Category Archives: Cumbria

Oral bisphosphonates: reminder of precautions to take

All bisphosphonates are associated with a risk of osteonecrosis of the jaw (ONJ). Therefore before prescribing oral bisphosphonates, we remind you to tell patients to maintain good oral hygiene, attend routine dental check-ups and immediately report any oral symptoms such as dental mobility, pain, or swelling to a doctor and dentist.

Paracetamol administration with Meningococcal B (Men B) vaccine

On September 1st the new national Meningococcal B (Men B) immunisation programme for infants began. As administration of Men B vaccine when given with other routine primary vaccines often produces a fever, Public Health England recommend that infants are given a 60mg prophylactic dose of paracetamol at the time or soon after vaccination plus two further doses at intervals of 4-6 hours. The advice from PHE is clear that parents / carers are responsible for obtaining and administering the paracetamol and it should not be prescribed.


Controlled Drugs: Learning from Incidents July 2015

NECS supports the NHS England Area Team Controlled Drugs Accountable Officer in ensuring the safe management and use of controlled drugs within the North East & Cumbria region.  Based on the commonly reported incidents and the lessons learned, the aim of this bulletin is to share good practice across the region.

Included in this bulletin:

  • Balance discrepancies
  • Spillages
  • Common reasons for methadone discrepancies
  • Reporting a balance discrepancy