Specialty

SSRI suggestions for adults with swallowing difficulties

20 June 2024A range of selective serotonin reuptake inhibitor (SSRI) formulations are suitable for adults with swallowing difficulties.

PPI suggestions for adults with swallowing difficulties

14 June 2024A range of proton pump inhibitor (PPI) formulations are suitable for adults with swallowing difficulties.

Antiplatelet suggestions for adults with swallowing difficulties

13 June 2024A range of antiplatelet formulations are suitable for use in adults with swallowing difficulties.

Anticoagulant suggestions for adults with swallowing difficulties

13 June 2024A range of oral anticoagulant formulations are suitable for adults with swallowing difficulties.

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.

Treating lice during breastfeeding

31 May 2024Wet combing, dimeticone, malathion or permethrin can be used during breastfeeding; choice will depend on the indication. Other treatments can be considered.

Switching strategies for antidepressants

22 May 2024The choice of antidepressant switching strategy depends on the person and antidepressant. We describe the current strategies and their application.

Calculating and using the Child-Pugh score

17 May 2024The Child-Pugh score is used to estimate the severity of liver disease in patients with cirrhosis, and by drug manufacturers to suggest dose adjustments.

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.

Information resources for managing medicines in liver impairment

1 May 2024SPS and other information resources to help healthcare professionals provide advice on medicines in liver impairment.

SPS - Specialist Pharmacy Service

NHS