Skip to Main Content
SPS - Specialist Pharmacy Service
The first stop for professional medicines advice
About SPS
Log in
Register
NHS
Opens in a new window
Guidance
Guidance
Guidance index
Search Guidance
Guidance by Care Setting
Adults
Care homes
Care of older people
Community Health Services
Dentistry
Emergency medicine and urgent care
Health and Justice
Neonates
Occupational Health
Paediatrics
Palliative and End of Life Care
Primary 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
Greener NHS
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
Smoking cessation
Surgery
Travel Medicine
Vaccinating
Wounds and injuries
Events
Events
Events index
Search Events
Events by Care Setting
Health and Justice
Palliative and End of Life Care
Primary Care
Events by Guidance area
Adverse effects
Aseptic services
Clinical trials
Medication Safety
Patient Group Directions
Polypharmacy
Procurement
Radiopharmaceuticals
Events by Specialty
Cardiovascular system disorders
Diabetes
Endocrine system disorders
Mental health and illness
Neurological disorders
Respiratory disorders
Planning
Planning
Planning index
Search Medicines planning
Planning by Care Setting
Primary Care
Transfer of care
Trusts
Planning by Specialty
Diabetes
Eyes and vision
Gastrointestinal disorders
Musculo-skeletal disorders
Neurological disorders
Respiratory disorders
Skin disorders
Training
Training
Training index
Search Training and Development
Publications
Publications
Publications index
Search Publications
Publications by Care Setting
Emergency medicine and urgent care
Publications by Specialty
Infection and infectious diseases
Neurological disorders
Public Health
Radiology
Renal and urologic disorders
Reproductive health
Respiratory disorders
Sexual health
Skin disorders
Smoking cessation
Tools
Medicines Tools
Medicines Tools index
Search
Follow us on:
Home
Search
Care Setting
158 results
Applied filters
Care Setting
Filter
Care Setting
(158)
Adults
(2)
Care homes
(14)
Care of older people
(4)
Community Health Services
(3)
Dentistry
(22)
Emergency medicine and urgent care
(8)
Health and Justice
(4)
Neonates
(1)
Occupational Health
(6)
Paediatrics
(7)
Palliative and End of Life Care
(6)
Primary Care
(65)
Transfer of care
(20)
Trusts
(35)
Events
(23)
Next Events
(2)
Past Events
(21)
Guidance
(126)
Adherence
(6)
Administering
(18)
Advanced therapy medicinal products
(2)
Adverse effects
(3)
Cautions and contraindications
(1)
Complementary medicines
(1)
Deprescribing
(2)
Disposal
(1)
Dosing
(1)
Excipients
(1)
Formulation
(2)
Governance
(1)
Homecare
(9)
Interactions
(4)
Medication Safety
(9)
Patient Group Directions
(14)
Pharmacogenomics
(1)
Poisoning
(4)
Policy, Commissioning and Managerial
(15)
Polypharmacy
(9)
Preparing
(1)
Prescribing
(6)
Procurement
(19)
Record keeping
(1)
Safety in Pregnancy
(1)
Service advice and planning
(3)
Supply
(12)
Swallowing difficulties
(12)
Switching
(6)
Unlicensed medicines
(1)
Medicine
(37)
Acebutolol
(1)
Adenosine
(1)
Adrenaline
(3)
Agomelatine
(1)
Alogliptin
(1)
Alogliptin + Metformin
(1)
Amantadine
(1)
Amiodarone
(1)
Amitriptyline
(2)
Amoxicillin
(1)
Apraclonidine
(1)
Articaine + Adrenaline
(3)
Atenolol
(1)
Atorvastatin
(2)
Azithromycin
(2)
Beclometasone
(1)
Benperidol
(1)
Betamethasone
(1)
Betaxolol
(1)
Bisoprolol
(1)
Botulinum A toxin
(1)
Bromocriptine
(1)
Budesonide
(1)
Budesonide + Formoterol
(1)
Buprenorphine
(4)
Bupropion
(1)
Cabergoline
(1)
Canagliflozin
(1)
Canagliflozin + Metformin
(1)
Carbamazepine
(1)
Carbidopa + Levodopa + Entacapone
(1)
Carvedilol
(1)
Cefalexin
(1)
Celiprolol
(1)
Chlorphenamine
(1)
Chlorpromazine
(1)
Ciclosporin
(1)
Citalopram
(1)
Clarithromycin
(2)
Clomipramine
(1)
Clozapine
(2)
Co-beneldopa
(1)
Co-careldopa
(1)
Co-trimoxazole
(1)
Cocaine
(1)
Codeine
(2)
Dapagliflozin
(1)
Dapagliflozin + Metformin
(1)
Dexamfetamine
(1)
Diazepam
(2)
Dihydrocodeine
(2)
Diltiazem
(1)
Diphenhydramine
(1)
Disopyramide
(1)
Dosulepin
(1)
Doxazosin
(1)
Doxepin
(2)
Dronedarone
(1)
Droperidol
(1)
Duloxetine
(2)
Empagliflozin
(1)
Empagliflozin + Linagliptin
(2)
Empagliflozin + Metformin
(1)
Entacapone
(2)
Ergotamine
(1)
Ertugliflozin
(1)
Erythromycin
(2)
Escitalopram
(1)
Esmolol
(1)
Estradiol
(3)
Fentanyl
(4)
Flecainide
(1)
Flucloxacillin
(1)
Fludrocortisone
(1)
Flumazenil
(1)
Fluoxetine
(1)
Fluticasone
(1)
Fluticasone + Formoterol
(1)
Fluticasone + Salmeterol
(1)
Fluvastatin
(2)
Fluvoxamine
(1)
Foslevodopa + Foscarbidopa
(1)
Gliclazide
(1)
Glimepiride
(1)
Glipizide
(1)
Haloperidol
(1)
Hydrocortisone
(2)
Hydromorphone
(2)
Hyoscine hydrobromide
(3)
Imipramine
(2)
Immunoglobulin human
(1)
Influenza vaccine
(3)
Isocarboxazid
(2)
Labetalol
(1)
Landiolol
(1)
Levobunolol
(1)
Levodopa + Carbidopa + Entacapone
(1)
Levothyroxine
(2)
Lidocaine
(2)
Lidocaine + Adrenaline
(3)
Linagliptin
(1)
Linagliptin + Metformin
(1)
Linezolid
(1)
Lisdexamfetamine
(1)
Lithium
(1)
Lithium carbonate
(1)
Lofepramine
(2)
Mepivacaine
(3)
Mepivacaine + Adrenaline
(3)
Mesalazine
(1)
Methyldopa
(1)
Methylphenidate
(2)
Metoprolol
(1)
Mexiletine
(1)
Mianserin
(1)
Midazolam
(3)
Mirtazapine
(1)
Moclobemide
(1)
Morphine
(4)
Mycophenolate mofetil
(1)
Nadolol
(1)
Naloxone
(1)
Nebivolol
(1)
Nifedipine
(1)
Nortriptyline
(2)
Opicapone
(2)
Oxycodone
(4)
Oxymetazoline
(1)
Ozanimod
(1)
Paracetamol
(1)
Paroxetine
(1)
Pergolide
(1)
Phenelzine
(2)
Phenobarbital
(1)
Phenoxymethylpenicillin
(1)
Phenylephrine
(1)
Phenytoin
(1)
Pindolol
(1)
Pramipexole
(1)
Pravastatin
(2)
Prilocaine + Felypressin
(3)
Primidone
(1)
Prochlorperazine
(1)
Propafenone
(1)
Propranolol
(1)
Pseudoephedrine
(1)
Quinidine
(1)
Rasagiline
(2)
Reboxetine
(1)
Repaglinide
(1)
Rivastigmine
(1)
Ropinirole
(1)
Rosuvastatin
(2)
Rotigotine
(1)
Safinamide
(2)
Saxagliptin
(1)
Saxagliptin + Dapagliflozin
(2)
Saxagliptin + Metformin
(1)
Selegiline
(3)
Sertraline
(1)
Simvastatin
(2)
Sitagliptin
(1)
Sitagliptin + Metformin
(1)
Sodium fluoride
(1)
Sotalol
(1)
Tacrolimus
(1)
Tapentadol
(2)
Timolol
(1)
Tiotropium
(1)
Tolbutamide
(1)
Tolcapone
(2)
Tramadol
(3)
Tranexamic acid
(1)
Tranylcypromine
(2)
Trifluoperazine
(1)
Trimipramine
(2)
Venlafaxine
(2)
Vernakalant
(1)
Vildagliptin
(1)
Vildagliptin + Metformin
(1)
Vortioxetine
(1)
Medicines planning
(11)
Biosimilars
(4)
New Medicines
(10)
CCG commissioned new medicines
(7)
NHS England commissioned new medicines
(10)
Publications
(5)
Templates
(5)
Specialty
(36)
Allergy and immunology
(1)
Anaesthesia and pain
(1)
Cancers
(3)
Cardiovascular system disorders
(3)
Diabetes
(4)
Endocrine system disorders
(5)
Greener NHS
(3)
Infection and infectious diseases
(1)
Liver disorders
(1)
Mental health and illness
(5)
Depression and anxiety
(1)
Neurological disorders
(4)
Renal and urologic disorders
(1)
Reproductive health
(1)
Respiratory disorders
(1)
Travel Medicine
(1)
Vaccinating
(4)
Training and Development
(28)
Clozapine use in adults with swallowing difficulties
12 June 2023
·
Guidance on clozapine administration including crushing tablets, importance of not missing doses and practical considerations regarding switching formulations
Choosing medicines formulations in swallowing difficulties
6 February 2025
·
Some adults cannot swallow tablets or capsules safely. We describe a process for choosing suitable formulations, including crushing tablets.
Choosing an antidepressant for people with coronary heart disease
29 April 2025
·
Sertraline is the first-line option in people with coronary heart disease. Alternatives include fluoxetine, paroxetine and mirtazapine.
Children's medicines: resources to support answering questions
30 April 2025
·
Suggested resources to help primary care healthcare professionals find information on medicines use in paediatrics
Checking if tablets can be crushed or capsules opened
6 February 2025
·
We suggest information resources and points to consider before crushing tablets or opening capsules.
Checking if medicines can be given with food
6 February 2025
·
Many medicines can be given safely with a spoonful of soft food. Use the suggested resources and clinical considerations to support decision-making.
Buccal midazolam for seizures or symptomatic cocaine toxicity management
23 March 2026
·
SPS PGD template for administering buccal midazolam for the management of seizures by registered Paramedics and Nurses.
Avoid prescribing desiccated (natural) thyroid extract
13 January 2026
·
Levothyroxine is the recommended treatment for hypothyroidism. Desiccated or natural thyroid extracts (DTE) should not be prescribed in primary care.
Assessing suitability of medicines in a ketogenic diet
18 November 2025
·
We advise on how to establish the carbohydrate content of a medicine and assess its suitability for a person on a medical ketogenic diet.
Answers to frequently asked questions about Evergreen Assessments
25 July 2025
·
We have provided guidance on the recurrent themes or topics of enquiry raised, to support implementation of the Evergreen assessment process.
Previous
1
…
13
14
15
16
Next