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Managing COVID-19 and breastfeeding

6 October 2023Continue breastfeeding during COVID-19 infection, even if dexamethasone, Paxlovid, sotrovimab or tocilzumab are required. COVID-19 vaccines can also be given.

Treating bipolar disorder during breastfeeding

5 October 2023Lithium and valproate can be used during breastfeeding, after consideration of some specific issues. Recommendations apply to full term and healthy infants.

Switching between oral prednisolone and IV hydrocortisone

29 September 2023Switching between oral prednisolone and intravenous (IV) hydrocortisone requires care due to the risk of adrenal insufficiency or adrenal crisis.

Medically terminating a pregnancy during breastfeeding

28 September 2023Breastfeeding can be continued following short term treatment with mifepristone and misoprostol. Recommendations apply to full term and healthy infants.

Prescribing available medicines to treat ADHD

27 September 2023The availability of medicines used to treat Attention Deficit Hyperactivity Disorder (ADHD) varies currently. Supply content is maintained regularly by DHSC.

Using intramuscular injections in people on oral anticoagulants

20 September 2023Advice on risks related to use of small volume (less than 3mL) intramuscular (IM) injections in people on oral anticoagulants (for example, DOACs, warfarin)

Specific medicine switches for solid dose and liquid formulations

13 September 2023Certain medicines require additional monitoring and dose adjustments when switching between solid dose and liquid formulations.

Treating opioid dependence during breastfeeding

1 August 2023Methadone is the preferred choice of treatment for opioid dependence during breastfeeding. Recommendations apply to full term and healthy infants only.

Sodium chloride 0.9% in multi injector devices

20 July 2023SPS PGD template for administering sodium chloride 0.9% intravenously for imaging investigations and procedures by registered Radiographers.

Using oral or parenteral corticosteroids during breastfeeding

17 July 2023Corticosteroids can be used during breastfeeding. Use the lowest dose and duration possible. Recommendations apply to full term, healthy infants only.

SPS - Specialist Pharmacy Service

NHS