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What steroid supplementation is required for a patient with primary adrenal insufficiency undergoing a dental procedure?

5 December 2019This Medicines Q&A gives guidance on dental procedures for which steroid supplementation may be required in patients with primary adrenal insufficiency and gives advice on…

The Use of Generic Anti Epileptics Drugs in Patients with Epilepsy

28 September 2020Consensus views of the Pharmaceutical Market Support Group and the UK Clinical Pharmacists Association: Neurosciences Group on the safety and appropriateness of switching between brand…

Avoid prescribing desiccated (natural) thyroid extract

20 January 2022Levothyroxine is the standard of care for treating hypothyroidism. Desiccated or natural thyroid extracts (DTE) are not routinely recommended.

Using gabapentin or pregabalin during breastfeeding

1 March 2022Gabapentin or pregabalin can be taken while breastfeeding and with infant monitoring. Recommendations apply to full term and healthy infants only.

Aspirin tablets for use within antenatal and maternity services

9 February 2022A PGD template, developed by SPS and NHSEI and reviewed by the RCOG, for the supply of aspirin tablets for individuals at high risk of pre-eclampsia

Folic acid 5mg tablets for use during pregnancy

9 February 2022A PGD template, developed by SPS and NHSE and reviewed by the RCOG, for the supply of folic acid 5mg tablets to at risk individuals during pregnancy.

Switching doxazosin XL tablets to doxazosin standard tablets

12 May 2022Doxazosin XL tablets should not routinely be prescribed. Guidance is provided on switching doxazosin XL tablets to standard release tablets.

Switching between gabapentin and pregabalin for neuropathic pain

20 January 2023An overview of possible dose equivalences, switching methods and considerations to make before switching between gabapentinoids in adults with neuropathic pain.

Using medicines for preventing acute mountain sickness

28 April 2022Non-pharmacological methods of prevention are best, although acetazolamide may be a helpful addition for adults at risk of developing acute mountain sickness.

Using intravenous paracetamol preparations safely in paediatrics

21 September 2022Safety risks and mitigation strategies are described to reduce the risk of errors with intravenous paracetamol in neonates, infants, and children.