Wrexham Maelor Hospital .
Pharmacy Department

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• Swallowing Difficulties
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• Prescribing guidance -
  drugs by indication
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Subscribers to the guidelines are able to use these search facilities to explore more than 600 drug monographs

• myNEWT guides

Prescribing guidance

This section is intended to aid decision-making when prescribing for patients with enteral feeding tubes or with swallowing difficulties. For each drug class, it shows a recommended order of consideration when prescribing. The order shown does not indicate a clinical recommendation - prescribing decisions should only be made after a full consideration of the patient's history, including their swallowing problems, and with an understanding of the drug(s) being prescribed.

How to use this section

1. Select the button below according to whether your patient has an enteral feeding tube, or has swallowing difficulties but is taking medicines orally.

2. Expand the relevant section of the list to focus on the drug group you are interested in.

3. Consider the three options shown in the table.

• The first option shows which drugs in the chosen class have a licensed formulation for administration in enteral feeding tube / swallowing difficulties patients.
  
• The second option shows which drugs have an unlicensed, but second-choice method of administration.
  
• The third option shows any other drugs in the class for which information is available in this guideline.
  

Not all drugs in the class may be shown in the table, if information about how to administer them is not available in this guideline.

4. Use the links in the table to look at the individual drug monographs you are interested in.

5. If you do not find a suitable drug in the drug class table you start with, use the link above the table to step up one level in the clinical tree and see a wider range of drugs from similar classes, e.g. to move from "Loop diuretics" to the wider class of "Diuretics".

Every reasonable attempt has been made to ensure that the information on this site is accurate and up to date. Betsi Cadwaladr University Local Health Board (East) does not authorise or take responsibility for any off-license use of medication, which should only be done with prescriber agreement.
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