NHS Greater Glasgow & Clyde Area Drug and Therapeutics Committee
Greater Glasgow and Clyde Medicines

Medicines Update

For all prescribers and health professionals both in primary care and the acute sector.

News and information blog from ADTC covering clinical topics for all sectors of the NHS.

All editions of PostScript (the previous name for Medicines Update) from 2011 onwards have been added to this site.  Click here for an index to all previous editions.  If you would like a copy of a previous edition, please contact  medicines.update@ggc.scot.nhs.uk

Tramadol and changes to Controlled Drug Legislation

Posted: May 05, 2014.
Category - Medicines Update
Tagged with - Opioids

Tramadol to be a Schedule 3 Controlled Drug The Home Office has announced changes to CD classification for a number of drugs which should be implemented from 10th June ...

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Safety updates: Nitrofurantoin, contraceptives

Posted: May 05, 2014.
Category - Medicines Update
Tagged with - Antimicrobial Prescribing Medication incidents

Nitrofurantoin in renal impairment The MHRA has intimated plans to amend the contraindication against use of nitrofurantoin in renal impairment from CrCl <60 mL/min to eGFR &l...

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Kid's corner: Specials

Posted: May 05, 2014.
Category - Medicines Update

Kid’s Corner: Specials Specials may be required if a particular preparation is required but not available; for example a liquid for an unusual dose, or to overcome swallowin...

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Fluticasone furoate and vilanterol (Relvar Ellipta®)

Posted: May 05, 2014.
Category - Medicines Update
Tagged with - Respiratory

Fluticasone furoate and vilanterol (Relvar Ellipta®) This product has been launched for both COPD and asthma, although SMC advice has been issued for COPD only at this stage. A ...

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Guidelines Update

Posted: May 05, 2014.
Category - Medicines Update

Corrected NHSGGC guideline on management...

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Valsartan Supply Problem

Posted: May 05, 2014.
Category - Medicines Update

Valsartan Shortage There are currently supply problems with valsartan products.  Where a patient is unable to obtain their normal valsartan prescription, prescribers may need to consider switching patients to an alternative Angio...

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Clomipramine supply (PostScript 81, May 2014)

Posted: May 05, 2014.
Category - Medicines Update
Tagged with - Mental Health

Clomipramine is a tricyclic antidepressant most often used in the treatment of severe obsessional compulsive disorder (OCD). It is generally a second line option after SSRIs prove ineffective or are not tolerated. Consequently there is a small ...

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Voriconazole: prescribing safely (PostScript 80)

Posted: March 03, 2014.
Category - Medicines Update
Tagged with - Antimicrobial Prescribing

Voriconazole is a broad spectrum, triazole antifungal agent indicated primarily in immunocompromised patients with progressive, possibly life-threatening infections, eg invasive aspergillosis. Treatment of candidaemia in non-neutropenic patient...

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Corticosteroids in palliative care (PostScript 80)

Posted: March 03, 2014.
Category - Medicines Update
Tagged with - Palliative Care

Prompted by regular requests for advice about use of steroids in palliative care patients in the community, an audit was undertaken to establish the care issues and whether there were any problems. Notes from 15 community based patients were re...

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Prescribing and addiction issues in prisons (PostScript 80)

Posted: March 03, 2014.
Category - Medicines Update
Tagged with - Prescribing

Dr Grace Campbell, Lead Clinician in Prison Health highlights some recurring issues which face doctors in that setting.   Healthcare within prisons was a non-NHS service organised by the Scottish Prison Service unt...

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