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
Critical care
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
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
663 results
Applied filters
Guidance
Filter
Care Setting
(98)
Adults
(2)
Care homes
(5)
Care of the elderly
(4)
Community Health Services
(3)
Critical care
(1)
Dentistry
(8)
Emergency medicine and urgent care
(8)
Health and Justice
(2)
Neonates
(1)
Occupational Health
(6)
Paediatrics
(6)
Palliative and End of Life Care
(4)
Primary Care
(29)
Transfer of care
(19)
Trusts
(28)
Events
(11)
Next Events
(2)
Past Events
(9)
Guidance
(663)
Adherence
(9)
Administering
(51)
Advanced therapy medicinal products
(26)
Adverse effects
(8)
Anaphylaxis
(1)
Aseptic services
(92)
Good Manufacturing Practice
(12)
COVID-19 Treatments
(5)
Cautions and contraindications
(9)
Clean rooms
(4)
Clinical trials
(17)
Complementary medicines
(4)
Deprescribing
(2)
Dosing
(11)
Excipients
(14)
Formulation
(9)
Homecare
(13)
Implementation
(12)
In-use stability
(2)
Interactions
(22)
Intrathecal medicines
(29)
Medical gases
(11)
Medication Safety
(57)
Patient Group Directions
(140)
Poisoning
(3)
Policy, Commissioning and Managerial
(40)
Polypharmacy
(5)
Preparing
(22)
Prescribing
(16)
Radiopharmaceuticals
(3)
Record keeping
(13)
Safety in Breastfeeding
(53)
Safety in Pregnancy
(28)
Service advice and planning
(42)
Stability of cytotoxics
(31)
Supply
(41)
Swallowing difficulties
(23)
Switching
(32)
Temperature management
(14)
Cold chain management
(3)
Unlicensed medicines
(18)
Medicine
(292)
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)
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)
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)
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)
Iron dextran
(1)
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 carbonate
(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
(97)
Bulletins
(1)
Explainer videos
(4)
Research and audits
(4)
Summary advice
(11)
Templates
(77)
Specialty
(223)
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
(12)
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)
Using codeine, dihydrocodeine or tramadol during breastfeeding
17 January 2023
·
Tramadol and dihydrocodeine can be used while breastfeeding for pain control. Codeine should not be used . Advice applies to full term, healthy infants.
Using SSRI antidepressants during breastfeeding
13 January 2023
·
Paroxetine and sertraline are the Selective Serotonin Reuptake Inhibitors (SSRIs) of choice. Recommendations apply to full term and healthy infants only.
Assurance of aseptic preparation of medicines
13 January 2023
·
Updated guidance from NHSE to reflect governance and visibility of the assurance and audit of unlicensed aseptic preparation
Understanding iQAAPS
13 January 2023
·
An introduction to the iQAAPS system, with information on how to access the system, find training resources and support contacts
Accessing resources for patients on high risk medicines
19 December 2022
·
A number of resources are available to support the safe use of high-risk medicines. Healthcare professionals should ensure they are available for their patients
Switching between imatinib preparations
15 December 2022
·
Support for decision making when considering switching imatinib preparations including a locally adaptable patient information leaflet.
Collaboration opportunities to improve medication safety
15 December 2022
·
Practical guidance on effective collaboration opportunities to promote medication safety improvements
Communication opportunities to improve medication safety
15 December 2022
·
Effective communication allows for timely responses to new and emerging medication risks and the sharing of potential safety solutions.
Responding to medication safety alerts and notifications
15 December 2022
·
Healthcare professionals responsible for medication safety in their organisation must deliver an appropriate response to safety alerts
Reporting and management of medication incidents and harms
15 December 2022
·
High quality reporting and management of incidents and harms ensures opportunities for learning and improving medication safety
Previous
1
…
25
26
27
28
29
…
67
Next