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
Aseptic services
Clinical trials
Complementary medicines
Governance
Medication Safety
Patient Group Directions
Polypharmacy
Procurement
Radiopharmacy
Events by Specialty
Cardiovascular system disorders
Diabetes
Mental health and illness
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
Guidance
696 results
Applied filters
Guidance
Filter
Care Setting
(142)
Adults
(3)
Care homes
(14)
Care of older people
(4)
Community Health Services
(3)
Dentistry
(18)
Emergency medicine and urgent care
(9)
Health and Justice
(2)
Neonates
(1)
Occupational Health
(6)
Paediatrics
(5)
Palliative and End of Life Care
(5)
Primary Care
(53)
Transfer of care
(20)
Trusts
(35)
Events
(22)
Next Events
(4)
Past Events
(17)
Guidance
(696)
Adherence
(8)
Administering
(64)
Advanced therapy medicinal products
(30)
Adverse effects
(7)
Anaphylaxis
(1)
Aseptic services
(86)
Good Manufacturing Practice
(13)
COVID-19 Treatments
(1)
Cautions and contraindications
(12)
Clean rooms
(4)
Clinical trials
(27)
Complementary medicines
(7)
Deprescribing
(4)
Disposal
(1)
Dosing
(8)
Enteral tubes
(7)
Excipients
(9)
Formulation
(10)
Governance
(7)
Homecare
(11)
In-use stability
(4)
Interactions
(20)
Intrathecal medicines
(30)
Medical gases
(9)
Medication Safety
(67)
Monocloncal antibodies
(3)
Patient Group Directions
(151)
Pharmacogenomics
(2)
Poisoning
(5)
Policy, Commissioning and Managerial
(48)
Polypharmacy
(25)
Preparing
(19)
Prescribing
(16)
Procurement
(34)
Radiopharmacy
(2)
Record keeping
(14)
Safety in Breastfeeding
(54)
Safety in Pregnancy
(15)
Service advice and planning
(39)
Shared Decision Making
(1)
Stability of cytotoxics
(2)
Supply
(38)
Swallowing difficulties
(21)
Switching
(28)
Temperature management
(11)
Testing and diagnosis
(1)
Time critical medicines
(21)
Unlicensed medicines
(20)
Medicine
(270)
Acebutolol
(1)
Acenocoumarol
(1)
Acetylcysteine
(1)
Aciclovir
(3)
Acrivastine
(1)
Adenosine
(1)
Adrenaline
(3)
Agomelatine
(4)
Alfacalcidol
(2)
Alfentanil
(1)
Almotriptan
(1)
Alogliptin
(1)
Alogliptin + Metformin
(1)
Alprazolam
(2)
Aluminium hydroxide
(1)
Alverine
(1)
Amantadine
(1)
Amikacin
(2)
Aminophylline
(1)
Amiodarone
(1)
Amitriptyline
(5)
Amlodipine
(2)
Amoxicillin
(4)
Amphotericin B
(1)
Amphotericin B liposomal
(1)
Ampicillin
(1)
Apixaban
(6)
Apraclonidine
(1)
Aripiprazole
(1)
Articaine + Adrenaline
(3)
Aspirin
(5)
Atenolol
(2)
Atorvastatin
(4)
Azithromycin
(4)
Bacillus Calmette-Guerin
(1)
Baclofen
(1)
Barium
(1)
Beclometasone
(3)
Beeswax
(1)
Bendroflumethiazide
(1)
Benperidol
(2)
Benzathine benzylpenicillin
(1)
Benzatropine
(1)
Benzylpenicillin
(4)
Betamethasone
(3)
Betaxolol
(1)
Bisacodyl
(1)
Bisoprolol
(2)
Botulinum A toxin
(1)
Bromocriptine
(1)
Budesonide
(4)
Budesonide + Formoterol
(1)
Bupivacaine
(1)
Buprenorphine
(8)
Buprenorphine + Naloxone
(1)
Bupropion
(1)
COVID-19 vaccine
(3)
Cabergoline
(1)
Calcitriol
(1)
Calcium carbonate
(1)
Calcium carbonate + Ergocalciferol
(1)
Calcium carbonate + Sodium alginate + Sodium bicarbonate
(1)
Canagliflozin
(1)
Canagliflozin + Metformin
(1)
Candesartan
(2)
Captopril
(2)
Carbamazepine
(3)
Carbidopa + Levodopa + Entacapone
(1)
Carvedilol
(2)
Cefalexin
(1)
Ceftriaxone
(1)
Celecoxib
(2)
Celiprolol
(1)
Cetirizine
(2)
Chloramphenicol
(1)
Chlordiazepoxide
(2)
Chlorphenamine
(3)
Chlorpromazine
(2)
Cholera vaccine
(1)
Ciclosporin
(2)
Cilostazol
(1)
Cimetidine
(1)
Cinacalcet
(1)
Cinchocaine
(1)
Ciprofloxacin
(1)
Citalopram
(7)
Clarithromycin
(8)
Clobazam
(3)
Clomipramine
(4)
Clonazepam
(2)
Clonidine
(1)
Clopidogrel
(4)
Clotrimazole
(2)
Clozapine
(7)
Co-amoxiclav
(2)
Co-beneldopa
(1)
Co-careldopa
(1)
Co-trimoxazole
(3)
Cocaine
(1)
Codeine
(6)
Colecalciferol
(3)
Colecalciferol + Calcium carbonate
(1)
Colistimethate
(2)
Copper
(2)
Cyanocobalamin
(1)
Cyclizine
(1)
Cyclomethicone + Isopropyl myristate
(1)
Cytarabine
(1)
Cytisinicline
(1)
Dabigatran etexilate
(6)
Dalteparin
(2)
Dapagliflozin
(1)
Dapagliflozin + Metformin
(1)
Dasatinib
(1)
Deflazacort
(1)
Demeclocycline
(1)
Desogestrel
(1)
Dexamethasone
(3)
Dexamfetamine
(1)
Diamorphine
(4)
Diazepam
(6)
Diclofenac
(1)
Diclofenac sodium
(1)
Dicycloverine
(1)
Digoxin
(2)
Dihydrocodeine
(6)
Dihydrocodeine + Paracetamol
(2)
Diltiazem
(4)
Dimeticone
(1)
Diphenhydramine
(1)
Diphtheria + Tetanus + Pertussis + Poliomyelitis + Haemophilus influenzae type B vaccine
(1)
Diphtheria + Tetanus + Pertussis + Poliomyelitis vaccine
(1)
Diphtheria + Tetanus + Poliomyelitis vaccine
(1)
Dipyridamole
(2)
Disopyramide
(1)
Docusate
(1)
Domperidone
(1)
Dornase alfa
(1)
Dosulepin
(2)
Doxazosin
(1)
Doxepin
(4)
Doxycycline
(5)
Dronedarone
(1)
Droperidol
(1)
Dulaglutide
(1)
Duloxetine
(7)
Edoxaban
(6)
Empagliflozin
(1)
Empagliflozin + Linagliptin
(2)
Empagliflozin + Metformin
(1)
Emtricitabine
(1)
Emtricitabine + Tenofovir alafenamide
(1)
Emtricitabine + Tenofovir disoproxil
(1)
Enalapril
(2)
Enoxaparin
(1)
Entacapone
(2)
Eprosartan
(1)
Ergocalciferol
(4)
Ergotamine
(1)
Erlotinib
(1)
Ertugliflozin
(1)
Erythromycin
(8)
Escitalopram
(5)
Esmolol
(1)
Esomeprazole
(4)
Estradiol
(3)
Estradiol + Dienogest
(1)
Estradiol + Nomegestrol
(1)
Ethinylestradiol + Desogestrel
(2)
Ethinylestradiol + Drospirenone
(1)
Ethinylestradiol + Etonogestrel
(1)
Ethinylestradiol + Gestodene
(1)
Ethinylestradiol + Levonorgestrel
(2)
Ethinylestradiol + Norelgestromin
(1)
Ethinylestradiol + Norethisterone
(1)
Ethinylestradiol + Norgestimate
(1)
Etodolac
(1)
Etonogestrel
(2)
Etoposide
(1)
Etoricoxib
(2)
Ezetimibe
(1)
Famotidine
(1)
Felodipine
(2)
Fentanyl
(7)
Ferric carboxymaltose
(2)
Ferric derisomaltose
(2)
Fexofenadine
(2)
Fidaxomicin
(1)
Flecainide
(2)
Flucloxacillin
(4)
Fluconazole
(2)
Fludrocortisone
(1)
Flumazenil
(1)
Fluocinolone
(1)
Fluorescein
(1)
Fluoxetine
(5)
Flurazepam
(1)
Fluticasone
(3)
Fluticasone + Formoterol
(1)
Fluticasone + Salmeterol
(1)
Fluvastatin
(2)
Fluvoxamine
(3)
Folic acid
(3)
Foslevodopa + Foscarbidopa
(1)
Fusidic acid
(3)
Gabapentin
(2)
Gadobutrol
(2)
Gadopiclenol
(1)
Gadoteric acid
(2)
Gadoteridol
(2)
Gadoxetic acid
(1)
Gemeprost
(1)
Gentamicin
(2)
Gliclazide
(1)
Glimepiride
(1)
Glipizide
(1)
Glucose
(1)
Glycerol
(1)
Glyceryl trinitrate
(1)
Haloperidol
(3)
Heparin
(2)
Hepatitis A + B vaccine
(1)
Hepatitis A + Typhoid vaccine
(1)
Hepatitis A vaccine
(1)
Hepatitis B vaccine
(1)
Human papillomavirus vaccine
(1)
Hydrocortisone
(6)
Hydrogen peroxide
(2)
Hydromorphone
(4)
Hydroxocobalamin
(1)
Hydroxyzine
(1)
Hyoscine butylbromide
(2)
Hyoscine hydrobromide
(4)
Ibuprofen
(5)
Imipramine
(5)
Imiquimod
(1)
Immunoglobulin human
(1)
Indometacin
(1)
Influenza vaccine
(5)
Insulin aspart
(6)
Insulin aspart biphasic
(4)
Insulin degludec
(5)
Insulin degludec + Liraglutide
(5)
Insulin detemir
(5)
Insulin glargine
(6)
Insulin glargine + Lixisenatide
(4)
Insulin glulisine
(5)
Insulin human
(5)
Insulin isophane biphasic human
(4)
Insulin isophane biphasic porcine
(4)
Insulin isophane bovine
(4)
Insulin isophane human
(5)
Insulin isophane porcine
(4)
Insulin lispro
(5)
Insulin lispro biphasic
(4)
Insulin mixed bovine
(4)
Insulin protamine zinc bovine
(4)
Insulin soluble bovine
(4)
Insulin soluble human
(4)
Insulin soluble porcine
(4)
Insulin zinc crystalline human
(4)
Insulin zinc mixed human
(4)
Iodixanol
(2)
Iohexol
(3)
Iomeprol
(2)
Iopamidol
(2)
Ioversol
(2)
Ipratropium
(1)
Irbesartan
(2)
Irinotecan
(1)
Iron dextran
(2)
Iron isomaltoside 1000
(2)
Iron sucrose
(2)
Isocarboxazid
(3)
Isopropyl alcohol
(1)
Isotretinoin
(1)
Ispaghula husk
(1)
Itraconazole
(1)
Ketamine
(1)
Ketoprofen
(1)
Labetalol
(2)
Lacidipine
(1)
Lactose
(1)
Lactulose
(1)
Lamotrigine
(1)
Landiolol
(1)
Lansoprazole
(4)
Lercanidipine
(1)
Levetiracetam
(2)
Levobunolol
(1)
Levobupivacaine
(1)
Levodopa
(1)
Levodopa + Carbidopa + Entacapone
(1)
Levofloxacin
(1)
Levonorgestrel
(3)
Levothyroxine
(2)
Lidocaine
(9)
Lidocaine + Adrenaline
(3)
Lidocaine + Prilocaine
(1)
Linagliptin
(1)
Linagliptin + Metformin
(1)
Linezolid
(1)
Liquid paraffin
(1)
Liquid paraffin + Lanolin
(1)
Liraglutide
(1)
Lisdexamfetamine
(1)
Lisinopril
(2)
Lithium
(5)
Lithium carbonate
(3)
Lithium chloride
(1)
Lithium citrate
(2)
Lofepramine
(4)
Loprazolam
(1)
Loratadine
(2)
Lorazepam
(3)
Lormetazepam
(1)
Losartan
(2)
Macrogol 3350
(1)
Magnesium aspartate
(1)
Magnesium carbonate
(1)
Magnesium citrate
(1)
Magnesium glycerophosphate
(1)
Magnesium sulfate
(1)
Magnesium trisilicate
(1)
Malathion
(2)
Measles + Mumps + Rubella vaccine
(1)
Mebeverine
(1)
Medroxyprogesterone
(3)
Mefenamic acid
(2)
Meglumine amidotrizoate + Sodium amidotrizoate
(1)
Meglumine gadobenate
(1)
Melatonin
(2)
Meloxicam
(1)
Mepivacaine
(3)
Mepivacaine + Adrenaline
(3)
Mercaptopurine
(1)
Mesalazine
(2)
Metformin
(1)
Methadone
(2)
Methotrexate
(4)
Methyldopa
(1)
Methylphenidate
(2)
Methylprednisolone
(1)
Metoclopramide
(1)
Metoprolol
(2)
Metronidazole
(4)
Mexiletine
(3)
Mianserin
(1)
Midazolam
(5)
Mifepristone
(2)
Minocycline
(1)
Mirabegron
(1)
Mirtazapine
(4)
Misoprostol
(2)
Moclobemide
(3)
Mometasone
(2)
Morphine
(9)
Moxifloxacin
(1)
Mupirocin
(1)
Mycophenolate mofetil
(2)
Mycophenolic acid
(1)
Nadolol
(1)
Naloxone
(1)
Naltrexone
(1)
Naproxen
(4)
Naratriptan
(1)
Nebivolol
(2)
Nefopam
(1)
Neomycin
(1)
Neostigmine
(1)
Nicotine
(2)
Nifedipine
(3)
Nitrazepam
(2)
Nitrofurantoin
(2)
Nizatidine
(1)
Norethisterone
(1)
Nortriptyline
(5)
Ofloxacin
(1)
Olanzapine
(2)
Olmesartan
(1)
Omeprazole
(4)
Ondansetron
(1)
Opicapone
(2)
Oseltamivir
(1)
Oxazepam
(3)
Oxybutynin
(1)
Oxycodone
(6)
Oxygen gas
(2)
Oxymetazoline
(1)
Oxytetracycline
(1)
Oxytocin
(1)
Ozanimod
(1)
Pancreatin
(1)
Pantoprazole
(2)
Paracetamol
(2)
Paracetamol + Caffeine
(1)
Paracetamol + Codeine + Buclizine
(1)
Paracetamol + Dihydrocodeine
(2)
Paracetamol + Diphenhydramine
(1)
Paracetamol + Ibuprofen
(1)
Paracetamol + Phenylephrine
(1)
Paracetamol + Pseudoephedrine
(1)
Paroxetine
(4)
Pentazocine
(1)
Peppermint oil
(1)
Pergolide
(1)
Perindopril
(2)
Perindopril erbumine
(1)
Permethrin
(2)
Pethidine
(1)
Phenelzine
(4)
Phenobarbital
(2)
Phenol
(1)
Phenoxymethylpenicillin
(5)
Phenylephrine
(1)
Phenytoin
(5)
Phenytoin sodium
(1)
Pindolol
(1)
Piperacillin + Tazobactam
(1)
Pirfenidone
(1)
Pivmecillinam
(1)
Pneumococcal vaccine
(1)
Podophyllotoxin
(1)
Pomalidomide
(1)
Posaconazole
(1)
Potassium chloride
(1)
Potassium permanganate
(1)
Pramipexole
(2)
Prasugrel
(1)
Pravastatin
(3)
Prednisolone
(3)
Pregabalin
(2)
Prilocaine
(1)
Prilocaine + Felypressin
(3)
Primidone
(1)
Procaine benzylpenicillin
(1)
Prochlorperazine
(2)
Procyclidine
(1)
Progesterone
(1)
Promethazine hydrochloride
(2)
Promethazine teoclate
(1)
Propafenone
(1)
Propantheline
(1)
Propranolol
(3)
Prucalopride
(1)
Pseudoephedrine
(1)
Pyridostigmine
(1)
Quetiapine
(1)
Quinidine
(1)
Rabeprazole
(2)
Rabies vaccine
(1)
Raltegravir
(1)
Ramipril
(2)
Rasagiline
(3)
Rasburicase
(1)
Reboxetine
(2)
Repaglinide
(1)
Riluzole
(1)
Riociguat
(1)
Risperidone
(1)
Rituximab
(1)
Rivaroxaban
(5)
Rivastigmine
(1)
Ropinirole
(3)
Ropivacaine
(1)
Rosuvastatin
(3)
Rotigotine
(1)
Safinamide
(2)
Salbutamol
(1)
Saxagliptin
(1)
Saxagliptin + Dapagliflozin
(2)
Saxagliptin + Metformin
(1)
Selegiline
(3)
Semaglutide
(1)
Senna
(1)
Sertraline
(5)
Simvastatin
(4)
Sitagliptin
(1)
Sitagliptin + Metformin
(1)
Sodium alginate + Magnesium alginate
(1)
Sodium amidotrizoate
(1)
Sodium bicarbonate
(2)
Sodium chloride
(3)
Sodium citrate
(2)
Sodium cromoglicate
(1)
Sodium fluoride
(1)
Sodium fusidate
(1)
Sodium picosulfate
(1)
Sodium valproate
(4)
Solifenacin
(1)
Sotalol
(2)
Sotrovimab
(1)
Sulfasalazine
(1)
Sumatriptan
(1)
Tacrolimus
(2)
Tamoxifen
(1)
Tamsulosin
(1)
Tapentadol
(2)
Telmisartan
(2)
Temazepam
(2)
Temocillin
(1)
Tenofovir disoproxil + Emtricitabine
(1)
Terbinafine
(1)
Terbutaline
(2)
Tetanus vaccine
(1)
Tetracycline
(1)
Theophylline
(2)
Thiamine
(2)
Thiotepa
(1)
Ticagrelor
(2)
Timolol
(1)
Tinzaparin
(1)
Tiotropium
(1)
Tirzepatide
(1)
Tizanidine
(1)
Tobramycin
(2)
Tocilizumab
(1)
Tolbutamide
(1)
Tolcapone
(2)
Tolterodine
(1)
Topotecan
(1)
Tramadol
(7)
Tramadol + Paracetamol
(1)
Tranexamic acid
(1)
Tranylcypromine
(3)
Trastuzumab
(1)
Trazodone
(2)
Triamcinolone acetonide
(1)
Trifluoperazine
(1)
Trimethoprim
(2)
Trimipramine
(3)
Tuberculin purified protein derivative
(1)
Typhoid vaccine
(1)
Ulipristal
(2)
Valaciclovir
(2)
Valproic acid
(2)
Valsartan
(2)
Vancomycin
(2)
Varenicline
(1)
Varicella vaccine
(1)
Venlafaxine
(5)
Verapamil
(2)
Vernakalant
(1)
Vildagliptin
(1)
Vildagliptin + Metformin
(1)
Vinblastine
(1)
Vincristine
(1)
Vindesine
(1)
Vinorelbine
(1)
Vortioxetine
(3)
Warfarin
(7)
Water
(1)
White soft paraffin
(1)
Yellow fever vaccine
(1)
Yellow soft paraffin
(1)
Zanamivir
(1)
Ziconotide
(1)
Zinc oxide
(1)
Zolpidem
(1)
Zopiclone
(1)
Medicines Tools
(2)
Medicines supply
(1)
Monitoring
(1)
Medicines planning
(16)
Biosimilars
(4)
New Medicines
(12)
CCG commissioned new medicines
(7)
NHS England commissioned new medicines
(12)
Publications
(102)
Bulletins
(2)
Explainer videos
(3)
Posters
(1)
Research and audits
(4)
Templates
(92)
Specialty
(231)
Allergy and immunology
(5)
Anaesthesia and pain
(18)
Cancers
(13)
Cardiovascular system disorders
(19)
Diabetes
(5)
Endocrine system disorders
(4)
Eyes and vision
(2)
Gastrointestinal disorders
(11)
Greener NHS
(7)
Haematological disorders
(3)
Infection and infectious diseases
(49)
Mental health and illness
(31)
Depression and anxiety
(20)
Neurological disorders
(11)
Nutritional and metabolic disorders
(4)
Obstetrics and gynaecology
(3)
Public Health
(1)
Radiology
(14)
Renal and urologic disorders
(4)
Reproductive health
(17)
Respiratory disorders
(14)
Sexual health
(14)
Skin disorders
(18)
Smoking cessation
(2)
Surgery
(1)
Travel Medicine
(1)
Vaccinating
(5)
Wounds and injuries
(1)
Training and Development
(63)
Progestogen-Only Intra-Uterine Device (LNG-IUD) for contraception
31 July 2026
·
SPS PGD template for the insertion of the Progestogen-Only Intra-Uterine Device (LNG-IUD) for contraception.
Treating urinary disorders during breastfeeding
2 July 2026
·
Oxybutynin is preferred for urinary disorders during breastfeeding. Recommendations apply to full term and healthy infants only.
Primary care discussions: a series of webinars for primary care
1 July 2026
·
A collection of past webinar recordings and associated resources, exploring clinical and general topics for primary care pharmacy teams.
How to develop a Patient Group Direction
1 July 2026
·
A guide to help organisations and individuals navigate all stages of the PGD development process.
Implementing the SPS Patient Group Direction, Written Instruction and protocol templates
1 July 2026
·
SPS national templates can be implemented by organisations to improve consistency and reduce duplication of effort.
Medicines Shortages and Patient Group Directions
1 July 2026
·
This article outlines how PGDs can be managed to allow for their continued use in cases of medicines shortages.
Monitoring and reviewing a PGD in practice
1 July 2026
·
Monitoring and evaluating practice under a PGD and timely review of a PGD are important steps in the PGD management process.
When PGDs can be used
1 July 2026
·
Understanding when PGDs are a suitable mechanism for the supply and/or administration of medicines ensures an appropriate legal framework for service provision.
Planning for a PGD
1 July 2026
·
Once it has been decided that a PGD is the most appropriate option there are things to consider before it is written.
Heart failure: a primary care discussion
1 July 2026
·
A practical discussion between two pharmacists about identifying heart failure and optimising treatment in primary care.
1
2
3
…
70
Next