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
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
Advanced therapy medicinal products
Adverse effects
Aseptic services
Clean rooms
Medication Safety
Patient Group Directions
Preparing
Safety in Pregnancy
Temperature management
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
Health and Justice
Publications by Specialty
Infection and infectious diseases
Neurological disorders
Public Health
Radiology
Renal and urologic disorders
Reproductive health
Respiratory disorders
Sexual health
Skin disorders
Tools
Medicines Tools
Medicines Tools index
Search
Home
Search
Guidance
663 results
Applied filters
Guidance
Filter
Care Setting
(97)
Adults
(1)
Care homes
(5)
Care of the elderly
(4)
Community Health Services
(3)
Critical care
(1)
Dentistry
(8)
Emergency medicine and urgent care
(7)
Health and Justice
(2)
Neonates
(1)
Occupational Health
(6)
Paediatrics
(7)
Palliative and End of Life Care
(4)
Primary Care
(28)
Transfer of care
(19)
Trusts
(28)
Events
(19)
Next Events
(3)
Past Events
(16)
Guidance
(663)
Adherence
(9)
Administering
(50)
Advanced therapy medicinal products
(27)
Adverse effects
(7)
Aseptic services
(100)
Good Manufacturing Practice
(12)
COVID-19 Treatments
(5)
Cautions and contraindications
(9)
Clean rooms
(5)
Clinical trials
(17)
Complementary medicines
(4)
Deprescribing
(2)
Dosing
(13)
Excipients
(14)
Formulation
(9)
Homecare
(13)
Implementation
(12)
In-use stability
(2)
Interactions
(22)
Intrathecal medicines
(29)
Medical gases
(11)
Medication Safety
(49)
Patient Group Directions
(139)
Poisoning
(3)
Policy, Commissioning and Managerial
(39)
Polypharmacy
(5)
Preparing
(23)
Prescribing
(16)
Radiopharmaceuticals
(2)
Record keeping
(13)
Safety in Breastfeeding
(53)
Safety in Pregnancy
(28)
Service advice and planning
(43)
Stability of cytotoxics
(31)
Supply
(40)
Swallowing difficulties
(23)
Switching
(32)
Temperature management
(15)
Cold chain management
(3)
Stability on the shelf
(1)
Unlicensed medicines
(18)
Medicine
(290)
Acenocoumarol
(1)
Acetylcysteine
(1)
Aciclovir
(4)
Acrivastine
(1)
Adrenaline
(2)
Agomelatine
(3)
Alendronic acid
(2)
Alfacalcidol
(2)
Alprazolam
(2)
Aluminium hydroxide
(1)
Alverine
(1)
Amantadine
(1)
Amikacin
(1)
Aminophylline
(2)
Amitriptyline
(4)
Amlodipine
(3)
Amoxicillin
(3)
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)
Benperidol
(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
(24)
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
(4)
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)
Ciprofloxacin
(1)
Cisplatin
(1)
Citalopram
(6)
Clarithromycin
(8)
Clindamycin
(1)
Clobazam
(3)
Clomipramine
(3)
Clonazepam
(2)
Clonidine
(1)
Clopidogrel
(4)
Clotrimazole
(2)
Clozapine
(5)
Co-amoxiclav
(1)
Co-beneldopa
(1)
Co-careldopa
(1)
Codeine
(6)
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
(4)
Dihydrocodeine + Paracetamol
(1)
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
(2)
Entacapone
(1)
Epirubicin
(1)
Eprosartan
(1)
Ergocalciferol
(5)
Erlotinib
(1)
Erythromycin
(9)
Escitalopram
(4)
Esomeprazole
(6)
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
(4)
Fexofenadine
(1)
Fidaxomicin
(1)
Flecainide
(1)
Flucloxacillin
(4)
Fluconazole
(2)
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)
Furosemide
(1)
Fusidic acid
(3)
Gabapentin
(2)
Gadobutrol
(1)
Gadoteric acid
(1)
Gadoteridol
(1)
Gadoxetic acid
(1)
Ganciclovir
(1)
Gemeprost
(1)
Gentamicin
(2)
Glucose
(1)
Glycerol
(1)
Glyceryl trinitrate
(1)
Guanfacine
(2)
Haloperidol
(1)
Heparin
(3)
Hepatitis A + B vaccine
(1)
Hepatitis A + Typhoid vaccine
(1)
Hepatitis A vaccine
(1)
Hepatitis B vaccine
(1)
Human papillomavirus vaccine
(1)
Hydrocortisone
(5)
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)
Loperamide
(1)
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
(2)
Metolazone
(1)
Metoprolol
(1)
Metronidazole
(3)
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
(9)
Mupirocin
(1)
Mycophenolate mofetil
(2)
Mycophenolic acid
(1)
Naloxone
(2)
Naltrexone
(1)
Naproxen
(2)
Nebivolol
(1)
Nefopam
(1)
Neostigmine
(1)
Nicotine
(2)
Nifedipine
(3)
Nitrazepam
(2)
Nitrofurantoin
(2)
Nizatidine
(2)
Norethisterone
(1)
Normal immunoglobulin human
(1)
Nortriptyline
(4)
Nystatin
(1)
Olanzapine
(1)
Olmesartan
(1)
Omeprazole
(6)
Ondansetron
(2)
Oseltamivir
(1)
Oxaliplatin
(1)
Oxazepam
(3)
Oxybutynin
(1)
Oxycodone
(6)
Oxygen gas
(1)
Oxytetracycline
(1)
Paclitaxel
(1)
Pantoprazole
(3)
Paracetamol
(3)
Paracetamol + Caffeine
(1)
Paracetamol + Codeine + Buclizine
(1)
Paracetamol + Dihydrocodeine
(1)
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
(3)
Phenobarbital sodium
(1)
Phenol
(1)
Phenoxymethylpenicillin
(5)
Phenytoin
(5)
Phenytoin sodium
(1)
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
(4)
Pregabalin
(2)
Prilocaine
(2)
Prilocaine + Felypressin
(2)
Primidone
(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)
Ranitidine
(1)
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)
Spironolactone
(1)
Tacrolimus
(2)
Tapentadol
(2)
Teicoplanin
(1)
Telmisartan
(2)
Temazepam
(2)
Temocillin
(1)
Tenofovir disoproxil + Emtricitabine
(1)
Terbutaline
(2)
Tetanus vaccine
(1)
Tetracycline
(1)
Theophylline
(3)
Thiamine
(2)
Thiotepa
(1)
Ticagrelor
(2)
Tinzaparin
(1)
Tiotropium
(1)
Tizanidine
(1)
Tobramycin
(2)
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
(3)
Varicella vaccine
(1)
Venlafaxine
(3)
Verapamil
(2)
Vinblastine
(1)
Vincristine
(1)
Vinorelbine
(1)
Voriconazole
(1)
Vortioxetine
(2)
Warfarin
(7)
Yellow fever vaccine
(1)
Zanamivir
(1)
Ziconotide
(1)
Zinc oxide
(1)
Zoledronic acid
(1)
Zolpidem
(1)
Zopiclone
(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)
Standard Operating Procedures
(1)
Summary advice
(11)
Templates
(76)
Specialty
(222)
Allergy and immunology
(8)
Anaesthesia and pain
(19)
Cancers
(11)
Cardiovascular system disorders
(18)
Diabetes
(2)
Endocrine system disorders
(4)
Eyes and vision
(2)
Gastrointestinal disorders
(17)
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)
Vaccinating
(4)
Wounds and injuries
(1)
Training and Development
(49)
Depression: treatment during pregnancy
6 January 2022
·
Signposting evidence-based information on the treatment of depression in pregnancy
Deprescribing of antidepressants for depression and anxiety
4 December 2023
·
Deprescribing antidepressants involves safely reducing and withdrawing them. An introduction; signposting to current resources; and SPS resources coming soon.
Guidance
Deprescribing
Deprescribing is safely and effectively withdrawing inappropriate medicines. We'll soon add new content to help in practice, starting with antidepressants.
Delegation of roles under a PGD
19 March 2024
·
Delegation of any PGD function is not permitted. However there are specific tasks that individuals other than the professional working under a PGD can fulfil.
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.
Defining the risks of medicines in breastfeeding
21 October 2020
·
This article describes the features that support the risk classifications we assign to the use of medicines in breastfeeding
Defining and understanding medication adherence
20 December 2023
·
Definitions, evidence and the importance of effective consultations, with tools and interventions to facilitate medication adherence.
Defining and identifying thickness of fluids and food for patients with swallowing difficulties
2 July 2021
·
How fluid thickness and food texture are defined for patients with swallowing difficulties, and how to find the recommended level for a patient.
Dealing with out of specification (OOS) results: Part 2
9 May 2023
·
This webinar builds on the principles described in Part 1 of this series and describes how to conduct a thorough and systematic microbiological investigation.
Dealing with out of specification (OOS) results: Part 1
20 January 2023
·
This webinar will explore the approach to managing out of specification environmental monitoring results in pharmacy aseptic units
Previous
1
…
52
53
54
55
56
…
67
Next