Greater Glasgow and Clyde Medicines

Key Messages

• Non-pharmacological approaches should be used first-line to manage stress and distress in dementia.
• Psychotropic medications carry the risk of side effects which may cause serious avoidable harms (e.g. falls, sedation, etc) and should be used as a last resort in the management of stress and distress - other causes should be ruled out including infection, constipation, and pain.
• If required, the lowest effective dose of psychotropic medication should be prescribed for the shortest possible period with regular review.
• For patients under Community Mental Health Teams (CMHT) psychotropic medication changes should be made in collaboration with their CMHT.

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To access the full blog via Microsoft Sway, click here

This post summarises the latest NHS Greater Glasgow and Clyde decisions relating to new medicines assessed by SMC and considered by the Area Drug and Therapeutics Committee (ADTC) and uses a nationally developed format specifically aimed for patients and the public.

For full details of the medicines included in this post that are available for use, including any restrictions on prescribing, please see the relevant entry in the GGC Formulary

• The Antibiotic therapy following 4 days IV Gentamicin  guideline has been updated following a review by the GGC Antimicrobial Utilisation Committee (AUC)

To access the full blog via Microsoft Sway, click here

To access the full blog via Microsoft Sway, click here

The guideline on the management of acute hyperkalaemia in the Adult Therapeutics Handbook and GGC Medicines App has been updated to reflect the UK Kidney Association Treatment of Acute Hyperkalaemia in Adults (October 2023) guideline. The Handbook guideline is an interim update whilst a review is undertaken on the choice of calcium IV preparation in GGC, prompted by the NPSA Alert.

• Acute hospital sites in NHSGGC do not stock clozapine.
• Clozapine is generally supplied from Leverndale Pharmacy.
• Leverndale Pharmacy should be contacted (including out of hours) when patients on clozapine are admitted to an acute hospital to inform of admission, confirm dose and arrange supply (if required). Leverndale Pharmacy should also be contacted when patients are discharged.
• If a patient misses clozapine for more than 48 hours, it must be re-titrated to their original dose on advice of the mental health (MH) team.