Prescribing Guidelines

Below you can find Prescribing guidelines and their review dates

Prescribing guidelines       

Actinic Keratosis - June 2018

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

Angina: treatment algorithm for stable angina - March 2021

Anticoagulant monitoring service standard operating procedure  April 2020

Antiplatelets in the prevention and treatment of cardiovascular disease - October 2020

Asthma guidelines - On publication of BTS 19 guideline

Atrial Fibrillation - Anticoagulation for Stroke Prevention in Atrial Fibrillation - August 2020

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

Continence (Sheffield Integrated Continence Service Adult Formulary) - June 2022

COPD treatment algorithm - March 2025

COPD Inhaled corticosteroid withdrawal protocol - February 2021

Cows’ milk protein allergy (CMPA) or lactose intolerance guidelines - May 2019

Diabetes - Guidelines relating to Diabetes management

Dysphagia: Guidelines on the administration of medication to patients with dysphagia       

Fosfomycin – Product Information - June 2020

Freestyle Libre - Position Statement for Prescribing of Freestyle Libre - April 2020

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.  Further recommendations, including for patients with Type 2 diabetes, to follow.

Hypertension - Blood Pressure Management in adults with Diabetes - July 2020 (recommendations under review for Type 2 diabetes)

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

Immunoglobulin: home therapy booklet for GPs  - February 2021

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

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 - January 2019

Oral Health - a guide for dental practitioners - January 2019

Oral thrush: Prescribing for oral thrush in babies under 28 days old and prescribing for surface and ductal thrush in lactating women - June 2017

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

Sildenafil - Generic Sildenafil Guideline - October 2019

Special medicinesGuidance on prescribing specials - July 2020

Stop List - Prepared November 2017

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

Tamoxifen: Breast Cancer Chemoprevention - April 2017

Vitamin D

Last updated on 06/07/2020 by KerryWade