Medicine

PPI suggestions for adults with swallowing difficulties

14 June 2024A range of proton pump inhibitor (PPI) formulations are suitable for adults with swallowing difficulties.

Antiplatelet suggestions for adults with swallowing difficulties

13 June 2024A range of antiplatelet formulations are suitable for use in adults with swallowing difficulties.

Anticoagulant suggestions for adults with swallowing difficulties

13 June 2024A range of oral anticoagulant 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.

Managing risks of betamethasone soluble tablets used as mouthwash

13 May 2024Serious side effects can be caused if betamethasone soluble tablets used as mouthwash are swallowed. Providing clear patient directions can help prevent harm.

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.

SPS - Specialist Pharmacy Service

NHS