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Medicines Optimisation

This site is maintained by NECS Medicines Optimisation Team and contains medicines information, guidelines and resources to support safe, effective and good value medicines use in primary care in the NHS across the North East, North Cumbria, Humberside and parts of North & West Yorkshire.

Medicine Matters – Autumn 2021

Medicine Matters – Autumn 2021

Medicine Matters – Autumn 2021

Medicine Matters – Autumn 2021

DHSC Medicines Supply Notice – Metformin 500mg/5ml oral solution sugar free

The DHSC Medicines Supply team have circulated the following Tier 2 Medicines Supply Notification concerning metformin 500mg/5ml oral solution sugar free: MSN 2021_045 Metformin oral solution 500mg in 5ml During the last three months for which data is available, 864 patients (cf total population >4.5 million) received supplies of metformin 500mg/5ml oral solution sugar free from pharmacies dispensing prescriptions issued by practices within the NECS MO footprint [C&NE plus Humber & Coast and parts of W Yorks]. Most practices issued fewer than two prescriptions during that period. This is consistent with cautious use of oral solution – and suggests that […]

British Fatwa Council – updated fatwa on nasal ‘flu vaccine

The British Fatwa Council has published the following updated fatwa related to the use of porcine gelatin in nasal ‘flu vaccines: BritishFatwaCouncil_Final Fatwa nasal flu vaccine 2021

Varenicline (Champix) Supply Issues – NCSCT advice

The National Centre for Smoking Cessation & Training (NCSCT) has published the following bulletin notifying smoking cessation practitioners about problems with supplies of varenicline (Champix) and signposting to advice on alternatives. Champix out of stock We’ve been informed that unfortunately Pfizer are currently facing an issue with the supply of varenicline (Champix) across all doses and presentations. Pfizer anticipate this supply disruption will last for at least several weeks. The current recommendation is that until the Champix shortage is resolved, patients will need to consult with their healthcare professional to choose an alternative treatment option. For those who have already […]

Chloramphenicol Eye Drops & Boron – RCOphth Safety Alert

The Royal College of Ophthalmologists have published a statement on the recent regulatory changes affecting use of chloramphenical eye drops for young children @ https://www.rcophth.ac.uk/2021/04/safety-alert-boron-additives-in-chloramphenicol-drops/ Boron additives in Chloramphenicol drops safety alert – Summary All prescribing decisions involve an equation of benefit versus risk. Chloramphenicol has been an effective and well-tolerated antibiotic in ophthalmological practice for nearly 70 years. Whilst a theoretical risk to future fertility from boron-containing excipients in chloramphenicol eyedrops should not be dismissed lightly, a decision to stop using chloramphenicol eyedrops in children also carries risks for the reasons given above. Although more data on the concentration […]

CD Bulletin Issue 18 April 2021

April 2021 Learning from incidents Serious Incident – Oramorph Schedule 5 FP10MDA Titrating Prescriptions We’re here to support you Role of the CDLO Ask ANI Closing Pharmacies Caution – Healthcare Professionals Collecting Prescriptions

Medicine Matters – COVID 19 Bulletin 5 Vitamin D Supplements

Medicine Matters – COVID-19 Bulletin 5 Vitamin D Supplements