Prescribing Guidelines

Below you can find Prescribing guidelines and their review dates

Acne Clinical Guideline - Treatment Guideline for Primary Care (Sheffield) - January 2026

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  September 2026

Antiplatelets in the prevention and treatment of cardiovascular disease February 2028

Asthma guidelines - On publication of BTS/NICE guideline

Asthma Right Care (ARC) addressing SABA over-reliance in Sheffield

ARC presentation by Lead Respiratory Pharmacist SCCG

Link to the embedded video from the above presentation; Preventable Asthma Attacks

Atrial Fibrillation - Anticoagulation for Stroke Prevention in Atrial Fibrillation - August 2023 (under review)

For additional information see PrescQIPP Bulletin 282: Anticoagulation

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

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

Clostridioides difficile: Good Practice Points - November 2023

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

COPD treatment algorithm - October 2027

COPD Inhaled corticosteroid withdrawal protocol - February 2021

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

Diabetes - Guidelines relating to Diabetes management

DOAC National Procurement Programme - Sheffield CCG/APG Position Statement. See also additional resources under Atrial Fibrillation - Anticoagulation for Stroke Prevention 

Dysphagia:  links to a set of Specialist Pharmacy Service guidance on using medicines safely and effectively in patients with swallowing difficulties - April 2023 

Fosfomycin – Product Information - June 2025

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


Liothyronine Q&A - September 2021

Lipid Modification

Living With and Beyond Cancer 

  • LWABC Leaflet for patients (Link)

Malnutrition and oral nutritional supplement prescribing 

     Food Based Nutrition Support

Medication loading doses: Preventing fatalities from medication loading doses. Under review, please contact 

MRSA - Guidance for Sheffield CCG and Primary Care - Review date September 2022

Oral Anti-Cancer Medicines: Guidance to Support the Prescribing, Dispensing and Administration of Oral Anti-Cancer Medicines in Primary Care. Under review, please contact 

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

Proton Pump Inhibitors and H2 Antagonist prescribing in children - Prescribing and Administration of Oral/Enteral Proton Pump Inhibitors (PPIs) and H2 Antagonists  - August 2027

Proton Pump Inhibitors (PPIs): Long term safety and gastroprotection* - September 2024

           *You need to log into PrescQIPP to access this resource.  To register see link


Prucalopride (Resolor®) – Advice for GPs when prescribed after consultation with Chronic Constipation Clinic - March 2024

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

Respiratory Devices

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 28/03/2023 by deborahmorris8