(1)
Midazolam
(3)
Mifepristone
(2)
Minocycline
(1)
Mirabegron
(1)
Mirtazapine
(3)
Misoprostol
(2)
Mitomycin
(1)
Mitoxantrone
(1)
Moclobemide
(2)
Mometasone
(2)
Morphine
(8)
Mupirocin
(1)
Mycophenolate mofetil
(2)
Mycophenolic acid
(1)
Naloxone
(2)
Naltrexone
(1)
Naproxen
(2)
Naratriptan
(1)
Nebivolol
(1)
Nefopam
(1)
Neostigmine
(1)
Nicotine
(2)
Nifedipine
(3)
Nitrazepam
(2)
Nitrofurantoin
(2)
Nizatidine
(2)
Norethisterone
(1)
Nortriptyline
(4)
Nystatin
(1)
Olanzapine
(1)
Olmesartan
(1)
Omeprazole
(5)
Ondansetron
(1)
Oseltamivir
(1)
Oxaliplatin
(1)
Oxazepam
(3)
Oxybutynin
(1)
Oxycodone
(6)
Oxygen gas
(1)
Oxytetracycline
(1)
Oxytocin
(1)
Paclitaxel
(1)
Pantoprazole
(3)
Paracetamol
(2)
Paracetamol + Caffeine
(1)
Paracetamol + Codeine + Buclizine
(1)
Paracetamol + Dihydrocodeine
(2)
Paracetamol + Diphenhydramine
(1)
Paracetamol + Ibuprofen
(1)
Paracetamol + Phenylephrine
(1)
Paracetamol + Pseudoephedrine
(1)
Paroxetine
(4)
Pemetrexed
(1)
Pentazocine
(1)
Peppermint oil
(1)
Pergolide
(1)
Perindopril
(2)
Perindopril erbumine
(1)
Permethrin
(1)
Pethidine
(1)
Phenelzine
(2)
Phenobarbital
(2)
Phenol
(1)
Phenoxymethylpenicillin
(4)
Phenytoin
(4)
Piperacillin + Tazobactam
(1)
Pirfenidone
(1)
Pivmecillinam
(1)
Pneumococcal vaccine
(1)
Podophyllotoxin
(1)
Pomalidomide
(1)
Posaconazole
(1)
Potassium chloride
(1)
Potassium permanganate
(1)
Pramipexole
(1)
Prasugrel
(1)
Pravastatin
(4)
Prednisolone
(3)
Pregabalin
(2)
Prilocaine
(2)
Prilocaine + Felypressin
(2)
Primidone
(1)
Procaine benzylpenicillin
(1)
Prochlorperazine
(1)
Progesterone
(1)
Promethazine hydrochloride
(2)
Promethazine teoclate
(1)
Propantheline
(1)
Propranolol
(2)
Prucalopride
(1)
Pyridostigmine
(1)
Rabeprazole
(4)
Rabies vaccine
(1)
Raltegravir
(1)
Ramipril
(2)
Rasagiline
(2)
Rasburicase
(1)
Reboxetine
(1)
Riluzole
(1)
Riociguat
(1)
Risedronate sodium
(2)
Risedronic acid
(1)
Rituximab
(1)
Rivaroxaban
(5)
Ropinirole
(2)
Ropivacaine
(1)
Rosuvastatin
(4)
Rotigotine
(1)
Salbutamol
(1)
Selegiline
(2)
Semaglutide
(1)
Senna
(1)
Sertraline
(4)
Simvastatin
(4)
Sodium alginate + Magnesium alginate
(1)
Sodium bicarbonate
(2)
Sodium chloride
(3)
Sodium citrate
(2)
Sodium cromoglicate
(1)
Sodium fusidate
(1)
Sodium picosulfate
(1)
Sodium valproate
(4)
Sotalol
(1)
Sotrovimab
(2)
Sulfasalazine
(1)
Sumatriptan
(1)
Tacrolimus
(2)
Tamsulosin
(1)
Tapentadol
(2)
Telmisartan
(2)
Temazepam
(2)
Temocillin
(1)
Tenofovir disoproxil + Emtricitabine
(1)
Terbutaline
(2)
Tetanus vaccine
(1)
Tetracycline
(1)
Theophylline
(2)
Thiamine
(2)
Thiotepa
(1)
Ticagrelor
(2)
Tinzaparin
(1)
Tiotropium
(1)
Tizanidine
(1)
Tobramycin
(1)
Tocilizumab
(1)
Tolcapone
(1)
Tolterodine
(1)
Topotecan
(1)
Tramadol
(6)
Tramadol + Paracetamol
(1)
Tranexamic acid
(1)
Tranylcypromine
(2)
Trastuzumab
(1)
Trazodone
(2)
Treosulfan
(1)
Triamcinolone acetonide
(1)
Trimethoprim
(1)
Trimipramine
(2)
Tuberculin purified protein derivative
(1)
Typhoid vaccine
(1)
Ulipristal
(2)
Valaciclovir
(2)
Valproic acid
(2)
Valsartan
(2)
Vancomycin
(2)
Varenicline
(1)
Varicella vaccine
(1)
Venlafaxine
(3)
Verapamil
(2)
Vinblastine
(1)
Vincristine
(1)
Vinorelbine
(1)
Vortioxetine
(2)
Warfarin
(7)
Yellow fever vaccine
(1)
Zanamivir
(1)
Ziconotide
(1)
Zinc oxide
(1)
Zoledronic acid
(1)
Zolpidem
(1)
Zopiclone
(1)
Medicines Tools
(1)
Monitoring
(1)
Medicines planning
(35)
Biosimilars
(5)
New Medicines
(11)
CCG commissioned new medicines
(10)
NHS England commissioned new medicines
(11)
Patient Group Direction Planning
(21)
Publications
(98)
Bulletins
(1)
Explainer videos
(4)
Research and audits
(4)
Summary advice
(11)
Templates
(78)
Specialty
(224)
Allergy and immunology
(9)
Anaesthesia and pain
(19)
Cancers
(11)
Cardiovascular system disorders
(18)
Diabetes
(2)
Endocrine system disorders
(4)
Eyes and vision
(2)
Gastrointestinal disorders
(16)
Haematological disorders
(3)
Infection and infectious diseases
(47)
Mental health and illness
(32)
Neurological disorders
(10)
Nutritional and metabolic disorders
(3)
Obstetrics and gynaecology
(2)
Public Health
(1)
Radiology
(13)
Renal and urologic disorders
(6)
Reproductive health
(18)
Respiratory disorders
(15)
Sexual health
(12)
Skin disorders
(14)
Smoking cessation
(1)
Vaccinating
(4)
Wounds and injuries
(1)
Training and Development
(49)
National Homecare Medicines Committee (NHMC) Proposal for the funding of Pharmacy Homecare Teams
4 May 2018
·
NHMC submitted a proposal for the funding of Trust Pharmacy Homecare Teams to NHS England and NHS Clinical Commissioning for consideration. The NHMC hopes that…
National Homecare Medicines Committee (NHMC) Managing Complaints and Incidents within Homecare Services - Appendix 19 training
2 July 2018
·
In November 2016, the Royal Pharmaceutical Society (RPS) published Appendix 19 of the Royal Pharmaceutical Society (RPS) Handbook for Homecare Services in England i.e. ‘Further…
NHMC Good Practice Principles for the Provision of Manufacturer Funded Homecare Services
5 March 2018
·
These Good Practice Principles set out the National Homecare Medicines Committee’s (NHMC) expectations of Manufacturers offering Manufacturer Funded Homecare Medicine Services in relation to the…
Supply of aseptically Prepared Doses of IMPs Across Legal Boundaries Version 2 October 2019
11 November 2019
·
This document has been developed by the NHS Quality Assurance Committee and National Pharmacy Clinical Trials Advisory Group with input provided by the MHRA Clinical…
Registration required
Ganciclovir: Cytotoxic Drug Stability Monograph
13 November 2020
·
Stability information is essential for the safe aseptic preparation of Ganciclovir
Diazepam solution injection for managing seizures
5 October 2021
·
SPS PGD template for administering diazepam solution for injection for the management of seizures by registered Paramedics and Nurses.
Metolazone preparation differences and safety considerations
7 September 2022
·
Healthcare professionals involved in the use of metolazone need to be aware of the differences between licensed and unlicensed products to ensure safe care.
Operational Implications of UK Exit from the EU for NHS Clinical Trial Sites
16 September 2022
·
A summary of the implications of the UKs exit from the EU for clinical trial sites for both IMP and ATIMPs, including supply to and from Northern Ireland
Outsourcing of Storage or Preparation of ATIMPs Across Legal Boundaries
15 November 2022
·
Guidance on the considerations for Pharmacy Clinical Trial Sites outsourcing activities involved in the delivery of ATIMPs
Using bisphosphonates with proton pump inhibitors (PPIs)
4 April 2023
·
Although no interaction between bisphosphonates and PPIs is documented, the increased risk of fractures when given together should be reviewed and managed
1
2
3
…
67
Next