Recommendations for activities or interventions that must or must not be used
- Ultra rapid detoxification under general anaesthesia or heavy sedation (where the airway needs to be supported) must not be used. This is because of the risk of serious adverse events, including death.
- Patient group directions must be authorised only by an appropriate authorising body in line with legislation.
Recommendations for activities or interventions that should or should not be offered
- Offer a trial of supervised pelvic floor muscle training of at least 3 months' duration as a first treatment to women with stress or mixed urinary incontinence.
- If a smoker's attempt to quit is unsuccessful using NRT, varenicline or bupropion, do not offer a repeat prescription within 6 months, unless special circumstances have hampered the person's initial attempt to stop smoking, when it may be reasonable to try again sooner.
- Record the person's blood pressure every 6 months.
- Do not offer lamotrigine to treat mania.
- Do not offer tigecycline to treat diabetic foot infections, unless other antibiotics are unsuitable.
Recommendations for activities or interventions that could be offered
- Consider pelvic MRI to assess the extent of deep endometriosis involving the bowel, bladder or ureter.
- Consider referring people to other behavioural support services within the local health and care network (for example, to voluntary or community services) for interventions that are not available in the pharmacy.