Neurological disorders
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Using gabapentin or pregabalin during breastfeeding
11 February 2026Gabapentin or pregabalin can be used while breastfeeding with infant monitoring; gabapentin is preferred. Recommendations apply to full term, healthy infants.
Assessing suitability of medicines in a ketogenic diet
18 November 2025We advise on how to establish the carbohydrate content of a medicine and assess its suitability for a person on a medical ketogenic diet.
Switching brand and generic anti-seizure medicines for epilepsy
11 September 2025Switching between different manufacturers' anti-seizure medicines requires individual assessments and careful consideration about whether it will be suitable.
Parkinson’s disease medicines in swallowing difficulties
4 September 2025Guidance to help you ensure your patients with Parkinson’s Disease are able to get the most from their medicines if they develop swallowing difficulties
Parkinson's disease in primary care
20 June 2023An on the couch conversation between consultant and primary care pharmacists about improving confidence to optimise medicines for people with Parkinson’s
Clonidine: informing intrathecal risk assessment
13 May 2025Clonidine products vary in their licensed status and other characteristics which affects their suitability for intrathecal administration
Baclofen: informing intrathecal risk assessment
7 May 2025Baclofen products vary in their licensed status and other characteristics which affects their suitability for intrathecal administration
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.
Good governance when implementing natalizumab biosimilar
11 December 2024Governance should consider processes for approval, procurement and supply, prescribing and administration, monitoring and pharmacovigilance.
Benzylpenicillin injection for suspected meningitis
25 April 2024SPS PGD template for administering benzylpenicillin prior to transfer to secondary care in suspected bacterial meningitis or meningococcal septicaemia.