Greater Glasgow and Clyde Medicines

Therapeutics Handbook Update December 2020

The Adult Therapeutics Handbook content has now been updated.

This update includes updates to the following guidelines:

Management of COVID-19 (coronavirus) infection
There are quite a few changes to this guideline but the main changes are:

  • Emphasis on bacterial infection being an uncommon dual infection (3-4% of patients).
  • Additional information regarding use of dexamethasone in light of data from the RECOVERY trial
  • More detailed information around dexamethasone blood monitoring in both diabetic and non-diabetic patients as per the GGC guideline.
  • Additional information on the use and monitoring of remdesivir, with the emphasis that it is not an emergency and initiation should be made during working hours. 
  • Emphasis that in complex cases, multidisciplinary discussion should be sought and infectious diseases or respiratory on-call consultant can be contacted during office hours. 

Please familiarise yourself with the above guidelines as appropriate and if you have not already done so, update your App on receipt of the notification. If you are not able to update your App then please refer to the GGC Medicines desktop site here as the website content is always live with the most up to date information. For more information or assistance with any aspect of the GGC Medicines App or Therapeutics Handbook please contact


Published: 08/12/2020 Medicines Update blogs are correct at the time of publication.