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Using tricyclic antidepressants during breastfeeding

31 January 2023Imipramine and nortriptyline are the tricyclic antidepressants of choice. Recommendations apply to full term and healthy infants only.

Switching between gabapentin and pregabalin for neuropathic pain

20 January 2023An overview of possible dose equivalences, switching methods and considerations to make before switching between gabapentinoids in adults with neuropathic pain.

Lidocaine 10mg/ml spray for IUC: template protocol

19 January 2023Template protocol for the administration of lidocaine 10mg/ml spray to facilitate intrauterine contraception (IUC) insertion or removal

Topical lidocaine 2.5% plus prilocaine 2.5% cream for IUC: template protocol

19 January 2023Template protocol to administer topical anaesthetic cream (e.g. EMLA Cream 5%, Nulbia 5% cream) for intrauterine contraception (IUC) insertion or removal

Supply of trimethoprim tablets for the treatment of Urinary Tract Infection (UTI): PGD template

19 January 2023Antimicrobial PGD templates support the use of medicines in line with national guidance, reducing variation and duplication to improve consistency of care.

Supply of nitrofurantoin capsules/tablets for the treatment of Urinary Tract Infection (UTI): PGD template

19 January 2023Antimicrobial PGD templates support the use of medicines in line with national guidance, reducing variation and duplication to improve consistency of care.

Administration of subcutaneous terbutaline sulfate for the reduction of contraction frequency in individuals in labour: PGD template

19 January 2023A PGD template, developed by SPS and NHSE and reviewed by the RCOG, for the administration of subcutaneous terbutaline sulfate to individuals in labour

Intrapartum administration of benzylpenicillin for prevention of early-onset Group B Streptococcus (GBS) infection in neonates: PGD template

19 January 2023A PGD template, developed by SPS and NHSE and reviewed by the RCOG and the UKHSA AMR team, for the intrapartum administration of benzylpenicillin in neonates

Using codeine, dihydrocodeine or tramadol during breastfeeding

17 January 2023Tramadol and dihydrocodeine can be used while breastfeeding for pain control. Codeine should not be used . Advice applies to full term, healthy infants.

Using Selective Serotonin Reuptake Inhibitor (SSRI) antidepressants during breastfeeding

13 January 2023Paroxetine and sertraline are the SSRIs of choice. Recommendations apply to full term and healthy infants only.

SPS - Specialist Pharmacy Service

NHS