Medicines Healthcare products Regulating Authority: SSRI

Calling all doctors, pharmacists and nurses  involved in the care of patients with depression. Also valuable for clinicians starting out in  psychiatry.

(Selective serotonin reuptake inhibitor) SSRI learning module

The MHRA have just launched a learning module on selective serotonin reuptake inhibitors (SSRI) antidepressants for clinical practitioners.  This self-directed learning package outlines the key risks of this important class of medicines. For each adverse effect, the package outlines:

  • the main features of the adverse effect
  • factors that increase the risk
  • how the risk can be reduced
  • specific treatment for the adverse effect.

A self-assessment exercise, together with full feedback, complements the learning material. SSRI learning module

Did you know of the latest evidence …

It’s never easy to stay up-to-date with the all the changes and latest healthcare guidance but did you know that subscribing to the Map of Medicine website can help by reducing some of the load?  The information contained in the post below can easily be sent direct to your mailbox.  Click here to subscribe for free to Map of Medicine.

The latest evidence
Map of Medicine monitors over 150 guidance producers, and constantly searches over 3,000 sources for the latest meta-analyses and systematic reviews, enabling healthcare professionals to stay abreast of changes through a single resource. The care maps below have been updated with the latest evidence-based recommendations:

  • Bladder cancer: use of pioglitazone (an oral treatment for type 2 diabetes) is associated with a small increased risk of bladder cancer. Healthcare professionals should be aware of new warnings and precautions for use in at-risk patients
  • Epilepsy in adults: now including the latest evidence from NICE recommending retigabine for the adjunctive treatment of partial onset seizures with or without secondary generalisation where other options have failed
  • Fluid and electrolyte imbalance: the Pathology Harmony Group have produced guidelines on reference intervals for normal sodium and potassium levels. This is of particular interest to users and commissioners of hospital diagnostic services
  • Gastro-oesophageal reflux disease (GORD) in children and adolescents: NICE have now updated their guidance on endoluminal gastroplication. Check out the secondary care page of the care map for the latest recommendation
  • Hip fracture: newly updated recommendations from NICE including the timing of surgery, patient and carer views and information are now incorporated throughout the care map
  • Miscarriage: updated to include new guidance from Royal College of Obstetricians and Gynaecologists on the investigation and treatment of couples with recurrent first-trimester and second-trimester miscarriage; also now with the latest evidence on indications for transvaginal and transbdominal cerclage in the treatment of cervical incompetence for women suffering recurrent miscarriage
  • Myeloma: see the ‘Initial chemotherapy’ care points for the latest evidence on bortezomib and thalidomide for the first-line treatment of multiple myeloma
  • Retinal detachment: includes recent new guidelines from the College of Optometrists on examining patients who complain of flashes and floaters, and when to refer urgently or as emergency
  • Rheumatoid arthritis: abatacept is now recommended for the treatment of rheumatoid arthritis after the failure of conventional disease-modifying anti-rheumatic drugs. See the medical treatment page of the care map
  • Warts: new evidence indicates that cryotherapy using liquid nitrogen is associated with higher costs per additional healed patient than 50% salicylic acid for the treatment of verrucae

News from NHS Networks: Infection management

New guidelines for the management of norovirus outbreaks in acute and community settings have been released.
 Norovirus image
An evaluation report on a new laundry system using ozone disinfection is available to help reduce healthcare associated infections. Ozone disinfection properties are well recognised and documented but its use for laundry is relatively new.

NICE quality standard for end-of-life care

National Institute for Health and Clinical Excellence (NICE)

Quality standard for end of life care for adults
This quality standard includes 15 statements for the care of adults (18 years and older) with advanced, progressive, or incurable conditions who are approaching the end of their life and are expected to die within the next 12 months. The end of life definition also includes adults with existing conditions who are at risk of dying from a sudden, acute crisis in their condition, or those with life-threatening acute conditions caused by sudden catastrophic events. It also covers support for the families and carers of such people.

News from the King’s Fund: Calculate your pension

NHS pension scheme calculator – Agenda for Change
This calculator is for Agenda for Change staff, including special classes and Mental Health Officers. It can be used to get an illustrative estimate of how the proposed reforms might affect your pension.

Protecting and promoting patients’ interests: the role of sector regulation
The purpose of this document is to provide a briefing for Peers on the Government’s proposals for sector regulation in the NHS, as set out in Part 3 of the Health and Social Care Bill.

Payment by Results quality and outcomes indicators
This report has been produced by the Quality and Outcomes Sub Group of the Product Review Group for the Mental Health Payment by Results (MH PbR) project. It describes the progress made to date in responding to the request from the National Project Board for MH PbR to develop an approach that ensures quality indicators and outcome measures are an integral part of the PbR process, and in particular that they encourage the correct incentives.