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Using codeine, dihydrocodeine or tramadol during breastfeeding

17 January 2023Tramadol and dihydrocodeine can be used while breastfeeding for pain control. Codeine should not be used . Advice applies to full term, healthy infants.

MSATS – Safe use of valproate

28 February 2024Discussion of key current medication safety challenges within healthcare with a focus on the safe use of valproate; inspiring partnership across the system

Ciclosporin monitoring

13 July 2021

Statin suggestions for adults with swallowing difficulties

1 July 2021A range of statin formulations are suitable for adults with swallowing difficulties.

Advising on missed or delayed doses of medicines

15 October 2021Guidance to advise people who occasionally forget or are late in taking a dose of their medicine(s).

Supply and/or administration of Controlled Drugs under a PGD

16 November 2021The legal position on the supply and/or administration of controlled drugs under Patient Group Directions is summarised

Switching between neostigmine and pyridostigmine

25 October 2022Switching between neostigmine and pyridostigmine in myasthenia gravis requires care and application of a stepped process

Switching between aminophylline and theophylline in adults

19 April 2022Intravenous aminophylline is used acutely for emergency respiratory conditions and we give a stepped approach on how to switch to oral theophylline

Reversing an adult opioid overdose with naloxone

18 October 2022A patient safety alert highlighted the risks of giving inappropriate doses of naloxone. We guide on using appropriate intravenous doses in the medical setting.

Managing reactions to dental local anaesthetic injections

29 July 2024Reactions to dental local anaesthetics (LA) are usually psychogenic. We describe symptoms and management of allergy, adverse effects and psychogenic reactions.

SPS - Specialist Pharmacy Service

NHS