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Considering drug interactions with smoking

31 October 2023Tobacco smoke can induce liver enzymes, affecting drug metabolism. Some medicines may need dose adjustment or monitoring if a person stops or starts smoking.

Using vaccines during breastfeeding

26 October 2023All vaccinations, including live vaccines, can be given during breastfeeding. The only exception is yellow fever vaccine which is not recommended.

Using laxatives during breastfeeding

24 October 2023Any laxative can be used during breastfeeding although prucalopride should be used with caution. Recommendations apply to full term and healthy infants.

Copper Intrauterine Device (Cu-IUD)

19 October 2023SPS PGD template for the insertion of the Copper Intra-Uterine Device (Cu-IUD) for contraception

Preparing eye drops in unlicensed aseptic units

17 October 2023Circumstances and potential risks should be considered before preparing eye drops in NHS aseptic units working under Section 10 exemption.

Using oseltamivir and zanamivir during breastfeeding

12 October 2023Oseltamivir and zanamivir can be used during breastfeeding when clinically indicated. Recommendations apply to full term, healthy infants only.

Using emergency contraception during breastfeeding

10 October 2023A copper IUD or a single oral dose of levonorgestrel are preferred. Ulipristal may also be considered. Recommendations apply to full term and healthy infants.

Managing COVID-19 and breastfeeding

6 October 2023Continue breastfeeding during COVID-19 infection, even if dexamethasone, Paxlovid, sotrovimab or tocilzumab are required. COVID-19 vaccines can also be given.

Treating bipolar disorder during breastfeeding

5 October 2023Lithium and valproate can be used during breastfeeding, after consideration of some specific issues. Recommendations apply to full term and healthy infants.

Switching between oral prednisolone and IV hydrocortisone

29 September 2023Switching between oral prednisolone and intravenous (IV) hydrocortisone requires care due to the risk of adrenal insufficiency or adrenal crisis.