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

Nystatin suspension storage

Posted: January 05, 2017.
Category - Medicines Update
Tagged with - Medication incidents

Two cases have been reported recently where a parent stored nystatin suspension for a baby in the fridge. The viscosity of the suspension increased, forming a gel which could not be shaken and was also associated with a risk of choking. The man...

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Methotrexate for arthritis

Posted: January 05, 2017.
Category - Medicines Update
Tagged with - Methotrexate

A new shared care agreement for subcutaneous methotrexate has been published here. It details responsibilities for consultants and nurse specialists in ac...

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Propranolol for anxiety

Posted: January 05, 2017.
Category - Medicines Update
Tagged with - Mental Health

The Prescribing Management Group (Mental Health) has produced guidance on prescribing of propranolol for anxiety which can be accessed

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Posaconazole formulations not interchangeable

Posted: December 19, 2016.
Category - Medicines Update
Tagged with - MHRA Drug Safety Update

Posaconazole (Noxafil®) is a broad-spectrum triazole antifungal It is on the Formulary for specialist use only. Use for the prophylaxis of invasive fungal infections in immunocompromised patients is restricted to patients in whom there is a...

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Flu vaccine selection

Posted: December 19, 2016.
Category - Medicines Update
Tagged with - Flu

  There are a number of different flu vaccines approved for use within NHSGGC as detailed in the approved PGD. These include the Pfizer product (Enzira®), Sequiris have a product named Aggripal® and they jointly promote a p...

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Hand Hygiene

Posted: December 19, 2016.
Category - Medicines Update
Tagged with - Antimicrobial Prescribing

The NES Healthcare Associated Infections team have launched a new Hand Hygiene whiteboard animation What’s Stopping You. The animation is less than 4 minutes and reinforce...

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Insulin Insuman Shortage

Posted: December 02, 2016.
Category - Medicines Update
Tagged with - Diabetes

There is a supply shortage of all Insuman® Basal and Insuman® Comb25 products   High Risk Patients For some high risk patients (aged under 18 year or 70 years and over, pregnancy, allergies ...

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Quetiapine MR non-Formulary

Posted: November 29, 2016.
Category - Medicines Update
Tagged with - Mental Health

Quetiapine modified release (MR) preparations are no longer included in the NHSGGC Adult Formulary due to the higher acquisition cost and lack of evidence of benefit over the immediate release (IR) preparation.   Quetiapine...

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Oxycodone Brand Prescribing

Posted: November 29, 2016.
Category - Medicines Update
Tagged with - Opioids

Increasing numbers of patient safety incidents involving oral oxycodone medicines have been reported to the Board CD Accountable Officer Teams across Scotland. One of the common errors is administration or prescribing of long acting instead of ...

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Clozapine induced constipation

Posted: November 29, 2016.
Category - Medicines Update
Tagged with - Mental Health

How serious is clozapine induced constipation? The short answer is potentially fatal. Constipation is an acknowledged side effect of clozapine but patients are reluctant to report it. Indeed there is some suggestion that the impact of clozapine...

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