Prescribing Guidance (by BNF Chapter)

BSW Area Prescribing Committee

Prescribing Guidance (by BNF Chapter)

1 – Gastro-intestinal

1 – Gastro-intestinal

BSW Ranitidine Supply Disruption Guidance
BSW Management of Constipation in Adults Guidelines
BSW Guidance for the use of Proton Pump Inhibitors (PPIs) in Adults
BSW Management of IBS with constipation in Adults
Wiltshire NICE Bites GORD in children and young people
Wiltshire Medicine considerations in bariatric surgery (Specialist Pharmacy Service SPS)
Bariatric surgery and medicines (PrescQipp Bulletin)

2 – Cardiovascular

2 – Cardiovascular

Wiltshire BSW STP Antiplatelets Summary (GWH & RUH pts only)
INR Self Testing Guidance
BSW Sacubitril Valsartan for Heart Failure
Wiltshire Omega-3 - advisory summary
Wiltshire Diltiazem Dosing Regimes
Wiltshire Compression and Lymphoedema Garments
NICE Hypertension Guidance
NICE Hypertension Guidance – Patient Decision Aid

Direct Oral Anticoagulants (DOACs – formerly NOACs)

BSW Guidance on converting between anticoagulants
BSW PrescQIPP Atrial fibrillation: Patient information and decision aid
BSW PrescQIPP Prescriber decision support - Warfarin
BSW PrescQIPP Patient information - Non-vitamin K antagonist oral anticoagulants (NOACs)
BSW PrescQIPP Comparison of novel oral anticoagulants (NOACs)
BSW PrescQIPP Drug interactions with NOACs
BSW PrescQIPP Considerations for anticoagulationin Venous Thrombo-embolism (VTE)
BSW Direct Oral Anticoagulants (DOACs) for DVT and PE in adults: Local pathways
BSW PrescQIPP Anticoagulation Bulletin
BSW PrescQIPP Anticoagulation Briefing

Statins

Wiltshire Management of Lipids in Primary Care

3 – Respiratory

3 – Respiratory

Wiltshire Hay Fever (Seasonal Allergic Rhinitis)
Wiltshire NICE Bites - COPD
Wiltshire Asthma: NICE Bites 2018
BSW Diagnosed Adult Asthma: Guidance on adjusting treatment
BSW COPD Guidance (August 2019)
BSW COPD Inhaler Guide
BSW COVID 19 meds optimisation issues

Oxygen Services/Information

Wiltshire Health and Care: Air Liquide Part A Portal Guide for emergency O2 (HOOF)
Wiltshire SARUM Pulmonary Rehab referral form
Wiltshire Home Oxygen Order Form (HOOF)
Wiltshire Home Oxygen Service Patient Leaflet
Wiltshire Home Oxygen Framework Key Facts for Healthcare Professionals

COPD Training Events – September 2015

To obtain copies of any of the above presentations from these events please e-mail prescribingwiltshire@nhs.net

4 – CNS

4 – CNS

Pain Management Documents

Wiltshire PHE Scarlet Fever Information
BSW CCG Lidocaine 5% Medicated Plasters (Ralvo®) Guidance for non-cancer pain in adults
Wiltshire Tramacet Prescribing Summary
Wiltshire Pregabalin and Gabapentin NHS England Advice
Wiltshire Pain Management - supporting information - "Opioids Aware"
Wiltshire Targinact (Oxycodone/Naloxone) Statement (PrescQIPP)
BSW Pain Management Guidance (full version)

Depression

Wiltshire Guidance on swapping and stopping antidepressants (quick guide)
Wiltshire Dosulepin and trimipramine: Guidance for medication reviews (AWP)

Migraine

BSW Chronic Migraine Pathway for Adults

Substance Misuse

Wiltshire Nalmefene Information for GPs

Perinatal Mental Health

AWP Prescribing Guidance for Mental Health Prescribers and GP's in Perinatal Mental Health

Other CNS Condition Documents

BSW Domperidone Guidance
Wiltshire MHRA information on categorisation of antiepileptic drugs
Wiltshire Low Dose Naltrexone
Wiltshire UKMI Equivalent doses of oral Benzodiazepines
Wiltshire AWP Valproate Guidance
Wiltshire Cannabis prescribing - FAQs
Wiltshire RCGP - Cannabis based medicines: Desktop guide
Stop smoking community quick guide BSW 2020 FINAL
BSW EOL COVID prescription support
Swindon & GWH Palliative care prescription support

Neuropathic pain leaflets for patients (dose titration)

Wiltshire Pregabalin - patient leaflet
Wiltshire Amitriptyline
Wiltshire Gabapentin 0 - 900mg in 100mg's
Wiltshire Gabapentin 900mg - 1800 in 100's
Wiltshire Gabapentin 1800 - 3600mg high dose in 300's

Further patient information/leaflets

Wiltshire Patient Leaflet - Cancer Survivorship
Wiltshire Patient Leaflet - Chronic Pain

5- Infections

5 – Infections

Local Antibiotic Guidance and Leaflets

As our Antibiotic Guidance is regularly being reviewed we recommend that you DO NOT print copies, and always refer to our website for the most up date information

BSW Management of Infection Guidance for Primary Care Mastitis update
BSW CCG Management of Infection Guidance for ADULTS in Primary Care (quick ref. guide) December 2020
BSW CCG Management of Infection Guidance for Children in Primary Care (quick ref. guide) December 2020
Wiltshire TARGET Antibiotic Toolkit
Wiltshire Diagnosis of UTI: quick reference guide

Patient Information Leaflets

Wiltshire Enjoy the Outdoors but 'be tick aware'
Wiltshire PHE Urinary Tract Infection Patient Leaflet (link)
Wiltshire Treat your infection UTI - older adults & carers
Wiltshire Treat your infection - Respiratory tract infection (RTI)
TARGET Treating Your Infection patient information leaflets (for UTI/RTI etc)

NICE Antibiotic Guidance Summaries

Wiltshire NICE Antibiotic guidance summary - Sinusitis
Wiltshire NICE Antibiotic guidance summary - Sore Throat
Wiltshire NICE Antibiotic guidance summary - Acute Otitis Media
Wiltshire NICE Antibiotic guidance summary - COPD
Wiltshire NICE Antibiotic guidance summary - Bronchiestasis
Wiltshire NICE Antibiotic guidance summary - prostatitis
Wiltshire NICE Antibiotic guidance summary - self-limiting RT and ear infections
Wiltshire NICE Antibiotic guidance summary – UTI (catheter–associated)
Wiltshire NICE Antibiotic guidance summary –UTI (lower)
Wiltshire NICE Antibiotic guidance summary-UTI (recurrent)
Wiltshire NICE Antibiotic guidance summary-Pyelonephritis(acute) adults & children
Clinical Assessment form over 65s with suspected UTI

Other reference information

BSW Acne Prescribing Guidelines - Clinical Management in Primary Care
Wiltshire Malaria Prophylaxis
Wiltshire Malaria Prophylaxis (by country)

6 – Endocrine

6 – Endocrine

Wiltshire NICE Bites - Type 2 Diabetes
Wiltshire HRT Guidance
BSW Self-Monitoring of Blood Glucose in Diabetes Guideline
BSW Quick Reference Guide – Ensuring appropriate quantities of GLP-1 mimetics are prescribed
BSW Guidance - Sharps Disposal and Prescribing Sharps Bins on FP10
NHS BSW CCG Managing male patients with prostate cancer on LHRH analogues during COVID-19 pandemic
NHS BSW CCG Managing adrenal insufficiency in patients with suspected or confirmed COVID-19
BSW Prescribing Guidance for Oral Semaglutide (Rybelsus)

7 – Obs, Gyn and UT

7 – Obs, Gyn and UT

Wiltshire Gamolenic Acid - advisory summary
Wiltshire Dapoxetine Statement (Premature Ejaculation)
Guidelines for the Pharmacological Management of Overactive Bladder Disease in Adults in Primary Care October 2020
Wiltshire UKMi Q&A PD5s post prostatectomy
Wiltshire Erectile Dysfunction (ED)
BSW Evra Contraceptive Patch Prescribing Guidance

8 – Malignant disease and Immunosuppression

8 – Malignant disease and Immunosuppression

9 – Nutrition and Blood

9 – Nutrition and Blood

NHS BSW CCG COVID-19: B12 replacement
BSW COVID nutrition prescribing guidance
BSW Oral Nutrition Formulary Nov 2020
Wiltshire Cod Liver Oil Supplements
Wiltshire Omega-3 - advisory summary
Treatment of Vitamin D Deficiency in Adults
Wiltshire Gluten Free Prescribing Guidelines
Investigation, treatment and review of Vitamin B12 (cobalamin) deficiency

10 – Musculoskeletal

10 – Musculoskeletal

Wiltshire Hyaluronate injections in the treatment of Osteoarthritis
Wiltshire Glucosamine & Chondroitin
Wiltshire Rubefacients - advisory summary
Wiltshire NSAID guidance (Jan 17)
Wiltshire NICE BITES Rheumatology
Investigation, treatment and review of Vitamin B12 (cobalamin) deficiency

11 – Eye

11 – Eye

BaNES and Wiltshire Pharmacological Management of Glaucoma in Primary Care
BSW Prescribing Guidelines for Dry Eye
UKOPG Clinical Guidance - Ophthalmic special order products. (Included here for general info. Please note: BSW has not reviewed the products in the specials list and therefore, the traffic light status in the document should be ignored. If you are asked to prescribe any specials in this document, please email bswccg.formulary@nhs.net)

12 – Ear, Nose and Oropharynx

12 – Ear, Nose and Oropharynx

BSW Dental Prescribing (including Fluoride) Statement
Wiltshire Allergic rhinitis in Adults guidance

13 – Skin

13 – Skin

Wiltshire Emollient Prescribing Guidelines for Adults in Primary Care
Wiltshire Silk Garments Prescribing Policy
Wiltshire Scar Oils and Gels
Wiltshire Molluscum Contagiosum - advisory summary
Wiltshire Fungal Nail Infections - advisory summary
Wiltshire Sunscreen Statement
BSW Acne Prescribing Guidelines - Clinical Management in Primary Care
Wiltshire Actinic Keratoses full guidelines (link to 3Ts guidance)
Wiltshire Advisory Summary on Eflornithine (Vaniqa)
Actinic (solar) keratosis: Guidelines for management

14 – Immunological Products and Vaccines

14 – Immunological Products and Vaccines

For queries regarding immunisations and vaccines, please contact the NHS England Area Team via email: england.bgswareateampublichealth@nhs.net or call 0113 8251500.

For information, the following pages may be helpful:-

PHE Immunisation Schedule

For PGDs please go to:

https://prescribing.wiltshireccg.nhs.uk/patient-group-directions-pgds

15 – Anaesthesia

15 – Anaesthesia

Currently no guidance

16 – Paediatrics

16 – Paediatrics

BCAP Drooling in Children

21 – Palliative Care

21 – Palliative Care

Swindon & GWH Palliative care prescription support
BSW EOL COVID prescription support
Wessex Palliative Care Handbook
RUH Palliative Care Prescribing Advice for GPs (incl. Just In Case prescribing)

Appendices – Wound Management

Wound Management

Wound Dressings Formulary and Guidance 2019/20
Wiltshire VAP1 - specialist dressings for Haemodialysis patients

Appendices – Continence and Stoma

Continence and Stoma

Wiltshire Integrated Continence Products Formulary
Wiltshire Guidelines for prescribing Stoma Appliances
Prescribing and Supply of Appliances
BaNES Integrated Continence and Urology Products Formulary

Appendices – Cow’s Milk Protein Allergy (CMPA)

Cow’s Milk Protein Allergy (CMPA)

BSW Cow's Milk Protein Allergy (CMPA) Diagnosis and Management

Appendices – Unlicensed Medicines – Specials

Specials