SPS - Specialist Pharmacy Service
The first stop for professional medicines advice
About
Log in
Register
NHS
Guidance
Guidance
Guidance index
COVID-19
PGDs
Administering
Cautions and contraindications
Dosing
Switching
Interactions
Medication Safety
Safety in breastfeeding
Safety in pregnancy
Temperature management
Excipients
Stability in dosette boxes
Swallowing difficulties
Stability of cytotoxics
Aseptic services
Intrathecal administration
Manufacturing and preparation
Unlicensed medicines
Homecare
ATMPs
Clinical Trials
Medical gases
Search Guidance
Guidance by Care Setting
Adults
Care homes
Care of the elderly
Community Health Services
Dentistry
Emergency medicine and urgent care
Health and Justice
Neonates
Occupational Health
Paediatrics
Palliative and End of Life Care
Transfer of care
Trusts
Guidance by Specialty
Allergy and immunology
Anaesthesia and pain
Cancers
Cardiovascular system disorders
Diabetes
Endocrine system disorders
Eyes and vision
Gastrointestinal disorders
Haematological disorders
Infection and infectious diseases
Mental health and illness
Neurological disorders
Nutritional and metabolic disorders
Obstetrics and gynaecology
Public Health
Radiology
Renal and urologic disorders
Reproductive health
Respiratory disorders
Sexual health
Skin disorders
Vaccinating
Wounds and injuries
Events
Events
Events index
Next events
Past Events
Search Events
Events by Care Setting
Community Health Services
Health and Justice
Events by Guidance area
Advanced therapy medicinal products
Adverse effects
Aseptic services
Clean rooms
Medication Safety
Patient Group Directions
Preparing
Safety in Pregnancy
Temperature management
Events by Specialty
Cardiovascular system disorders
Endocrine system disorders
Infection and infectious diseases
Mental health and illness
Neurological disorders
Podcasts
Podcasts
Podcasts index
Planning
Planning
Planning index
Medicines Supply
Annual medicines planning
Biosimilars Updates
Search Medicines planning
Planning by Care Setting
Transfer of care
Trusts
Planning by Specialty
Eyes and vision
Gastrointestinal disorders
Musculo-skeletal disorders
Neurological disorders
Skin disorders
Training
Training
Training index
Courses
Materials
Search Training and Development
Training by Care Setting
Care of the elderly
Paediatrics
Palliative and End of Life Care
Trusts
Training by Specialty
Cardiovascular system disorders
Endocrine system disorders
Eyes and vision
Liver disorders
Mental health and illness
Renal and urologic disorders
Reproductive health
Travel Medicine
Vaccinating
Publications
Publications
Publications index
RMOC Recommendations and Resources
Newsletters
Bulletins and summaries
Research and audits
Search Publications
Publications by Care Setting
Emergency medicine and urgent care
Health and Justice
Publications by Specialty
Infection and infectious diseases
Neurological disorders
Public Health
Radiology
Renal and urologic disorders
Reproductive health
Respiratory disorders
Sexual health
Skin disorders
Tools
Medicines Tools
Medicines Tools index
Monitoring
Search
Home
Search
Guidance
638 results
Sort ·
Newest first
Relevance
Newest first
Oldest first
Title
Applied filters
Guidance
Filter
COVID-19 Treatments
(5)
Care Setting
(97)
Adults
(1)
Care homes
(5)
Care of the elderly
(4)
Community Health Services
(3)
Dentistry
(8)
Emergency medicine and urgent care
(6)
Health and Justice
(2)
Neonates
(1)
Occupational Health
(6)
Paediatrics
(7)
Palliative and End of Life Care
(4)
Transfer of care
(19)
Trusts
(27)
Events
(22)
Next Events
(4)
Past Events
(18)
Guidance
(638)
Adherence
(9)
Administering
(50)
Advanced therapy medicinal products
(27)
Adverse effects
(8)
Anaphylaxis
(1)
Aseptic services
(73)
Good Manufacturing Practice
(12)
Cautions and contraindications
(9)
Clean rooms
(4)
Clinical trials
(17)
Complementary medicines
(4)
Dosing
(13)
Excipients
(14)
Formulation
(9)
Homecare
(13)
Implementation
(12)
In-use stability
(2)
Interactions
(22)
Intrathecal medicines
(29)
Medical gases
(10)
Medication Safety
(55)
Patient Group Directions
(139)
Policy, Commissioning and Managerial
(39)
Polypharmacy
(5)
Preparing
(23)
Prescribing
(16)
Radiopharmaceuticals
(2)
Safety in Breastfeeding
(53)
Safety in Pregnancy
(28)
Service advice and planning
(41)
Stability of cytotoxics
(3)
Supply
(39)
Swallowing difficulties
(23)
Switching
(32)
Temperature management
(14)
Cold chain management
(3)
Unlicensed medicines
(15)
Medicine
(265)
Acenocoumarol
(1)
Acetylcysteine
(1)
Aciclovir
(4)
Acrivastine
(1)
Adrenaline
(2)
Agomelatine
(3)
Alendronic acid
(2)
Alfacalcidol
(2)
Almotriptan
(1)
Alprazolam
(2)
Aluminium hydroxide
(1)
Alverine
(1)
Amantadine
(1)
Amikacin
(1)
Aminophylline
(2)
Amitriptyline
(4)
Amlodipine
(3)
Amoxicillin
(3)
Amphotericin B
(1)
Amphotericin B (lipid formulation)
(1)
Amphotericin B liposomal
(1)
Ampicillin
(1)
Apixaban
(6)
Articaine + Adrenaline
(2)
Aspirin
(4)
Atenolol
(1)
Atomoxetine
(2)
Atorvastatin
(4)
Azithromycin
(4)
Bacillus Calmette-Guerin
(1)
Baclofen
(1)
Beclometasone
(3)
Beclometasone + Formoterol
(1)
Bendroflumethiazide
(1)
Benperidol
(1)
Benzathine benzylpenicillin
(1)
Benzylpenicillin
(5)
Betamethasone
(3)
Bisacodyl
(1)
Bisoprolol
(1)
Bromocriptine
(1)
Budesonide
(4)
Budesonide + Formoterol
(1)
Bupivacaine
(1)
Buprenorphine
(4)
Buprenorphine + Naloxone
(1)
COVID-19 vaccine
(22)
Cabergoline
(1)
Calcitriol
(1)
Calcium carbonate
(1)
Calcium carbonate + Ergocalciferol
(1)
Calcium carbonate + Sodium alginate + Sodium bicarbonate
(1)
Candesartan
(2)
Captopril
(2)
Carbamazepine
(4)
Carbidopa + Levodopa + Entacapone
(1)
Carvedilol
(1)
Cefalexin
(1)
Ceftolozane + tazobactam
(1)
Ceftriaxone
(1)
Celecoxib
(2)
Cetirizine
(1)
Chloramphenicol
(1)
Chlordiazepoxide
(2)
Chlorphenamine
(1)
Chlorpromazine
(1)
Cholera vaccine
(1)
Ciclosporin
(2)
Cilostazol
(1)
Cimetidine
(1)
Cinacalcet
(1)
Cinchocaine
(1)
Ciprofloxacin
(1)
Citalopram
(6)
Clarithromycin
(8)
Clindamycin
(1)
Clobazam
(3)
Clomipramine
(3)
Clonazepam
(2)
Clonidine
(1)
Clopidogrel
(4)
Clotrimazole
(2)
Clozapine
(5)
Co-amoxiclav
(1)
Co-beneldopa
(1)
Co-careldopa
(1)
Co-trimoxazole
(1)
Codeine
(6)
Colecalciferol
(5)
Colecalciferol + Calcium carbonate
(1)
Colistimethate
(2)
Copper
(2)
Cyclizine
(1)
Cyclomethicone + Isopropyl myristate
(1)
Cytarabine
(1)
Dabigatran etexilate
(5)
Dalteparin
(2)
Darifenacin
(1)
Dasatinib
(1)
Deflazacort
(1)
Demeclocycline
(1)
Desloratadine
(1)
Dexamethasone
(3)
Dexamfetamine
(2)
Diamorphine
(3)
Diazepam
(6)
Diclofenac
(1)
Diclofenac sodium
(1)
Dicycloverine
(1)
Digoxin
(1)
Dihydrocodeine
(5)
Dihydrocodeine + Paracetamol
(2)
Diltiazem
(4)
Dimeticone
(1)
Diphtheria + Tetanus + Pertussis + Poliomyelitis + Haemophilus influenzae type B vaccine
(1)
Diphtheria + Tetanus + Pertussis + Poliomyelitis vaccine
(1)
Diphtheria + Tetanus + Poliomyelitis vaccine
(1)
Dipyridamole
(2)
Docusate
(1)
Domperidone
(1)
Dornase alfa
(1)
Dosulepin
(1)
Doxazosin
(1)
Doxepin
(2)
Doxycycline
(3)
Dulaglutide
(1)
Duloxetine
(5)
Edoxaban
(6)
Emtricitabine
(1)
Emtricitabine + Tenofovir disoproxil
(1)
Enalapril
(2)
Enoxaparin
(2)
Entacapone
(1)
Eprosartan
(1)
Ergocalciferol
(5)
Erlotinib
(1)
Erythromycin
(9)
Escitalopram
(4)
Esomeprazole
(6)
Estradiol + Dienogest
(1)
Estradiol + Nomegestrol
(1)
Ethinylestradiol + Desogestrel
(1)
Ethinylestradiol + Drospirenone
(1)
Ethinylestradiol + Etonogestrel
(1)
Ethinylestradiol + Gestodene
(1)
Ethinylestradiol + Levonorgestrel
(1)
Ethinylestradiol + Norelgestromin
(1)
Ethinylestradiol + Norethisterone
(1)
Ethinylestradiol + Norgestimate
(1)
Etodolac
(1)
Etonogestrel
(2)
Etoposide
(1)
Etoricoxib
(2)
Exenatide
(1)
Ezetimibe
(1)
Famotidine
(2)
Felodipine
(3)
Fentanyl
(4)
Fexofenadine
(1)
Fidaxomicin
(1)
Flecainide
(1)
Flucloxacillin
(4)
Fluconazole
(2)
Fludrocortisone
(1)
Flumazenil
(1)
Fluocinolone
(1)
Fluorescein
(1)
Fluoxetine
(4)
Flurazepam
(1)
Fluticasone
(4)
Fluticasone + Formoterol
(1)
Fluticasone + Salmeterol
(1)
Fluvastatin
(3)
Fluvoxamine
(3)
Folic acid
(3)
Furosemide
(1)
Fusidic acid
(3)
Gabapentin
(2)
Gadobutrol
(1)
Gadoteric acid
(1)
Gadoteridol
(1)
Gadoxetic acid
(1)
Gemeprost
(1)
Gentamicin
(2)
Glucose
(1)
Glycerol
(1)
Glyceryl trinitrate
(1)
Guanfacine
(2)
Haloperidol
(1)
Heparin
(3)
Hepatitis A + B vaccine
(1)
Hepatitis A + Typhoid vaccine
(1)
Hepatitis A vaccine
(1)
Hepatitis B vaccine
(1)
Human papillomavirus vaccine
(1)
Hydrocortisone
(5)
Hydrogen peroxide
(2)
Hydromorphone
(4)
Hydroxyzine
(1)
Hyoscine butylbromide
(1)
Hyoscine hydrobromide
(1)
Ibandronic acid
(2)
Ibuprofen
(4)
Imatinib
(1)
Imipramine
(4)
Imiquimod
(1)
Indometacin
(1)
Influenza vaccine
(5)
Insulin aspart
(1)
Insulin detemir
(1)
Insulin glargine
(1)
Insulin glulisine
(1)
Insulin human
(1)
Insulin isophane human
(1)
Insulin lispro
(1)
Iodixanol
(1)
Iohexol
(2)
Iomeprol
(1)
Iopamidol
(1)
Ioversol
(1)
Ipratropium
(1)
Irbesartan
(2)
Irinotecan
(1)
Iron dextran
(1)
Isocarboxazid
(2)
Isopropyl alcohol
(1)
Ispaghula husk
(1)
Itraconazole
(1)
Ketamine
(1)
Ketoprofen
(1)
Labetalol
(1)
Lacidipine
(1)
Lactose
(1)
Lactulose
(1)
Lansoprazole
(5)
Lercanidipine
(1)
Levobupivacaine
(1)
Levocetirizine
(1)
Levodopa
(1)
Levodopa + Carbidopa + Entacapone
(1)
Levonorgestrel
(3)
Levothyroxine
(1)
Lidocaine
(8)
Lidocaine + Adrenaline
(2)
Lidocaine + Prilocaine
(2)
Liraglutide
(1)
Lisdexamfetamine
(2)
Lisinopril
(2)
Lithium
(4)
Lithium carbonate
(2)
Lithium chloride
(1)
Lithium citrate
(1)
Lofepramine
(3)
Loperamide
(1)
Loprazolam
(1)
Loratadine
(1)
Lorazepam
(3)
Lormetazepam
(1)
Losartan
(2)
Macrogol 3350
(1)
Magnesium carbonate
(1)
Magnesium trisilicate
(1)
Malathion
(1)
Measles + Mumps + Rubella vaccine
(1)
Mebeverine
(1)
Medroxyprogesterone
(3)
Mefenamic acid
(2)
Meglumine gadobenate
(1)
Melatonin
(2)
Meloxicam
(1)
Mepivacaine
(2)
Mepivacaine + Adrenaline
(2)
Mercaptopurine
(1)
Mesalazine
(2)
Metformin
(1)
Methadone
(2)
Methotrexate
(5)
Methylphenidate
(4)
Methylprednisolone
(1)
Metoclopramide
(2)
Metolazone
(1)
Metoprolol
(1)
Metronidazole
(3)
Mexiletine
(2)
Mianserin
(1)
Miconazole
(1)
Midazolam
(3)
Mifepristone
(2)
Minocycline
(1)
Mirabegron
(1)
Mirtazapine
(3)
Misoprostol
(2)
Moclobemide
(2)
Mometasone
(2)
Morphine
(9)
Mupirocin
(1)
Mycophenolate mofetil
(2)
Mycophenolic acid
(1)
Naloxone
(2)
Naltrexone
(1)
Naproxen
(2)
Naratriptan
(1)
Nebivolol
(1)
Nefopam
(1)
Neostigmine
(1)
Nicotine
(2)
Nifedipine
(3)
Nitrazepam
(2)
Nitrofurantoin
(2)
Nizatidine
(2)
Norethisterone
(1)
Normal immunoglobulin human
(1)
Nortriptyline
(4)
Nystatin
(1)
Olanzapine
(1)
Olmesartan
(1)
Omeprazole
(6)
Ondansetron
(2)
Oseltamivir
(1)
Oxazepam
(3)
Oxybutynin
(1)
Oxycodone
(6)
Oxygen gas
(1)
Oxytetracycline
(1)
Oxytocin
(1)
Pantoprazole
(3)
Paracetamol
(3)
Paracetamol + Caffeine
(1)
Paracetamol + Codeine + Buclizine
(1)
Paracetamol + Dihydrocodeine
(2)
Paracetamol + Diphenhydramine
(1)
Paracetamol + Ibuprofen
(1)
Paracetamol + Phenylephrine
(1)
Paracetamol + Pseudoephedrine
(1)
Paroxetine
(4)
Pentazocine
(1)
Peppermint oil
(1)
Pergolide
(1)
Perindopril
(2)
Perindopril erbumine
(1)
Permethrin
(1)
Pethidine
(1)
Phenelzine
(2)
Phenobarbital
(3)
Phenobarbital sodium
(1)
Phenol
(1)
Phenoxymethylpenicillin
(5)
Phenytoin
(5)
Phenytoin sodium
(1)
Piperacillin + Tazobactam
(1)
Pirfenidone
(1)
Pivmecillinam
(1)
Pneumococcal vaccine
(1)
Podophyllotoxin
(1)
Pomalidomide
(1)
Posaconazole
(1)
Potassium chloride
(1)
Potassium permanganate
(1)
Pramipexole
(1)
Prasugrel
(1)
Pravastatin
(4)
Prednisolone
(4)
Pregabalin
(2)
Prilocaine
(2)
Prilocaine + Felypressin
(2)
Primidone
(1)
Procaine benzylpenicillin
(1)
Prochlorperazine
(1)
Progesterone
(1)
Promethazine hydrochloride
(2)
Promethazine teoclate
(1)
Propantheline
(1)
Propranolol
(2)
Prucalopride
(1)
Pyridostigmine
(1)
Rabeprazole
(4)
Rabies vaccine
(1)
Raltegravir
(1)
Ramipril
(2)
Ranitidine
(1)
Rasagiline
(2)
Rasburicase
(1)
Reboxetine
(1)
Riluzole
(1)
Riociguat
(1)
Risedronate sodium
(2)
Risedronic acid
(1)
Rituximab
(1)
Rivaroxaban
(5)
Ropinirole
(2)
Ropivacaine
(1)
Rosuvastatin
(4)
Rotigotine
(1)
Salbutamol
(1)
Selegiline
(2)
Semaglutide
(1)
Senna
(1)
Sertraline
(4)
Simvastatin
(4)
Sodium alginate + Magnesium alginate
(1)
Sodium bicarbonate
(2)
Sodium chloride
(3)
Sodium citrate
(2)
Sodium cromoglicate
(1)
Sodium fusidate
(1)
Sodium picosulfate
(1)
Sodium valproate
(4)
Sotalol
(1)
Sotrovimab
(2)
Spironolactone
(1)
Sulfasalazine
(1)
Sumatriptan
(1)
Tacrolimus
(2)
Tamsulosin
(1)
Tapentadol
(2)
Teicoplanin
(1)
Telmisartan
(2)
Temazepam
(2)
Temocillin
(1)
Tenofovir disoproxil + Emtricitabine
(1)
Terbutaline
(2)
Tetanus vaccine
(1)
Tetracycline
(1)
Theophylline
(3)
Thiamine
(2)
Thiotepa
(1)
Ticagrelor
(2)
Tinzaparin
(1)
Tiotropium
(1)
Tizanidine
(1)
Tobramycin
(2)
Tocilizumab
(1)
Tolcapone
(1)
Tolterodine
(1)
Topotecan
(1)
Tramadol
(6)
Tramadol + Paracetamol
(1)
Tranexamic acid
(1)
Tranylcypromine
(2)
Trastuzumab
(1)
Trazodone
(2)
Triamcinolone acetonide
(1)
Trimethoprim
(1)
Trimipramine
(2)
Tuberculin purified protein derivative
(1)
Typhoid vaccine
(1)
Ulipristal
(2)
Valaciclovir
(2)
Valproic acid
(2)
Valsartan
(2)
Vancomycin
(3)
Varicella vaccine
(1)
Venlafaxine
(3)
Verapamil
(2)
Voriconazole
(1)
Vortioxetine
(2)
Warfarin
(7)
Yellow fever vaccine
(1)
Zanamivir
(1)
Ziconotide
(1)
Zinc oxide
(1)
Zoledronic acid
(1)
Zolpidem
(1)
Zopiclone
(1)
Medicines planning
(34)
Biosimilars
(4)
New Medicines
(11)
CCG commissioned new medicines
(10)
NHS England commissioned new medicines
(11)
Patient Group Direction Planning
(21)
Publications
(97)
Bulletins
(1)
Research and audits
(4)
Standard Operating Procedures
(1)
Summary advice
(11)
Templates
(76)
Specialty
(223)
Allergy and immunology
(9)
Anaesthesia and pain
(19)
Cancers
(11)
Cardiovascular system disorders
(18)
Diabetes
(2)
Endocrine system disorders
(4)
Eyes and vision
(2)
Gastrointestinal disorders
(17)
Haematological disorders
(3)
Infection and infectious diseases
(47)
Mental health and illness
(32)
Neurological disorders
(10)
Nutritional and metabolic disorders
(3)
Obstetrics and gynaecology
(2)
Public Health
(1)
Radiology
(12)
Renal and urologic disorders
(6)
Reproductive health
(18)
Respiratory disorders
(15)
Sexual health
(12)
Skin disorders
(14)
Vaccinating
(4)
Wounds and injuries
(1)
Training and Development
(49)
Using benzodiazepines during breastfeeding
15 February 2024
Using antiplatelet medicines during breastfeeding
7 July 2023
Using antihistamines during breastfeeding
27 January 2022
·
Guidance on continuing or initiating commonly used antihistamines whilst breastfeeding. Recommendations apply to full term and healthy infants only.
Using antidiabetic medicines during breastfeeding
2 February 2023
·
Guidance on continuing or initiating insulins in breastfeeding mothers. Recommendations apply to full term and healthy infants only.
Using antidepressants for depression in people with epilepsy
14 May 2021
·
Antidepressant use requires special consideration in people with epilepsy. Treating stable depression is covered.
Using angiotensin-II receptor antagonists during breastfeeding
11 May 2023
·
Summary here.....
Using and prescribing thiamine in alcohol dependence
6 June 2024
Using amlodipine or MR felodipine for angina and hypertension
13 March 2023
·
Guidance on choosing and switching between amlodipine and modified-release (MR) felodipine for angina and hypertension.
Using a refrigerator or freezer to store medicines
10 November 2022
·
Appropriately chosen, well set-up, maintained and monitored fridges and freezers ensures medicines are fit for purpose at administration to patients
Using a Patient Group Direction to adjust doses of medicines
16 November 2021
·
This article outlines why PGDs cannot be used to adjust the dosage of a medicine already in an individual's possession
Previous
1
…
6
7
8
9
10
…
64
Next