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.

Fosfomycin 3g Sachets – Updated product information

Fosfomycin is a broad spectrum antibiotic, used for the treatment of lower UTIs due to ESBL (extended spectrum beta-lactamase) producing bacteria. Fosfomycin should only be prescribed on the advice of a microbiologist A licensed 3g fosfomycin sachet, for the treatment of urinary tract infection on the recommendation of a microbiologist, is now available in the branded form of Continue Reading »

MHRA safety alert -Citalopram: suspected drug interaction with cocaine; prescribers should consider enquiring about illicit drug use

When prescribing selective serotonin reuptake inhibitors (SSRIs), prescribers are reminded to enquire about cocaine use when considering drug–drug interactions and the need to avoid concurrent use of multiple serotonergic drugs. They should also note the potential increased risk of bleeding when citalopram is prescribed to patients taking cocaine. Possible interactions with illicit drugs should be considered when prescribing Continue Reading »

Two new articles on the NECS MO website

Two new articles have been uploaded to the NECS MO website What to do when prescribers join or leave a GP practice – a reference guide covering which forms need completing if prescribers, both Medical and Non-Medical, move practices http://medicines.necsu.nhs.uk/download/what-to-do-when-prescribers-join-or-leave-a-gp-practice-briefing-document/ Useful prescribing information – a guide for prescribers. Covering some common prescribing dilemmas that affect clinicians in practice. Continue Reading »

Free TARGET webinars on antibiotic stewardship

Public Health England (PHE) and the British Society for Antimicrobial Chemotherapy (BSAC) have worked with primary care colleagues to develop a series of 7 free TARGET antibiotics webinars highlighting key, easy actions you can take to help improve your antibiotic prescribing, and at the same time improve the patient experience and their self-care. For more information, please go Continue Reading »