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Prescribing guidance

Polypharmacy in older people: A guide for healthcare professionals

This resource has been created to help support medicines optimisation in older patients who may be subject to inappropriate polypharmacy

Primary care antimicrobial guidelines

These guidelines aim to provide a simple effective, economical and empirical approach to the treatment of common infections; to minimise the emergence of bacterial resistance in the community.

Resources for pharmacological management of pain

These resources aim to support the prescribing of medicines used in NHS Wales for the management of pain. The resources include an analgesic stewardship guidance document, and documents advising on the pharmacological management of pain. These resources update and replace the items previously listed on our website as ‘Persistent Pain Resources’.

All Wales guidance for prescribing intervals

This document presents an overview of the current situation regarding prescribing intervals, and sets out a series of recommendations on increasing prescribing intervals where appropriate.

Items identified as low value for prescribing in NHS Wales

The aim of these documents is to minimise the prescribing of medicines that offer a limited clinical benefit to patients and where more cost effective treatments may be available.

Tramadol educational resources - 2021 review

These educational resources aim to support the prescribing of tramadol in NHS Wales within the complex context of pain management.

Management of recurrent symptomatic urinary tract infection in adult women

This guideline is aimed at all community and non-specialist medical, nursing and pharmacy staff involved in the prescribing and management of recurrent urinary tract infections (UTIs). This guideline is intended for non-pregnant, non-catheterised women aged 16 years and over.

Care home medicines optimisation toolkit

The aim of the Care Home Medicines Optimisation Toolkit is to bring together a suite of guidance documents, tools and useful resources for care home staff and pharmacy teams who provide advice and support to care homes.

Management of Clostridioides difficile infection in Wales

This guidance provides an evidence-based, accessible, antimicrobial prescribing strategy for managing Clostridioides difficile infection (CDI) in adults.

All Wales advice on oral anticoagulation for non-valvular atrial fibrillation

This guidance focuses on treatment of patients with non-valvular atrial fibrillation (NVAF) and incorporates a risk/benefit assessment tool, and a one-page summary for Welsh healthcare practitioners choosing a direct oral anticoagulant in this patient population.

All Wales COPD management and prescribing guideline

This guideline aims to reduce variation in inhaler prescribing in the management of chronic obstructive pulmonary disease (COPD) and encourage consideration of the decarbonisation agenda of NHS Wales.

All Wales adult asthma management and prescribing guideline

This guideline aims to reduce variation in inhaler prescribing in the management of adult asthma and encourage consideration of the decarbonisation agenda of NHS Wales.

Prescribing dilemmas: A guide for prescribers

This document provides guidance for healthcare professionals regarding prescribing duration, foodstuffs, complementary medicines and alternative therapies, common ailments, fertility treatment, erectile dysfunction, prescribing for self and family, visitors from overseas, travel and occupational health vaccines, prescribing situations not covered by the NHS including private care and private prescriptions, unlicensed medicines and prescribing outside national guidance.

All Wales advice on sodium-glucose cotransporter-2 (SGLT-2) inhibitors in type 2 diabetes and cardiovascular disease

This guidance has been developed to help support healthcare professionals in the prescribing of SGLT-2 inhibitors in patients with type 2 diabetes mellitus and cardiovascular disease.

Material to support appropriate prescribing of hypnotics and anxiolytics across Wales

This educational pack aims to support the appropriate prescribing of hypnotics and anxiolytics across Wales by providing key health professionals with a practical approach for the initiation and review of hypnotic and anxiolytic prescribing.

Welsh National Standards for Medication Review

The Welsh National Standards for Medication Review have been developed to provide a structured approach to medication review and are benchmarks for quality, with the aim of optimising patient safety and prescribing practice.

Initial clinical management of adult smokers in secondary care

This document aims to inform and guide healthcare staff in NHS Wales about how to start nicotine replacement therapy (NRT) to manage nicotine withdrawal in adults who smoke and are admitted to hospital (secondary care).

Shared care prescribing and monitoring guidance

This document updates the principles of best practice for shared care prescribing agreements.

Best practice reminder: Avoid nitrofurantoin in the treatment of pyelonephritis

This short ‘Best Practice Reminder’ document has been developed to inform primary care prescribers about avoiding the prescribing of nitrofurantoin in patients with suspected pyelonephritis, the rationale behind this and what can be prescribed in its place.

Safeguarding users of opioid patches by standardising patient and caregiver counselling

The aim of the counselling checklist is to assist healthcare professionals, working in community pharmacies, primary care and secondary care, in the essential counselling of patients on the safe and effective use of opioid patches.

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