Prescribing Guidance
All material on this website is aimed at healthcare professionals working in BaNES, Swindon and Wiltshire.
Members of the public seeking advice on medicine-related matters are encouraged to speak with their GP, pharmacist or nurse, or out of hours contact the NHS 111 service by telephoning 111.
Prescribing Guidance (by BNF Chapter)
All prescribing guidance is applicable to BaNES/Swindon & Wiltshire.
1 - Gastro-intestinal
Ranitidine Supply Disruption Guidance
Management of Constipation in Adults Guidelines
Guidance for the use of Proton Pump Inhibitors (PPIs) in Adults
Proton Pump Inhibitors in Paediatrics (SFT)
BSW Management of IBS with constipation in Adults
NICE guidelines: Gastro-oesophageal reflux disease in children and young people: diagnosis and management
Specialist Pharmacy Service info: Gastro-oesophageal reflux disease in children and young people: diagnosis and management
Bariatric surgery and medicines (PrescQipp Bulletin)
2 - Cardiovascular
BSW STP Antiplatelets Summary (GWH & RUH pts only)
BSW Sacubitril Valsartan for Heart Failure
Wiltshire Diltiazem Dosing Regimes
NICE Hypertension Guidance
Guidelines for the use of Dapagliflozin (an SGLT2) in Heart Failure April 2021 (NICE TA679)
INR Self Testing Guidance
Wiltshire Omega-3 - advisory summary
Wiltshire Compression and Lymphoedema Garments
NICE Hypertension Guidance - Patient Decision Aid
Inclisiran Guidance for Primary Care
Direct Oral Anticoagulants (DOACs - formerly NOACs)
BSW Guidance on converting between anticoagulants
BSW PrescQIPP Prescriber decision support - Warfarin
BSW PrescQIPP Considerations for anticoagulationin Venous Thrombo-embolism (VTE)
BSW PrescQIPP Anticoagulation Bulletin
BSW PrescQIPP Comparison of novel oral anticoagulants (NOACs)
BSW PrescQIPP Atrial fibrillation: Patient information and decision aid
BSW PrescQIPP Patient information - Non-vitamin K antagonist oral anticoagulants (NOACs)
BSW PrescQIPP Drug interactions with NOACs
BSW PrescQIPP Anticoagulation Briefing
BSW Direct Oral Anticoagulants (DOACs) for DVT and PE in adults: Local pathways
Statins
BSW Management of Lipids in Primary Care
3 - Respiratory
BSW Guidance on Prescribing for Hay Fever and Allergic Rhinitis
SPS info: Summary of NICE guidance for Asthma
COPD Guidance
BSW COVID 19 meds optimisation issues
NICE Bites - COPD
BSW Diagnosed Adult Asthma: Guidance on adjusting treatment
BSW COPD Inhaler Guide
Roflumilast Guidance
Services/Information
Air Liquide Portal - for healthcare professionals
COPD Training Events - September 2015
To obtain copies of any of the above presentations from these events please e-mail prescribingwiltshire@nhs.net
4 - CNS
Pain management documents
NICE: Scarlet fever: guidance and data
Wiltshire Tramacet Prescribing Summary
Pain Management supporting information: "Opioids Aware"
BSW Pain Management Guidance (full version)
BSW CCG Lidocaine 5% Medicated Plasters (Ralvo®) Guidance for non-cancer pain in adults
NHS England Advice: Pregabalin and Gabapentin
PrescQIPP: Targinact (Oxycodone/Naloxone) Statement
Depression
Wiltshire Guidance on swapping and stopping antidepressants (quick guide)
Migraine
BSW Chronic Migraine Pathway for Adults
Substance misuse
Wiltshire Nalmefene Information for GPs
Perinatal mental health
AWP Prescribing Guidance for Mental Health Prescribers and GP's in Perinatal Mental Health
Other CNS condition documents
BSW Domperidone Guidance
Wiltshire Low Dose Naltrexone
AWP Valproate Guidance
Wiltshire RCGP - Cannabis based medicines: Desktop guide
BSW EOL COVID prescription support
BSW Guidelines for the use of Melatonin in Children
MHRA info: Antiepileptic drugs: new advice on switching between different manufacturers' products for a particular drug
UKMI Equivalent doses of oral Benzodiazepines
NHS England Cannabis prescribing - FAQs
Stop smoking community quick guide BSW 2020 FINAL
Swindon & GWH Palliative care prescription support
Neuropathic pain leaflets for patients (dose titration)
Wiltshire Pregabalin - patient leaflet
Wiltshire Gabapentin 0 - 900mg in 100mg's
Wiltshire Gabapentin 1800 - 3600mg high dose in 300's
Wiltshire Amitriptyline
Wiltshire Gabapentin 900mg - 1800 in 100's
Further patient information/leaflets
Wiltshire Patient Leaflet - Cancer Survivorship
Wiltshire Patient Leaflet - Chronic Pain
5 - Infections
Local antibiotic guidance and leaflets
As our Antibiotic Guidance is regularly being reviewed we recommend that you DO NOT print copies, and always refer to our website for the most up date information
BSW Management of Infection Guidance for Primary Care
BSW CCG Management of Infection Guidance for Children in Primary Care (quick ref. guide)
BSW CCG Management of Infection Guidance for ADULTS in Primary Care (quick ref. guide)
TARGET Antibiotic Toolkit - Antimicrobial Stewardship Resource for primary care including patient information
Managing Common Infections
NICE Antimicrobial Prescribing Guidelines
Local Microguides
Royal United Hospitals Bath Microguide
Salisbury Foundation Trust Microguide
Great Western Hospitals Microguide
Other reference information
PrescQIPP: AMS Visual Analytics - Antimicrobial Stewardship activity during COVID-19
BSW Malaria Prophylaxis
Clinical Assessment form over 65s with suspected UTI - PENDING REVIEW
BSW Acne Prescribing Guidelines – Clinical Management in Primary Care
Travel Health Pro: Malaria Prophylaxis (by country)
6 - Endocrine
NICE Bites - Type 2 Diabetes
BSW Self-Monitoring of Blood Glucose in Diabetes Guideline
BSW Guidance - Sharps Disposal and Prescribing Sharps Bins on FP10
Managing adrenal insufficiency in patients with suspected or confirmed COVID-19
Postural hypotension prescribing guidelines for primary care
Management of Hyperglycaemia in Type 2 Diabetes (GWH)
Managing adrenal insufficiency in patients with suspected or confirmed COVID-19
BSW HRT Formulary Treatment Options
BSW Quick Reference Guide - Ensuring appropriate quantities of GLP-1 mimetics are prescribed
Managing male patients with prostate cancer on LHRH analogues during COVID-19 pandemic
BSW Prescribing Guidance for Oral Semaglutide (Rybelsus)
BSW LHRH Use in Men with Prostate Cancer
Adrenal Insufficiency guidance for patients during the COVID-19 pandemic
COVID-19: Advice for new and existing patients with osteoporosis being treated with zoledronic acid or denosumab
7 - Obs, Gyn and UT
Wiltshire Gamolenic Acid - advisory summary
Guidelines for the Pharmacological Management of Overactive Bladder Disease in Adults in Primary Care October 2020
BSW Evra Contraceptive Patch Prescribing Guidance
Wiltshire Dapoxetine Statement (Premature Ejaculation)
Wiltshire Erectile Dysfunction (ED)
8 - Malignant disease and Immunosuppression
Currently no guidance
9 - Nutrition and Blood
BSW Pathway for use of Ferric Maltol (Feraccru®)
BSW Oral Nutrition Formulary Nov 2020
Wiltshire Omega-3 - advisory summary
Wiltshire Gluten Free Prescribing Guidelines
Community Malnutrition Screening Tool
COVID-19: B12 replacement
COVID-19: B12 replacement
Wiltshire Cod Liver Oil Supplements
Treatment of Vitamin D Deficiency in Adults
Investigation, treatment and review of Vitamin B12 (cobalamin) deficiency
Care Home Malnutrition Screening Tool
10 - Musculoskeletal
Wiltshire Glucosamine & Chondroitin
NICE NSAID guidance updated Feb 2018
Investigation, treatment and review of Vitamin B12 (cobalamin) deficiency
Wiltshire Rubefacients - advisory summary
NICE BITES Rheumatology guidance
11 - Eye
BaNES and Wiltshire Pharmacological Management of Glaucoma in Primary Care
UKOPG Clinical Guidance
Ophthalmic special order products. (Included here for general info. Please note: BSW has not reviewed the products in the specials list and therefore, the traffic light status in the document should be ignored. If you are asked to prescribe any specials in this document, please email bswccg.formulary@nhs.net)
BSW Prescribing Guidelines for Dry Eye
12 - Ear, Nose and Oropharynx
Wiltshire Allergic rhinitis in Adults guidance
13 - Skin
Wiltshire Emollient Prescribing Guidelines for Adults in Primary Care
Wiltshire Silk Garments Prescribing Policy
Wiltshire Scar Oils and Gels
Wiltshire Molluscum Contagiosum - advisory summary
Wiltshire Fungal Nail Infections - advisory summary
Wiltshire Sunscreen Statement
BSW Acne Prescribing Guidelines - Clinical Management in Primary Care
Wiltshire Advisory Summary on Eflornithine (Vaniqa)
BSW Actinic (solar) keratosis: Guidelines for management
14 - Immunological Products and Vaccines
For queries regarding immunisations and vaccines, please contact the NHS England Area Team via email: england.bgswareateampublichealth@nhs.net or call 0113 8251500.
For information, the following pages may be helpful:-
PHE Immunisation Schedule
For PGDs please go to:
15 - Anaesthesia
Currently no guidance
16 - Paediatrics
BCAP Drooling in Children
BSW Guidelines for the use of Melatonin in Children
21 - Palliative Care
Swindon & GWH Palliative care prescription support
EOL COVID prescription support
Use of Alfentanil via the subcutaneous route for symptom control in palliative and end of life care patients in the community (adults)
22 - COVID-19
July 2021 - please note that these BSW documents are under review to ensure content is up to date and correct.
Please also see COVID-19 Medicines Optimisation - Specialist Pharmacy Service for further resources and tools to support Medicines Optimisation activities during the COVID-19 pandemic.
COVID-19: B12 replacement
BSW COVID 19 meds optimisation issues
BSW EOL COVID prescription support
BSW COVID 19 Guidance for the safe switching of warfarin to direct oral anticoagulants (DOACs)
BSW COVID 19 Use of SGLT2s in Diabetes
BSW COVID 19 Acute use of non-steroidal anti-inflammatory drugs (NSAIDs)
AWP Advice & support during COVID 19
NHSE COVID-19 SOP for Running a medicines re-use scheme in a care home or hospice setting
Adrenal Insufficiency guidance for patients during the COVID-19 pandemic
Managing adrenal insufficiency in patients with suspected or confirmed COVID-19
Valproate Pregnancy Prevention Programme: temporary advice for management during coronavirus (COVID-19)
BSW Beclometasone PMDIs Shortages Information
COVID-19: Advice for new and existing patients with osteoporosis being treated with zoledronic acid or denosumab
Managing male patients with prostate cancer on LHRH analogues during COVID-19 pandemic
Appendices
Wound Management
Wound Dressings Formulary and Guidance 2019/20
Wiltshire VAP1 - specialist dressings for Haemodialysis patients
Continence and Stoma
BSW Guidelines for Prescribing of Stoma Appliances
Wiltshire Integrated Continence Products Formulary
Prescribing and Supply of Appliances
BaNES Integrated Continence and Urology Products Formulary
Cow's Milk Protein Allergy (CMPA)
BSW Cow's Milk Protein Allergy (CMPA) Diagnosis and Management
Unlicensed Medicines - Specials