Medicines Optimisation
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Incorrectly Recorded Penicillin Allergy - Increased risk of MSRA & C.difficile infection

NICE has warned healthcare professionals and the public that people who incorrectly believe they are allergic to penicillin are unnecessarily put at an increased risk of developing MRSA or C difficile. Incorrectly identifying people as allergic could also contribute to antimicrobial resistance, as people are likely to be given broad-spectrum antibiotics.  Studies suggest that: Around 10% of the UK population has …

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Coroner's Inquest into fatal anaphylaxis - Prevention of Future Deaths Report

Following the inquest concerning the death of Natasha Ednan-Laperouse, HM Assistant Coroner for West London will be issuing three Prevention of Future Deaths Reports under paragraph 7, Schedule 5, of the 2009 Act and Regulations 28 and 29 of the Coroners (Investigations) Regulations 2013, including a report: To the Medicines and Healthcare products Regulatory Agency (MHRA) and to the manufacturers of the Epipen …

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EPS - Controlled Drugs Pilot

NHS Digital have started a pilot for prescribing Schedule 2 & 3 Controlled Drugs using the Electronic Prescription Service (EPS). 10 GP practices  in Yorkshire, the North West and London can now send prescriptions for Schedule 2 and 3 Controlled Drugs (CDs) electronically via the EPS . This includes all Schedule 2 and 3 CDs, except for instalment FP10MDA prescriptions. As patients …

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No-Deal Brexit - MHRA consultation

The MHRA have launched a consultation on legislative proposals for a no-deal exit from the EU. The consultation document proposes that "the overall approach in no-deal is for the MHRA to be a stand-alone medicines and medical devices regulator, taking any decisions and carrying out any functions which are currently taken or carried out at EU-level. This would include decisions …

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HUHY - "Help Us, Help You"

NHS winter pressures campaigns promote appropriate self-care & illnesss prevention measures and provide signposting & guidance on prudent use of NHS services during the winter period. This winter, NHS England and Public Health England are introducing a new overarching brand that brings together all the winter pressures campaign activity - ‘Help Us, Help You’. The campaign is delivered across a range of …

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Tapering Opioids - Tips from the I-WOTCH team

The BMJ has published a paper on tapering opioids from the team responsible for the I-WOTCH study and their collaborators. The paper includes the following tips and suggestions: Limit prescribing, which is unlikely to offer benefit—Avoid opioids for pain relief in people at high risk for opioid use disorder, such as those with an active or previous substance use disorder, …

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Sinemet Supply Issues - MSD Statement

MSD have notified UK healthcare professionals about delays in the production and supply of some SINEMET ® products. MSD anticipate intermittent supplies products from late August 2018 onwards and into Q1 of 2019. Affected products include: • SINEMET 12.5/50MG 9X10 Tablets • SINEMET 25/250MG 10X10 Tablets • SINEMET PLUS 25/100MG 10X10 Tablets Further details can be found on the MSD site. …

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Department of Health Supply Issues Bulletins

The Department of Health and Social Care has a team responsible for managing medicine supply issues, including shortages and discontinuations. The team produces monthly updates on supply issues affecting primary care. Registered users can access the updates via PrescQIPP or the Specialist Pharmacy Services website (when logged-in - please log-in before using the links): https://www.prescqipp.info/resources/category/413-out-of-stock-intelligence https://www.sps.nhs.uk/articles/department-of-health-and-pharmaceutical-market-strategy-group-pmsg-supply-updates/  September 2018 issue posted 02/10/18

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Supply Disruption Alert - EpiPen adrenaline auto-injectors

The Department of Health & Social Care (DHSC) have issued the attached Supply Disruption Alert (SDA) with advice on managing issues due to shortage of EpiPen adrenaline auto-injectors. The SDA recommends that all health care professionals ensure that: Adult and child adrenaline auto-injectors are only prescribed and dispensed to those who truly need them. Repeat prescriptions and supply are managed diligently …

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Which flu vaccine for children - PHE wallchart

Two types of flu vaccine are available for children in 2018 to 2019: the ‘live’ nasal spray vaccine and the inactivated injected flu vaccine. Public Health England have published a colouful wallchart to help.

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