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Managing reactions to dental local anaesthetic injections

30 July 2024Reactions to dental local anaesthetics (LA) are usually psychogenic. We describe symptoms and management of allergy, adverse effects and psychogenic reactions.

Managing problems when using transdermal patches

17 November 2025Guidance on adhesion, skin reactions, missing, omitted or delayed application, dosing intervals, switching, accidental exposure, and MRI scan considerations.

Managing medicines inventory

13 January 2026Approaches to maintain accurate medicines inventory and investigate incorrect stock levels by secondary care pharmacy procurement teams.

Managing interactions with local anaesthetics in dentistry

3 January 2025Most drug interactions with local anaesthetics (LA) cartridges are not clinically relevant in general dentistry. We advise on management options where needed.

Managing interactions between macrolides and statins

12 July 2024The use of statins can be continued with azithromycin. However, the interaction risks need to be managed if clarithromycin or erythromycin are required.

Managing high value medicines

13 January 2026Medicines can be seen as a liability or an asset. High value medicines should have regular stock checks to ensure stock holding is accurate.

Managing high frequency order lines

13 January 2026Advice on optimising pharmacy systems to balance storage capacity, supply and demand.

Managing expired stock and decommissioned products

13 January 2026Advice on how to manage expired stock and decommissioning of medicines.

Managing controlled drugs waste for dental teams

16 March 2026Controlled drugs (CDs) in Schedules 2, 3, and 4(1) should be denatured before disposal as pharmaceutical waste. An Environment Agency T28 exemption is required.

Managing controlled drugs held as stock for dental teams

16 March 2026Stock schedule 2 and 3 controlled drugs (CDs) must be ordered (requisitioned) on Form FP10CDF. Schedule 4 and 5 CDs can be ordered the same way as non-CDs.