User manuals to respond to shared care agreements only for LPT: a program to verify these documents is currently being implemented for the Shared Care Agreement. These are the current agreements on the sharing of care. If there are any doubts, please contact Please do not send identifiable information to patients, as emails can be dangerous. The submission form must be completed and approved prior to the writing of a new Joint Care Agreement (ACS). Do not be started in patients. Existing patients may be prosecuted under the supervision of the secondary specialist. Ketamine for Complex Pain in Palliative Care Patients Sharing Care is predicting communication between the specialist, the family physician and the patient (and/or the caregiver). The intention to share care must be explained to the patient by the doctor who introduces the treatment. It is important that patients are consulted on treatment and agree. Patients receiving the given medication should be followed regularly, which provides opportunities to discuss drug therapy. Click on your area below to continue. Drugs are categobated in the BNF.

If the drug you are looking for is not mentioned, then there is currently no common care available. A Common Care Agreement (SAC) provides avenues for allocating drug prescribing management responsibilities between the specialist and the family physician. Locally approved documents on the common care agreement, which contain details on common care, can be developed for complex treatments that are used regularly in a specialized environment. These documents are known in NHS Lothian as Shared Care Agreements (SCA). These documents provide additional guidance for family physicians for complex treatments that are commonly used in a specialized environment and may be permitted to be used in primary care. However, it is not necessary to have a locally authorized document to share care. Presentation materials for local shared care facilities are available on the NHS Lothian intranet via this link. All approved Shared Care Agreements (SCAs) are listed on this page. These will be developed as part of the implementation of the new policy. . Tenofovir disoproxil demarate for chronic hepatitis B infection (adults) Indication: – Primary insomnia in adults. Circadian Asynchronia in elderly institutionalized patients.

This status is being revised – May 2018 Can be considered when patients have a cat effect with zopiclone. Zolpidem is contraa indicated in people with psychosis. Valganciclovir for the prevention of CMV infections in the case of organ transplantation. Sodium colistimethate for chronic pulmonary infection Pseudomonas aeruginosa in children and adults with Mercaptopurine cystic fibrosis for inflammatory bowel disease (ulcerative colitis and Crohn`s) Mycophenolate mofetil (MMF) and mycophenolic acid (Myfortic┬«) used in solid organ transplants in adults when prescribed in combination with neuropathic pain. Simple Amber for Fireproof Epilepsy or Generalized Anxiety Disorder No woman should stop taking valproate without talking to her doctor. Atomoxetine for Attention Deficit Hyperactivity Disorder (ADHD) in adults erythropophenoid stimulating in chronic kidney failure Donepezil is the first line of choice. The decision to use other cholinesterase inhibitors is based on the consideration of individual patient factors. Donepezil, rivastigmine and galantamine are recommended as options for the management of mild to moderate diseases in accordance with NICE TA 217.