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Using domperidone for low milk supply

21 June 2024Domperidone can be used to treat low milk supply. However, this is only after thorough assessment and once non-medical interventions have been tried.

ACEI suggestions for adults with swallowing difficulties

20 June 2024A range of Angiotensin Converting Enzyme inhibitors (ACEI) formulations are suitable for adults with swallowing difficulties

ARB suggestions for adults with swallowing difficulties

20 June 2024A range of angiotensin II receptor antagonists (angiotensin receptor blockers, ARB) formulations are suitable for adults with swallowing difficulties.

Using and prescribing thiamine in alcohol dependence

6 June 2024Intramuscular and intravenous thiamine can be used to prevent complications of alcohol dependence such as Wernicke’s encephalopathy.

Treating lice during breastfeeding

31 May 2024Wet combing, dimeticone, malathion or permethrin can be used during breastfeeding; choice will depend on the indication. Other treatments can be considered.

Prescribing and using thiamine to prevent refeeding syndrome

2 May 2024Intravenous thiamine for prevention of refeeding syndrome should be reserved for those with intestinal failure where the oral or enteral route is unavailable.

Choosing a medicine to delay periods

1 May 2024Norethisterone is the licensed choice for delaying menstruation, but it is not always the most appropriate choice.

Using folic acid and phenytoin safely

12 April 2024Folic acid interacts with phenytoin and can reduce phenytoin blood levels. Concomitant use is possible with careful management of the interaction.

Using tetracycline antibiotics during breastfeeding

28 March 2024Tetracycline is the medicine of choice if a tetracycline is clinically necessary. Recommendations apply to full term and healthy infants.

Treating nausea during breastfeeding

26 March 2024Some anti-emetics can be used with caution during breastfeeding, depending on the clinical situation. Recommendations apply to full term, healthy infants.

SPS - Specialist Pharmacy Service

NHS