SFH information: From 11th March 2019 will no longer be supplied from Pharmacy. Instead Oralieve moisturising gel is available from Supply Chain.

Drugs which should be initiated in secondary care by the specialist with follow-on prescription and monitoring according to a drug specific Shared Care Protocol (SCP).May be prescribed underACBSforpatients suffering from dry mouth as a result of having (or having undergone) radiotherapy, or sicca syndrome, spray onto oral and pharyngeal mucosa as required. Designated by NHS England to require initiation by or in prior agreement with a Specialist Centre. Continuation where appropriate by hospital (or other secondary care provider)

Prior agreement must be obtained by the specialist from the primary care provider before prescribing responsibility is transferred. The shared care protocol must have been agreed by the relevant secondary care trust Drugs and Therapeutics Committee(s) (DTC) and approved by the Nottinghamshire APC. Basic oral care plus (Clinical decision required. If antifungal agent to be used choose one absorbed from GI tract eg fluconazole or itraconozole For babies without teeth or for children where it is not possible to brush teeth, parents /carers should be instructed on how to clean the mouth with oral sponges. Sponges should be moistened with waterMedicines which are suitable for initiation and ongoing prescribing within primary care. Primary care prescribers take full responsibility for prescribing and monitoring. For patients who do experience nosebleeds use Vaseline to both sides of the nose twice a day ideally before using the spray. Regular use is essential to ensure maximum benefit and non-compliance is a common cause of treatment failure. Medicines suitable to be prescribed in primary care / general practice after specialist* recommendation or initiation.