Gastrointestinal disorders, Guidance
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Advising on specific medicines following bariatric surgery
15 January 2026Guidance to inform prescribing decisions, following the effects bariatric surgery can have on medicines.
PPI suggestions for adults with swallowing difficulties
18 December 2025A range of proton pump inhibitor (PPI) formulations are suitable for adults with swallowing difficulties.
Using and prescribing thiamine in alcohol dependence
25 September 2025Intramuscular and intravenous thiamine can be used to prevent complications of alcohol dependence such as Wernicke’s encephalopathy.
Considerations for using medicines following bariatric surgery
30 May 2025Guidance on the physiological changes after bariatric surgery that can affect the pharmacokinetics of medicines and supplements.
Prescribing and using thiamine to prevent refeeding syndrome
11 March 2025Intravenous thiamine for prevention of refeeding syndrome should be reserved for those with intestinal failure where the oral or enteral route is unavailable.
Haemorrhoids: treatment during pregnancy
4 March 2025Use non-pharmacological treatment for the management of haemorrhoids during pregnancy. If insufficient use a topical haemorrhoidal preparation.
Treating nausea during breastfeeding
26 March 2024Some anti-emetics can be used with caution during breastfeeding, depending on the clinical situation. Recommendations apply to full term, healthy infants.
Treating rectal and anal disorders during breastfeeding
19 March 2024Rectal and anal topical preparations for haemorrhoids and anal fissures are compatible with breastfeeding. Recommendations apply to full term, healthy infants.
Using gastrointestinal antispasmodics during breastfeeding
8 March 2024Hyoscine butylbromide, propantheline or peppermint oil are preferred choices during breastfeeding. Recommendations apply to full term and healthy infants.
Treating heartburn and dyspepsia during breastfeeding
5 March 2024Antacids, alginates, H2-receptor antagonists or proton pump inhibitors can be used during breastfeeding. Recommendations are for full term and healthy infants.