Medicines Optimisation Committee

Hot Topics – September 2017Items Agreed/Approved

POMH Ready Reckoner Version 6.1: The Ready Reckoner has been updated to include Loxapine. A5 printed versions will not be available from POMH. A copy of version 6.1 is attached a copy will also be available on the Intranet.

Clozapine Pochi Clinic Set Up and Maintenance SOP

Olanzapine and Quetiapine Prescribing Report from Shropshire CCG: There are national shortages of these products (all formulations) and the Drug Tariff price has risen exponentially. When assessing new patients, and more than one antipsychotic is deemed appropriate, then clinicians are asked to take the cost to primary care into account

POMH Valproate Intervention In support of the valproate audit POMH have developed an intervention (attached). It is a pharmacy intervention which the MOC agreed this Trust could only be done for in patients. This will be added to the audit action plan. It was also agreed to include Lithium in the next edition of Prescribing Indicators

PGDso Nitrofurantoin – Sexual Health Serviceso Fluconazole - Sexual Health Serviceso Malathion - Sexual Health Serviceso Azithromycin - Sexual Health Serviceso Clotrimazole - Sexual Health Serviceso Metronidazole - Sexual Health Serviceso Podophyllotoxin Cream - Sexual Health Serviceso Condyline - Sexual Health Serviceso Aciclovir - Sexual Health Serviceso Doxycycline - Sexual Health Serviceso Lidocaine 1% - Sexual Health Serviceso Ceftriaxone/Lidocaine - Sexual Health Serviceso Levonorgestrel - Sexual Health Serviceso Combined Oral Contraceptive Pill- Sexual Health Serviceso Ulipristal - Sexual Health Serviceso Levonorgestrel 1500 - Sexual Health Serviceso Evra - Sexual Health Serviceso Nexplanon Etonogestrel Implant - Sexual Health Serviceso Progestogen Only Pill - Sexual Health Serviceso Depo-Provera - Sexual Health Serviceso Hepatitis B - Sexual Health Services & Inclusiono Adrenaline 1:1000 - Sexual Health Services

o Hepatitis A - Sexual Health Serviceso Hepatitis A&B - Sexual Health Serviceso Nicotine Replacement Therapy – In Patientso PGD3017 Trivalent Seasonal Influenza IM – Qualified Vaccinatorso PGD3117 Trivalent Seasonal Incluenza SC – Qualified Vaccinators

ePrescribing and Medicines Administration Option 1 EPMA & Pharmacy System “Best of Breed” Solution, of the Business Case has been approved, which recommends “A system that syncs with a pharmacy stock control and dispensing system to enable automatic ward stock orders and eliminates patient stock order sheets, drug charts and paper prescriptions, as well as integration to the RiO patient record system for patient demographic data, ward information, and Admission, Discharge, Transfer (ADT) data”. We are now in the tendering process.

Dissemination of Hot Topics It was agreed that copies should be sent to the MAC leads for inclusion as an agenda item

Drug Alerts Take-home naloxone for opioid overdose in people who use drug

(attached) Shortage of adult Hepatitis B vaccine (attached)