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4. Central Nervous System Guidelines
Pain
BNSSG Chronic pain guidelines 2022
Chronic pain guidance 2022 – abridged version
Opioid Conversion charts (Adults) 2024
Chronic Pain Self Help Resources Summary
BNSSG Paracetamol Dosing Guidelines In Adult Patients 2023
BNSSG Reducing and Stopping Opioids, Information for Patients leaflet
BNSSG Benzodiazepine and Z-drug Prescribing (including withdrawal) Support Document
Nalmefene Prescribing Guidance
Top Tips for Prescribing Opioids In Older People Living With Frailty
BNSSG Migraine Prevention Pathway
Nicotine Replacement Therapy
Nicotine Replacement Guidelines 2023
Parkinson's Disease
Community guidelines for management of Parkinson's Disease pts with swallowing difficulties 2022
Dementia
Medication to avoid prescribing in dementia for common physical health conditions
Depression
BNSSG Guideline for the Management of Depression Adults
Valproate Safety - Support resources
Valproate Roles and Responsibilities
Local Referral pathways and contact details
Original pack dispensing of valproate exceptions risk assessment form
Valproate Shared Care protocol
Valproate Choice and Medication© Leaflets - designed to help service users, carers and family members understand their medicines better, and to make more informed decisions, best as part of a discussion with a healthcare professional.
NHS England Shared Decision Tools for Valproate - shared decision tools have been published by NHSE for people with bipolar disorder or epilepsy.
Valproate use in men
- MHRA Drug Safety Update September 2024 - as a precaution men and their partners should use effective contraception. See MHRA's:
- Advice for male patients on valproate to use contraception
- Visual risk communication diagram to be used by a healthcare professional when counselling on the risks
- GP practice SNOMED coding valproate (Males)
- GP practice text message (adult and paediatric) valproate (Males)
- Valproate Roles and Responsibilities (Male Patients)
- Valproate Q&A Resource
- Educational resource to help clinicians discuss sex / sexual health / pregnancy prevention with those that have autism and / or a learning disability and are taking valproate
- Valproate review appointment template letter for those that have autism and/ or a learning disability and are taking valproate
Topiramate Safety - Support Resources
Topiramate Update for Primary Care
Insomnia