Greater Glasgow and Clyde Medicines

To access the full blog via Microsoft Sway, click here

To access the full blog via Microsoft Sway, click here

Key messages

• Do not routinely stop cognitive enhancers as may cause a decline in symptom control.
• Pain can present as a change in behaviour or distress in patients with dementia.
• NSAIDs should ideally be avoided in older people due to increased risk of adverse effects.
• Anti-emetics can have a high anticholinergic burden - review indication and consider stopping if appropriate.

To access the full blog via Microsoft Sway, click here

To access the full blog via Microsoft Sway, click here

To access the full blog via Microsoft Sway, click here

Generic prescribing is usually recommended for a number of reasons including cost-effectiveness, reduction in prescribing and dispensing errors and reducing risk of supply problems. However, in certain circumstances it is important to prescribe medication by brand name.

Key Messages

• Scottish Government consensus statement removes the need for GLP1 medications (Glucagon-like peptide-1 receptor agonists (GLP1-RAs) and GLP1-RAs/Glucagon-dependent insulinotropic polypeptide receptor agonists (GIP-RAs)) for weight management to be supplied through a specialist weight management service providing that appropriate lifestyle and dietary advice can be given to the patient.
• Consensus statement also allows for Health Boards to identify priority groups for treatment, commencing with those with a higher BMI plus co-morbidities.
• There is a requirement to identify a prescribing pathway to complement the lifestyle and dietary advice provided by GGC Weight Management Service.
• NHSGGC Area Drug and Therapeutics Committee (ADTC) have supported the consensus statement though both semaglutide (Wegovy®) (GLP1-RA) and tirzepatide (Mounjaro®) (GLP1/GIP-RA) remain non-formulary pending an agreed prescribing pathway.
• Prescribers are requested not to prescribe these drugs for weight management until an agreed pathway has been developed and implemented and they have been added to the NHSGGC Adult Medicines Formulary.

Key messages

• Quick access to chemoprophylaxis for close contacts is critical.
• Parents/carers and siblings at the bedside of a patient need rapid and easy access to chemoprophylaxis managed within the hospital.
• Pre-labelled patient packs, available via acute site emergency stock locations, should be used for bedside carers and siblings.
• If pre-labelled patient packs are not available, a Hospital “Day Care Prescription form” can be used to prescribe and dispense chemoprophylaxis.
• NHSGGC clinical guideline provides information for prescribing and supply during in and out of hours period.

The NHSGGC MI enquiry service provides evidence based information and advice to support safe and effective prescribing. The advice is provided in response to specific enquiries and is tailored to individual patients, while taking account of the NHSGGC Formulary and prescribing guidelines.

In addition to the enquiry service, MI also leads on a number of other services and resources including the Adult Therapeutics Handbook, the NHSGGC Formulary, and the Medicines Update blogs.