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LMSG DOAC Guide Update

The LLR DOAC guideline has been updated to include more advice regarding calculating creatinine clearance and initiation of edoxaban in patietns with a clearance over 95ml/min

Primary Care Warfarin Guidelines

The LLR warfarin guidelines have been updated to reflect changes to NICE CKS and includes changes to the assessment of thrombotic risk and an update to the interactions advice.

Covid Pandemic: Traffic Light Classifications of Drugs

The traffic light classification of drugs in Leicester, Leicestershire and Rutland helps to manage patient safety as well as the capacity of Primary and Secondary Care. Therefore it is important that the traffic light classifications found on are still followed in particular red drugs need to be prescribed and supplied by secondary care and full shared care drugs transfer requests still require the appropriate shared care agreement documentation. See memo

Ingenol Mebutate Gel

Pleae be aware of the MHRA Alert: - Suspension of the licence due to risk of skin malignancy. Stop prescribing Picato and consider other treamtent for actinic keratosis in line with PCDS AK Guidelines

MHRA Supply disruption alert: Convulex (valproic acid) 150mg, 300mg & 500mg capsules. 

Presentations likely to be out of stock until April 2020. Please see alert for prescriber advice

MHRA Advice: Prescribing medicines in renal impairment: using the appropriate estimate of renal function to avoid the risk of adverse drug reactions

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  • Restricted choices are those restricted to prescribers e.g. specialist initiation, to condition or specific patient groups.
  • Links to UHL Guidance may not be functional at present if you are accessing outside of the Trust, however we are working on ways to resolve this. 
  • A subscription is required to access the Injectable Medicines Guide, which can be accessed via the Medusa shortcut button on the front page of INsite and only available within the Trust.
  • This Formulary also applies to Alliance Care
  • Items specific to the prison service are noted as such 
  • The Formulary supports all positive NICE Technology appraisals where these drugs are prescribed in the Leicestershire community.  Where there are numerous therapeutics options all recommended by NICE for the same condition, the formulary may express preference for one or more agents.  This applies only after the patient and prescriber have discussed all treatment options and only if they have no preference about which medicine they want to use.
  • For information on antimicrobials see the Antimicrobial Website

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   Last updated: 22/07/2021 11:29:35..
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