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)
PGD use in services provided by multiple organisations
14 July 2020
·
Principles to be considered are outlined for Patient Group Directions used in the provision of medicines/vaccines in services provided by multiple organisations
UK Health Security Agency (UKHSA) PGD Templates
14 September 2020
·
Patient Group Direction templates by UKHSA are developed for a range of clinical scenarios. A summary of the processes to use and further links are provided.
Delegating PGD authorisation by a Local Authority
7 March 2022
·
It is not permitted for a Local Authority to delegate the authorisation of Patient Group Directions using a Section 75 partnership agreement.
Off-label or unlicensed product use under HMR 2012 exemptions
8 January 2020
·
A legal position summary regarding the sale, supply or administration of off-label/unlicensed products under Schedule 17 of the Human Medicines Regulations 2012
Authorising Independent Healthcare Provider (IHP) PGDs
21 September 2020
·
Considerations are needed when NHS or local authorities commission services using PGDs from independent healthcare providers.
Using folic acid and phenytoin safely
12 April 2024
·
Folic acid interacts with phenytoin and can reduce phenytoin blood levels. Concomitant use is possible with careful management of the interaction.
Using intravenous paracetamol preparations safely in paediatrics
21 September 2022
·
Safety risks and mitigation strategies are described to reduce the risk of errors with intravenous paracetamol in neonates, infants, and children.
Understanding polypharmacy, overprescribing and deprescribing
12 January 2022
·
The process of managing non-beneficial or potentially harmful multiple medicines including reducing or stopping medicines, and explanations of terminology
MSATS event: medication safety inequalities
27 September 2023
·
Discussion of key current medication safety challenges within healthcare with a focus on medication inequalities; inspiring partnership across the system.
Guidance
We have used combinations of published evidence, accepted practice and expertise to produce a range of advice and recommendations across the fields of pharmacy.
Previous
1
…
10
11
12
13
14
…
67
Next