Prescribing Guidelines

Below you can find Prescribing guidelines and their review dates

Prescribing guidelines       

Actinic Keratosis - July 2025

Alcohol relapse prevention: Prescribing guideline for continuing alcohol relapse prevention medication in primary care - April 2022

Angina: treatment algorithm for stable angina - Review date extended to March 2023

Anticoagulant monitoring service standard operating procedure  April 2020

Antiplatelets in the prevention and treatment of cardiovascular disease - September 2025

Asthma guidelines - On publication of BTS 19 guideline

Atrial Fibrillation - Anticoagulation for Stroke Prevention in Atrial Fibrillation - August 2023

Bariatrics - A guideline for the nutritional supplementation and blood monitoring of Sheffield bariatric surgery patients - December 2021

Chronic heart failure with reduced left ventricular ejection fraction (HFrEF): pharmacological management in primary care – March 2022

Continence (Sheffield Integrated Continence Service Adult Formulary) - Review date extended to June 2024

COPD treatment algorithm - March 2025

COPD Inhaled corticosteroid withdrawal protocol - February 2021

Cows’ milk protein allergy (CMPA) or lactose intolerance guidelines - November 2025

Diabetes - Guidelines relating to Diabetes management

Dysphagia:  Guidance for switching between liquid and tablet/capsule formulations: Which medicines require extra care? - Interim guidance prepared July 2020.  

Fosfomycin – Product Information - June 2025

Freestyle Libre - Position Statement for Prescribing of Freestyle Libre - Review date extended to January 2021

Gender Dysphoria - primary care guidance from SHSC on the prescribing and monitoring of hormone treatments

Gluten Free: Summary of recommendations for gluten free prescribing - April 2022

  • For information to support a gluten free diet and a leaflet to explain the recent prescribing recommendations to patients, see embedded links

Hypertension: See NICE hypertension guidelines for primary hypertension.  For secondary prevention: stroke and TIA see Sheffield primary care guideline; otherwise refer to discharge information/clinic letter where relevant.  For primary and secondary prevention in patients with diabetes, see following links:

Hypertension - Blood Pressure Management in adults with Diabetes - July 2020 Note: recommendations for Type 2 diabetes have been superseded by the interim update September 2020 - review June 2021

Ibandronic acid in post-menopausal women with breast cancer – guideline - July 2019.

Immunoglobulin: home therapy booklet for GPs  - December 2022

Irritable Bowel Syndrome - with constipation (IBS-C) in adults – February 2022

Liothyronine Q&A - September 2021

Lipid Modification

Malnutrition and oral nutritional supplement prescribing 

Medication loading dosesPreventing fatalities from medication loading doses    October 2014 

Midodrine - February 2020

MRSA - Guidance for Sheffield CCG and Primary Care - February 2021

Oral Anti-Cancer MedicinesGuidance to Support the Prescribing, Dispensing and Administration of Oral Anti-Cancer Medicines in Primary Care - July 2015

Oral Health - a guide for GPs - Review date extended to January 2021

Oral Health - a guide for dental practitioners - Review date extended to January 2021

Oral thrush: Prescribing for oral thrush in babies and prescribing for surface and ductal thrush in lactating women - September 2025

Pain Management

Palliative Care

Note:- When prescribing in the Last Days of Life use the Sheffield Palliative Care Formulary hospital algorithms. See  CAS alert which recommends permanent move  to morphine sulphate injection, as opioid of choice, where clinically appropriate. Also see Specialist Pharmacy Services advice (25/03/2020)

Proton Pump Inhibitors Guideline For Managing Proton Pump Inhibitors Balance of Benefits against Risks – September 2021

Prucalopride (Resolor®) – Advice for GPs when prescribed after consultation with Chronic Constipation Clinic - February 2022

QT Prolongation - What issues should be considered regarding drug induced QT Prolongation: Medicines Q&A's

Self-care guidance - Prepared October 2018; review date extended to October 2023

Sildenafil - Generic Sildenafil Guideline - Review date extended to June 2022

Special medicinesGuidance on prescribing specials - July 2020

Steroid Emergency Card – Guide for Primary Care - September 2026

Stop List - Prepared November 2017

Stroke & TIA - Sheffield Primary Care Guidelines for Stroke and Transient Ischaemic Attack: - February 2022

Vitamin D

Last updated on 08/10/2021 by deborahmorris8