Major Websites for MI NMITC July 2010 Bridget Rankin Maidstone & Tunbridge Wells NHS Trust

Aim Provide an introduction to websites and databases commonly used when working as a Medicines Information pharmacist

Learning Outcomes By the end of this session, you should have: Developed your knowledge of useful Medicines Information websites [overview]. Developed your knowledge of useful Medicines Information websites [overview]. Found answers to example questions using specific MI databases (where applicable). Found answers to example questions using specific MI databases (where applicable).

UKMI Supports the UKMi network MI News Highlights new resources Fridge Database Latex database Other specialist MI resources Medicines Q and A

Useful documents on UKMi Enquiry Answering Page Is under the Clinical Governance heading Websites/Web-based Resource Links. A word document to use / adapt. Will help you create your own ‘favourites folders Resources with free access Feb 2010 Resources with free access Feb 2010 Effective Use of the Internet for Enquiry Answering. A PDF document that provides guidance on safe and efficient use of the Internet

eBNF & eCBNF Search or browse – sometimes browsing is easier Navigate using tree structure BNF extra – advanced information on what will be new in next edition Calculations/conversions

eMC SPCs searchable by text and by section PILs X-PIL service Medicine Guides dm+d

Medicines Complete Stockley, Martindales, AHFS, Herbal Medicines & Handbook of Injectable Drugs. Enteral Feeding Trial subscriptions available Special price for UKMI – contact regional centre for details Easy to search (Caution re: Stockley Search) Access out of hours on-call

NELM News headlines Register and “log in” to see full content Easy to search the many products individually or separately Use filters to refine search Medicines A – Z & Pharm-line And lots more

Dictionary of Medicines & Devices (dm+d) The dm+d is a dictionary containing unique identifiers and associated textual descriptions for medicines and medical devices. It has been developed for use throughout the NHS (in both primary and secondary care)

New developments on NeLM The inclusion of the database formerly known as Pharmline The inclusion of IFR reviews The ability to comment on records The upgrade of community functions and launch of new communities East and South East England Specialist Pharmacy Services East and South East England Specialist Pharmacy Services Patient Group Directions Patient Group Directions Hosting local formularies

National Library for Health NHS Evidence Quick links to many resources “log in” using your Athens UN/password Easy to search the many products individually or separately NHS Evidence Specialist Libraries, Books and Journals Training available from your library service

Department of Health Difficult to navigate Lots of archived documents – your 1 st ‘hits may not be the most up to date Put in the year – sometimes helps Use Google add “ to your search

Google & Google Scholar Powerful search engine Thousands of hits Many ways of limiting searches Scholar - limits to academic sites BUT use it wisely

MHRA – Drug Analysis Prints Medicines and Healthcare products Regulatory Agency Another website that isn’t easy to navigate Save the URL into MiDatabank or favourites folder DAPs

NHS Choices General resource Portal for NHS Services Patient information Map of Medicine

eMIMMs Username and log in from your regional centre ??? Useful for prices Some good tables comparing drugs in the same therapeutic class (eg Insulins, HRT) Summaries of guidelines Self-help directory

Clinical Knowledge Summaries (Previously Prodigy) Clinical Knowledge Summaries Guidelines for GPs Useful for enquiries relating to conditions mainly managed in primary care Regularly updated

Pro-File Identify and source unlicensed “special” medicinal products Obtain the most appropriate products from the most appropriate sources.

UCLH Solutions Medicine supply problems. Product Shortage Information updated daily. Critical Drugs section. Advice for dealing with the problem.

Toxbase Commissioned by HPA National Poisons Information Service Poisons, antidotes etc Medicines in Pregnancy

Cochrane Can be accessed via NHS Wales e-library for health / NHS Scotland e-Library & National Library for Health Contains a number of different databases including: The Cochrane Databases of Systematic Reviews and Methodology Reviews (Recognised as gold standard) Cochrane Central Register of Controlled Trials NHS Economic Evaluation Database (Economic Evaluations). Health Technology Assessment Database

Lexi-comp Drug monographs with subsets Poisoning/toxicology Alternative medicines Clinical / diagnostics IV compatibility

Natural Medicines Database Comprehensive database Good for checking interactions Searchable under product name, drug name or disease/condition EfficacyReferenced