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Prescribing

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Prescribing available HRT products

22 August 2025Hormone Replacement Therapy availability varies currently. Check for available products and keep up-to-date. Supply content is maintained regularly by DHSC.

Managing dosage adjustments for prescribed medicines

23 January 2025Advice on managing medicines that may require dosage adjustments after they have been prescribed.

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

14 August 2024We advise on how to establish the carbohydrate content of a medicine and assess its suitability for a person on a medical ketogenic diet.

Using and prescribing thiamine in alcohol dependence

6 June 2024Intramuscular and intravenous thiamine can be used to prevent complications of alcohol dependence such as Wernicke’s encephalopathy.

Prescribing and using thiamine to prevent refeeding syndrome

2 May 2024Intravenous thiamine for prevention of refeeding syndrome should be reserved for those with intestinal failure where the oral or enteral route is unavailable.

Choosing a medicine to delay periods

1 May 2024Norethisterone is the licensed choice for delaying menstruation, but it is not always the most appropriate choice.

Using St Mark’s electrolyte solution

31 January 2024St Mark’s solution is an oral rehydration solution, which maintains fluid balance in conditions like short bowel syndrome. We guide on preparation and use.

Use of nefopam for chronic pain

5 January 2024Nefopam is licensed for chronic pain relief. However, evidence to support use is limited and is not included in national guidelines.

Supporting system response to the ADHD medicine shortage

16 November 2023Practical advice for the system in response to the NatPSA for Attention Deficit Hyperactivity Disorder (ADHD) medicines.