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Using vitamin D during breastfeeding

8 December 2023Vitamin D can be used during breastfeeding; higher doses require infant monitoring. Recommendations apply to full term, healthy infants only.

Managing interactions between macrolides and statins

24 November 2023The use of statins can be continued with azithromycin. However, the interaction risks need to be managed if clarithromycin or erythromycin are required.

Implementing pharmacogenomic testing for aminoglycosides

24 November 2023Patients with mitochondrial variants have an increased risk of deafness with gentamicin, amikacin, tobramycin and neomycin. Guidance on testing is provided.

Using paracetamol during breastfeeding

21 November 2023Paracetamol is one of the analgesics of choice for treating mild to moderate pain during breastfeeding. Recommendations apply to full term and healthy infants.

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.

Considerations when prescribing guanfacine

16 November 2023Prescribing guidance for guanfacine to support healthcare professionals during the medicine supply disruption.

Considerations when prescribing modified-release methylphenidate

16 November 2023Guidance on the pharmacokinetic differences between modified-release methylphenidate products and clinical implications.

Using certain antidepressants during breastfeeding

15 November 2023Duloxetine, mirtazapine, trazodone or venlafaxine can be used with caution but other options are preferred. Recommendations apply to full term, healthy infants.

Managing the risks of using liquid oral phenobarbital

2 November 2023Minimising the risk of confusion between phenobarbital liquid formulations and awareness of alcohol content may prevent harms.

Managing specific interactions with smoking

31 October 2023When individuals taking certain medicines stop, start or re-start smoking, monitoring and dose changes may be needed.

SPS - Specialist Pharmacy Service

NHS