Pharmacists

Prescriptions

• Timeline: Requests can take 2-3 working days
  • Processed by receptionists (Unless done via NHS app)
  • Passed to Dr to be signed
  • Issued electronically to nominated pharmacy
    • If sent to manufacturer: Check if EPS returned to spine
    • Pharmacist needs NHS No to find it
  • Can be issued to "Any Pharmacy" if patient is out of town
• Ask for Reference Number if Pt submitted a form through our website and chasing it up
• Issue if Repeat Prescription Request
  • Request Issue if
• Any delays, check if the assigned Dr is in
• Nominated Pharmacy in bottom left
  • Change with Nominations button in top bar
• "Commenced", means not issued yet
• Notifications are not given out when issued

Medicines

• Methotrexate is a type of immunosuppressant.
  • Sometimes taken with Folic Acid
  • Requires careful monitoring of side effects
• High Blood Pressure
  • Indapamide (also heart failure and build up of fluid)
  • Bisoprolol
• ABX
  • Doxycycline (chest infx)
  • Trimethoprim (UTI/Cystitis, sometimes chest infc and acne)
• Stomach
  • Omeprazole (indigestion, heartburn, acid reflux, stomach ulcers)
• Anti-depressants
  • SSRI: Fluoxetine (Prozac), citalopram (Cipramil), escitalopram (Cipralex), paroxetine (Seroxat) and sertraline (Lustral).
  • SNRI: Duloxetine (Cymbalta and Yentreve) and Venlafaxine (Efexor).
  • NASSAs: mirtazapine (Zispin)
• Anxiety
  • Benzodiazepines (Diazepam, Lorazepam)
• Blood thinners
  • Apixaban, Rivaroxaban, Warfarin
• Reduce high LDL cholesterol
  • Statins (Atorvastatin, Simvastatin)
• Pain killers
  • Paracetamol
    • Blocks pain and high-temp-control signals in brain
    • Safe to take paracetamol regularly for many years
    • Usually best for most types of pain, including headaches and stomach ache
  • Non-steroidal anti-inflammatory drugs (NSAIDs)
    • Reduce swelling and pain. Good for joint, back, and muscle pain. Headaches, painful periods, sprains and strains, colds/flu, COVID-19, arthritis.
    • Can affect stomach ulcers, severe heart/kidney/liver problems.
    • Ibuprofen
      • Ibuprofen may be better for period pain or toothache. Some people find ibuprofen better than paracetamol for back pain.
      • Reduces hormones that cause pain and swelling
    • Naproxen
      • Rheumatoid arthritis, Osteoarthritis, Gout, Period Pain, Muscle/Bone disorders
    • Aspirin
  • Opioids
    • Blocks pain signals in nervous system
    • Addictive
    • Co-codamol: Mix of Paracetamol and Codeine
      • Heaches, muscle pain, migraines, toothache
      • Lowest strength available BTC, higher strengths require prescription
    • CD Pregabalin/Gabapentin (nerve pain, epilepsy, anxiety)
    • CD Morphine (severe pain after operations/serious injuries/cancer/heart attacks)
      • Available as liquid-form Oromorph.
  • CD Zopiclone (sleep aid)
• Inhalers
  • Salbutamol (Ventolin, Salamol), blue reliever inhaler
    • Terbutaline other common one
  • Beclometasone, brown preventer inhaler