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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 August 2014 (216 KB)04/09/2014Download
 Atrial Fibrilation: NICE CG180;2014 This guideline covers the management of AF in adults (≥18 years) and includes people with paroxysmal (recurrent), persistent and permanent AF and atrial flutter, but does not apply to people with congenital heart disease precipitating AF. 
application/pdfNICE Bites July 2014 (227 KB)06/08/2014Download
 Lipid Modification NICE CG181 2014 This guideline includes recommendations on risk assessment for CVD and on the use of lipid-lowering drugs in adults. 
application/pdfNICE Bites June 2014 (211 KB)12/06/2014Download
 Pressure ulcers: prevention and management NICE CG179; 2014 This guideline covers people of all ages at risk of, or who have, a pressure ulcer.  
application/pdfNICE Bites April 2014 (245 KB)07/05/2014Download
 Managing medicines in care homes - NICE SC1:2014 This social care guideline provides recommendations for good practice on the systems and processes for managing medicines in care homes. 
application/pdfNICE Bites March 2014 (updated) (228 KB)03/04/2014Download
 updated version of NICE Bites March 2014/62; Psychosis and schizophrenia in adults. A correction has been made to the wording of NICE clinical guideline 178 to be clear that it is the hydrocarbons in cigarette smoke that cause interactions with other drugs, rather than nicotine. The following amendment has been included in NICE Bites: • Offer people help to stop smoking. Be aware of the potential impact of reducing cigarette smoking on the metabolism of other drugs, e.g clozapine and... 
application/pdfNICE Bites February 2014 (227 KB)28/02/2014Download
 Prostate cancer - NICE CG175; 2014 Recommendations in this guideline apply to men referred to secondary care with suspected or diagnosed prostate cancer, including follow-up in primary care once diagnosed.  
application/pdfNICE Bites January 2014 (81 KB)29/01/2014Download
 MI: secondary prevention NICE CG172; 2013 This guideline covers secondary prevention after a myocardial infarction for patients in primary and secondary care. The guideline updates and replaces NICE CG48. 
application/pdfNICE Bites December 2013 (221 KB)29/01/2014Download
 Neuropthic pain - pharmacological management NICE CG173; 2013. This guideline replaces NICE CG96. The recommendations apply to the management of neuropathic pain in non-specialist settings only i.e. in primary and secondary care centres that do not provide specialist pain services.  
application/pdfNICE Bites November 2013 (173 KB)02/12/2013Download
 Familial breast cancer - NICE CG164; 2013 The guideline covers the classification and care of people at risk of familial breast cancer and the management of breast cancer and related risks in people with a family history of breast cancer. Recommendations apply to women and men. 
application/pdfNICE Bites October 2013 (169 KB)20/11/2013Download
 urinary Incontinence in women 
application/pdfNICE Bites September 2013 (96 KB)27/09/2013Download
 Chronic Hepatitis B This guideline covers the management of chronic hepatitis B in children, young people and adults. 
application/pdfNICE Bites August 2013 (177 KB)21/08/2013Download
 Ulcerative Colitis CG166; 2013 This guideline covers the management of ulcerative colitis in children (≤11 years), young people (12 to17 years) and adults (≥18 years). 
application/pdfNICE Bites July 2013 (95 KB)25/07/2013Download
 Social anxiety disorder -NICE CG159; 2013 This guideline covers the assessment and management of social anxiety disorder in children and young people (from school age to 17 years) and adults (≥18 years).  
application/pdfNICE Bites March 2012 39a - updated May 2013 (216 KB)06/06/2013Download
 Prevention of venous thromboembolism after hip or knee replacement surgery in adults - Rheumatoid Arthritis – NICE TA234 HAS BEEN REPLACED BY NICE TA280 See NICE Bites May 2013; No 52. 
application/pdfNICE Bites May 2013 (104 KB)06/06/2013Download
 Lower limb peripheral arterial disease (PAD) NICE CG147; 2012 This guideline covers management of PAD in adults aged 18 years and older. The most common symptom is leg pain while walking, known as intermittent claudication. A severe symptom, critical limb ischaemia is characterised by severely diminished circulation, ischaemic pain, ulceration, tissue loss and/or gangrene.  
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... 
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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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