Welcome to the Medicines Optimisation website

This website is maintained by North of England Commissioning Support Medicines Optimisation Team and contains medicines information guidelines and resources to support safe, effective and good value medicines use in primary care in North East and Cumbria CCGs.

Lactose-Free Medicines

Have you seen an increase in requests for lactose and/or gluten-free medicines? Are you concerned that people may be being prescribed risky unlicensed specials because of misplaced anxiety about the possible effects of very small amounts of lactose or gluten in medicines? The Specialist Pharmacy Service is here to help. Their suite of resources on lactose in medicines and their Continue Reading »

Morphine Injections Supply Problems

Currently, there are national supply issues with Morphine Injections, predominately 10mg/ml amps but other strengths may be in short supply.

Practices should continue prescribing morphine injection first line in palliative care but contact community pharmacies at the point of writing the prescription to ascertain stock levels so the prescription can be written for the available strength of amp and correct dose. Do not use morphine if the 10mg, 15mg, 20mg and 30mg ampoules are not available.

Prescribe short duration prescriptions of morphine (no more than 5/7 days) in order to ensure we can maintain supplies to all patients in need.

Please ensure that all prescriptions and administration dosages are double checked by GP practices, Community Pharmacists and Community Nursing to reduce the risk of prescribing and administrative errors and that this is clearly communicated to patients and carers.

Miconazole (Daktarin) oral gel _ interaction with warfarin

The latest Drug Safety Update (Sept 2017) highlights that: despite repeated warnings, the MHRA continue to receive reports of harm or potential harm due to concomitant use of miconazole oral gel and warfarin. OTC miconazole oral gel is no longer licensed for sale to people taking warfarin. The MHRA have provided the following advice for healthcare professionals: bleeding events, Continue Reading »