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NICE Bites

NICE Bitesa monthly bulletin for healthcare professionals involved in prescribing.

 

The aim of this publication is to provide healthcare professionals with a clear and succinct summary of key prescribing points taken from NICE guidance. It has emerged from collaboration with colleagues in primary care in response to a need for easily accessible information. We hope it will be a useful tool in the implementation of NICE recommendations.  Each edition will highlight sections of NICE guidance which relate to prescribing and will cover recent guidance as well as a catch-up programme of previous guidance. It will cover the following:

 

Clinical Guidelines

These are guidelineson the appropriate treatment and care of people with specific diseases and conditions and are based on the best available evidence.

 

Technology appraisals

These are recommendations on the use of new and existing medicines and treatments within the NHS.It is important to bear in mind that technology appraisals carry a statutory obligation for PCTs to provide funding within 3 months of publication.

 

NICE recommendations are based on systematic reviews of the best available evidence. When minimal evidence is available recommendations are based on the guideline development group’s opinion of what constitutes good practice. For a complete review of each topic please refer to the full NICE guidance which can be accessed at www.nice.org.uk.  Healthcare professionals in England are expected to take NICE guidance fully into account when exercising their clinical judgement however, it does not replace their knowledge and skills.

Previous NICE Bites

 TitleCreatedDownload
application/pdfNICE Bites April 2013 (90 KB)30/04/2013Download
 This guideline covers the management of hyperphosphataemia in adults (≥18 years), children and young people (<18 years) with stage 4 or 5 CKD including those with stage 5 who are on dialysis. 
application/pdfNICE Bites March 2013 (92 KB)12/04/2013Download
 Psychosis and schizophrenia in children and young adults: NICE CG155;2013 
application/pdfNICE Bites January 2013 (119 KB)20/02/2013Download
  
application/pdfNICE Bites December 2012 (199 KB)30/01/2013Download
 Neutropenic sepsis NICE CG151;2012. This guideline covers the prevention and management of neutropenic sepsis in children, young people and adults having anticancer treatment 
application/pdfNICE Bites November 2012 (89 KB)11/12/2012Download
 Crohn's Disease NICE CG152;2012. The guideline covers the managament of Crohn's disease in children, young people and adults. 
application/pdfNICE Bites October 2012 (165 KB)23/10/2012Download
 Diagnosis & managament of Headaches NICE CG150:2012. This guideline covers the diagnosis and managemnt of headache disorders in adults and young people aged ≥ 12 years  
application/pdfNICE Bites September 2012 (90 KB)21/09/2012Download
 Antibiotics for early onset neonatal infection (NICE CG149;2012) 
application/pdfNICE Bites August 2012 (93 KB)17/08/2012Download
 Venous thromboembolic diseases in adults (NICE CG144;2012. Covers diagnosis, NICE pathway for benous thromboembolism, treatment & management - anticoagulants: Thrombolytic Therapy - DVT, PE: Mechanical interventions - stockings, inferior vena Caval Filters: Monitoring: Thrombophilia testing: Investigations for cancer: Counselling - anticoagulants, heparins, compression stockings: Supporting documents. Venous thromboembolism - Rivaroxaban NICE TA261;2012 
application/pdfNICE Bites July 2012 (120 KB)20/07/2012Download
 Dabigatran etexilate and rivaroxaban for the prevention of stroke & systemic embolism in atrial fibrillation (NICE TA249, TA256:2012. Fingolimod for the treatment of highly active relapsing-remitting multiple sclerosis (NICE TA254;2012). Acute Upper gastrointestinal bleeding:management (NICE CG141;2012) 
application/pdfNICE Bites June 2012 (update) (149 KB)02/07/2012Download
 updated version containing the following amendment -This guideline provides advice on the care of adults with advanced and progressive disease who require strong opioids for pain control, defined as those in severe pain who may be opioid-naïve, or those whose pain has been inadequately controlled by weak opioids such as codeine or tramadol (step 2 of the WHO pain ladder; Box 1). The guideline does NOT cover:  second-line treatment with strong opioids where a change in opioid treatment is... 
application/pdfNICE Bites - March 2012 No 39a (updated) (123 KB)28/05/2012Download
 update to treatment pathway has been corrected to include monotherapy with certolizumab pegol as a treatment option after failure of DMARDS if the patient has a contraindication to or is intolerant of methotrexate. 
application/pdfNICE Bites May 2012 - no. 41 (89 KB)28/05/2012Download
 Anaphylaxis NICE CG134;2011: Pharmaglen for the treatment of bee and wasp venom allergy NICE TA246;2012: Hepatitis C - technology appraisals NICE TA75,106,200,252,253 
application/pdfNICE Bites April 2012 (159 KB)17/04/2012Download
  
application/pdfNICE Bites March 2012 Edition 39 (217 KB)30/03/2012Download
 Prevention of Ve after hip or knee replacement in adults: Rheumatoid Arthritis - NICE CG79 2009: Rheumatoid arthritis - technology appraisals 
application/pdfNice Bites Issue 38 January and February 2012 (606 KB)10/02/2012Download
 Epilepsy 
application/pdfNICE Bites Issue 37 December 2011 (179 KB)19/12/2011Download
 Hyperglycaemia in Acute Coronary Syndromes (ACS) NICE CG130; 2011 Ticagrelor for the treatment of ACS NICE TA236; 2011 NICE guidance included in NICE Bites in 2011 
application/pdfNICE Bites Issue 36 - November 2011 (67 KB)25/11/2011Download
 **Nutrition support in adults 
application/pdfNICE Bites Issue 35 - October 2011 (145 KB)31/10/2011Download
 ** Retigabine in the adjunctive treatment of partial onset seizures in epilepsy; Thrombocytopenic purpura - Technology appraisals; Heavy menstrual bleeding;  
application/pdfNICE BItes Issue 34 - September 2011 (147 KB)21/09/2011Download
 **Hypertension** 
application/pdfNICE Bites Issue 33 - August 2011 (75 KB)30/08/2011Download
 **Management of stable angina** 
application/pdfNICE Bites Issue 32 - July 2011 (133 KB)05/08/2011Download
 **Tuberculosis** 
application/pdfNICE Bites Issue 31 - June 2011 (107 KB)05/07/2011Download
 *Cilostazol, naftidrofuryl oxalate, pentoxifylline and inositol nicotinate for the treatment of intermittent claudication in people with peripheral arterial diease. *Common mental health disorders 
application/pdfNICE Bites Issue 30 - May 2011 (124 KB)21/06/2011Download
 *Golimumab for the treatment of psoriatic arthritis. *Romplostim for the treatment of chronic immune (idiopathic) thrombocytopenic purpura. *Psychosis with co-existing substance misuse. *Drug Misuse: Opioid detoxification 
application/pdfNICE Bites Issue 29 - April 2011 (118 KB)21/04/2011Download
 Donepezil, galantamine, rivastigmine and memantine for the treatment of Alzheimer's disease (review) & Anaemia management in people with CKD 
application/pdfNICE Bites Issue 28 - March 2011 (189 KB)22/03/2011Download
 ** Alcohol-use Disorders 
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All material in this section is aimed at health professionals, but is information currently held within the public domain.   Members of the public seeking advice on medicine-related matters are encouraged to speak with their GP, pharmacist or nurse, or contact NHS Direct on 0845 46 47.  

Richard Lee, East Lancashire Health Economy New Drugs Pharmacist.

Email: Interface@bwd.nhs.uk

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