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Using NSAIDS during breastfeeding

2 February 2024Ibuprofen or diclofenac are the non-steroidal anti-inflammatory drugs (NSAID) of choice. Recommendations apply to full term and healthy infants.

Using ACE inhibitors during breastfeeding

28 March 2023Enalapril is the angiotensin converting enzyme (ACE) inhibitor of choice during breastfeeding. Recommendations apply to full term and healthy infants only.

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.

Understanding risks with intrathecal administration

13 June 2025The intrathecal route is a high-risk route of administration. Incorrect administration of medicines unsafe for this route can result in patient death.

Ulipristal acetate 30mg tablets for emergency contraception

4 October 2021SPS PGD template for the supply and/or administration of ulipristal acetate 30mg tablet for emergency contraception.

UK Health Security Agency (UKHSA) PGD Templates

14 September 2020Patient Group Direction templates by UKHSA are developed for a range of clinical scenarios. A summary of the processes to use and further links are provided.

Trimethoprim for Urinary Tract Infection (UTI)

25 April 2023SPS PGD template for the supply of trimethoprim tablets for the treatment of Urinary Tract Infection (UTI).

Tricyclics to other antidepressants: switching in adults

17 February 2023Suggested methods for switching safely between tricyclics or to other antidepressants. Switches requiring additional specialist support are highlighted.

Treating urinary disorders during breastfeeding

21 March 2023Oxybutynin is preferred for urinary disorders during breastfeeding. Recommendations apply to full term and healthy infants only.

Treating rectal and anal disorders during breastfeeding

19 March 2024Rectal and anal topical preparations for haemorrhoids and anal fissures are compatible with breastfeeding. Recommendations apply to full term, healthy infants.