Greater Glasgow and Clyde Medicines

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Includes:

Diazepam 10mg/2.5ml rectal solution tubes, Guanfacine (Intuniv^®) 2mg and 3mg modified release tablets, Fiasp^® (insulin aspart) FlexTouch 100units/ml solution for injection 3ml pre-filled pens, Levemir InnoLet^® (insulin detemir) 100units/ml solution for injection pre-filled disposable devices, Insulatard InnoLet^® (insulin isophane human) 100units/ml suspension for injection 3ml pre-filled disposable devices, Monomil^® XL (isosorbide mononitrate) 60mg modified release tablets, Methadone 5mg tablets, Pabrinex^® IV and IM injections, and Salbutamol 2.5mg/2.5ml nebules

Sitagliptin is now the preferred dipeptidylpeptidase-4 (DPP4) inhibitor in NHSGGC, replacing alogliptin.

This post summarises the latest NHS Greater Glasgow and Clyde decisions relating to new medicines assessed by SMC and considered by the Area Drug and Therapeutics Committee (ADTC) and uses a nationally developed format specifically aimed for patients and the public.

For full details of the medicines included in this post that are available for use, including any restrictions on prescribing, please see the relevant entry in the GGC Formulary

The NHSGGC Opioid Prescribing for Chronic Non Malignant Pain Guideline has been reviewed and updated.

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Guideline News March 2024 here

In January 2024, the MHRA issued an alert on regulatory action taken to update the indications for all systemic fluoroquinolones to state they should only be used when other commonly recommended antibiotics are inappropriate

• Many patients may need to use sharps, such as needles, syringes and fingertip lancing devices, to treat and manage their condition.

• Sharps should never be disposed of in domestic waste, recycling, or in a container that is no longer needed, such as a drinks can or a bottle. This is potentially hazardous to anyone who comes into contact with the waste, including refuse collectors and members of the public.

• To minimise the risk of needle stick injuries, a sharps bin, (e.g. SharpSafe® or Sharpsguard®) can be prescribed, which can be returned to the patient’s GP practice for safe disposal once full. GP practices can accept sharps containers independent of their source, however, sharps containers (with exception of needle exchange) should not be returned to community pharmacies.