Prescribing guidance
Prescribing guidance and pathways for healthcare professionals across NHS Central East ICB.
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Finerenone
Finerenone is a medicine used in people with chronic kidney disease associated with type 2 diabetes to help reduce the risk of kidney disease progression and cardiovascular complications. This page provides information to support the safe prescribing, monitoring and ongoing management of finerenone therapy.
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Guidance for schools
Some children and young people may require medicines during the school day to support the management of their health condition. This page provides information to support the safe and appropriate management of medicines in educational settings.
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Hydroxycarbamide
Hydroxycarbamide is used in the management of myeloproliferative neoplasms and other selected haematological conditions. This page provides information to support the safe and effective use of hydroxycarbamide, including monitoring requirements and ongoing patient care.
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Iron Chelation Agents
Iron chelation medicines are used to remove excess iron from the body when it builds up over time. This page provides information on the use and management of these medicines for people with iron overload.
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Lanthanum
Lanthanum is a medicine used to help lower phosphate levels in people with chronic kidney disease. This page provides information on the use and management of lanthanum as part of the treatment of phosphate imbalance associated with kidney disease.
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Lipid Management
Lipids, including cholesterol, play an important role in cardiovascular health. This page provides information on the management of lipid levels to help reduce the risk of cardiovascular disease, including heart attack and stroke.
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Lithium
Lithium is used in the treatment of bipolar disorder and certain other mental health conditions. This page provides information on the safe prescribing, monitoring and management of lithium therapy.
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Medical devices and appliances
Medical devices and appliances play an important role in supporting patient care across a range of clinical conditions. This page provides information on the appropriate prescribing, use and management of medical devices and appliances, including stoma, continence and wound care products.
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Metolazone
Metolazone is a medicine used to help reduce fluid build-up caused by conditions such as heart failure and kidney disease. This page provides information on the safe use and monitoring of metolazone treatment.
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Midazolam (Buccal)
Buccal midazolam is a medicine used for the emergency treatment of prolonged or repeated seizures. This page provides information to support the safe prescribing of buccal midazolam, including appropriate use and prescribing considerations.
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Midodrine
Midodrine is a medicine used to treat low blood pressure associated with conditions such as orthostatic hypotension and neurocardiogenic syncope. This page provides information on the safe use and monitoring of midodrine treatment.
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Nintedanib
Nintedanib is a medicine used to help slow the progression of certain lung conditions, including idiopathic pulmonary fibrosis. This page provides information on the safe use, monitoring and ongoing management of nintedanib treatment.
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Nutrition and Dietetics
Nutritional interventions play an important role in maintaining health and managing many medical conditions. This page provides information on nutritional support, specialist feeds, supplements and related prescribing.
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Opioids and Dependence Forming Medicines
Some medicines used to treat pain, anxiety, insomnia and other conditions can lead to dependence if used for prolonged periods. This page provides information on the safe use, review and deprescribing of dependence-forming medicines to support safe and effective patient care.
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Overactive Bladder
Overactive bladder is a condition that can cause a sudden urge to pass urine, increased frequency of urination and, in some cases, urinary incontinence. This page provides information on the management of overactive bladder, including treatment options and prescribing considerations.
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Palliative and End of Life Care
Palliative and end of life care aims to improve quality of life for people with life-limiting illness and those important to them. This page provides information to support symptom management and medicines optimisation at the end of life.
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Patiromer calcium
Patiromer calcium is a medicine used to treat high potassium levels in people with chronic kidney disease, heart failure and certain other conditions. This page provides information on the safe use and monitoring of patiromer treatment.
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Penicillamine
Penicillamine is a medicine used in the treatment of Wilson's disease, a rare inherited condition that causes copper to build up in the body. This page provides information on the safe use, monitoring and ongoing management of penicillamine treatment.
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Pirfenidone
Pirfenidone is a medicine used to help slow the progression of idiopathic pulmonary fibrosis, a condition that causes scarring of the lungs. This page provides information on the safe use, monitoring and ongoing management of pirfenidone treatment.
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Prescribing Framework 2025 to 2026
The prescribing framework sets out the principles, governance arrangements and processes that support safe, effective and evidence-based prescribing. This page provides information on local prescribing expectations and decision-making arrangements.