Neurological disorders
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Good governance when implementing natalizumab biosimilar
11 December 2024Governance should consider processes for approval, procurement and supply, prescribing and administration, monitoring and pharmacovigilance.
Treating insomnia during breastfeeding
8 March 2024Zopiclone and zolpidem are preferred for the short-term management of insomnia during breastfeeding. Recommendations apply to full term and healthy infants.
Using dental antibiotic prophylaxis for hydrocephalus shunts
13 December 2024Considerations for whether the risk of shunt infection from transient bacteraemia during invasive dental procedures warrants non-routine antibiotic prophylaxis.
Assessing suitability of medicines in a ketogenic diet
18 November 2025We advise on how to establish the carbohydrate content of a medicine and assess its suitability for a person on a medical ketogenic diet.
Using gabapentin or pregabalin during breastfeeding
11 February 2026Gabapentin or pregabalin can be used while breastfeeding with infant monitoring; gabapentin is preferred. Recommendations apply to full term, healthy infants.
Benzylpenicillin injection for suspected meningitis
25 April 2024SPS PGD template for administering benzylpenicillin prior to transfer to secondary care in suspected bacterial meningitis or meningococcal septicaemia.
Using benzodiazepines during breastfeeding
15 February 2024Lorazepam and oxazepam are the preferred benzodiazepines during breast feeding, if clinically appropriate. Recommendations apply to full term, healthy infants.
Preparing to use natalizumab biosimilar
6 February 2024Natalizumab biosimilar needs planning. Ensure you are familiar with the area and then develop an implementation plan working with the multidisciplinary team.
Switching brand and generic anti-seizure medicines for epilepsy
11 September 2025Switching between different manufacturers' anti-seizure medicines requires individual assessments and careful consideration about whether it will be suitable.
Parkinson's disease in primary care
20 June 2023An on the couch conversation between consultant and primary care pharmacists about improving confidence to optimise medicines for people with Parkinson’s