1. Major Websites for MI NMITC Jan 2010 Selwa Elrouby Central Manchester University Hospitals NHS Foundation Trust Adapted from presentation by Bridget Rankin Maidstone & Tunbridge Wells NHS Trust

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

3. Learning Outcomes By the end of this session, you should have: 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).

4. UKMI www.ukmi.nhs.uk Supports the UKMi network Supports the UKMi network MI News, recent new email feeds MI News, recent new email feeds Highlights new resources Highlights new resources Fridge Database Fridge Database Latex database Latex database Other specialist MI resources Other specialist MI resources Medicines Q and A Medicines Q and A

5. UKMi Enquiry Answering Page Is under the Clinical Governance heading Is under the Clinical Governance heading www.ukmi.nhs.uk Standard search Websites/Web-based Resource Links. A word document to use / adapt. Will help you create your own ‘favourites folders Effective Use of the Internet for Enquiry Answering. A PDF document that provides guidance on safe and efficient use of the Internet

6. eBNF & eBNFC www.bnf.org.uk Search or browse – sometimes browsing is easier Search or browse – sometimes browsing is easier Navigate using tree structure Navigate using tree structure BNF extra – advanced information on what will be new in next edition BNF extra – advanced information on what will be new in next edition Calculations/conversions Calculations/conversions

7. eMC www.emc.medicines.org.uk www.emc.medicines.org.uk www.emc.medicines.org.uk SPCs SPCs searchable by text and by section Advanced search option Advanced search option PILs PILs X-PIL service X-PIL service http://xpil.medicines.org.uk/ http://xpil.medicines.org.uk/

8. Medicines Complete Stockley, Martindales, AHFS, Herbal Medicines & Handbook of Injectable Drugs. Enteral Feeding Stockley, Martindales, AHFS, Herbal Medicines & Handbook of Injectable Drugs. Enteral Feeding www.medicinescomplete.com/mc/ Trial subscriptions available Trial subscriptions available Special price for UKMI – contact regional centre for details Special price for UKMI – contact regional centre for details Easy to search Easy to search Access out of hours on-call Access out of hours on-call New PharmPress additions over time New PharmPress additions over time

9. NELM www.nelm.nhs.uk www.nelm.nhs.uk www.nelm.nhs.uk News headlines News headlines What’s new What’s new Register and “log in” to see full content Register and “log in” to see full content Easy to search the many products individually or separately Easy to search the many products individually or separately Will provide links to other sites e.g. NICE, cochrane, LNDG Will provide links to other sites e.g. NICE, cochrane, LNDG

10. NHS Evidence http://www.library.nhs.uk http://www.library.nhs.uk http://www.library.nhs.uk http://www.evidence.nhs.uk/default.aspx http://www.evidence.nhs.uk/default.aspx http://www.evidence.nhs.uk/default.aspx Two access routes at moment Two access routes at moment Quick links to many resources Quick links to many resources “log in” using your Athens UN/password “log in” using your Athens UN/password Easy to search the many products individually or separately Easy to search the many products individually or separately Evidence Based Reviews Evidence Based Reviews Guidance Guidance Specialist Libraries, Books and Journals Specialist Libraries, Books and Journals Training available from your library service Training available from your library service Accreditation – recognises high quality guidance Accreditation – recognises high quality guidance

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

12. Department of Health The Green book The Green book www.dh.gov.uk/PublicationsAndStatisti cs/Publications/PublicationsPolicyAndGuida nce/PublicationsPolicyAndGuidanceArticle/f s/en?CONTENT_ID=4072977&chk=87uz6 M www.dh.gov.uk/PublicationsAndStatisti cs/Publications/PublicationsPolicyAndGuida nce/PublicationsPolicyAndGuidanceArticle/f s/en?CONTENT_ID=4072977&chk=87uz6 M The Green book The Green book www.dh.gov.uk/PublicationsAndStatisti cs/Publications/PublicationsPolicyAndGuida nce/PublicationsPolicyAndGuidanceArticle/f s/en?CONTENT_ID=4072977&chk=87uz6 M www.dh.gov.uk/PublicationsAndStatisti cs/Publications/PublicationsPolicyAndGuida nce/PublicationsPolicyAndGuidanceArticle/f s/en?CONTENT_ID=4072977&chk=87uz6 M

13. Google & Google Scholar www.google.co.uk www.google.co.uk www.google.co.uk Powerful search engine Powerful search engine Thousands of hits Thousands of hits Many ways of limiting searches Many ways of limiting searches Scholar - limits to academic sites Scholar - limits to academic sites BUT use it wisely BUT use it wisely

14. MHRA – Drug Analysis Prints Medicines and Healthcare products Regulatory Agency www.mhra.gov.uk Another website that isn’t easy to navigate Drug safety updates publication, drug alerts Save the URL into MiDatabank or favourites folder DAPs http://www.mhra.gov.uk/Safetyinformation/Howwemonitor thesafetyofproducts/Medicines/TheYellowCardScheme/Y ellowCarddata/Druganalysisprints/index.htm?ssSourceNo deId=747 http://www.mhra.gov.uk/Safetyinformation/Howwemonitor thesafetyofproducts/Medicines/TheYellowCardScheme/Y ellowCarddata/Druganalysisprints/index.htm?ssSourceNo deId=747

15. NHS Choices www.nhs.uk General resource General resource Portal for NHS Services Portal for NHS Services Patient information Patient information E.g. swine flu updates E.g. swine flu updates Map of Medicine Map of Medicine Medicine Guides Medicine Guides NHS direct link NHS direct link

16. eMIMMs www.healthcarerepublic.com/login/ Username and log in from your regional centre Username and log in from your regional centre Useful for prices Useful for prices Some good tables comparing drugs in the same therapeutic class (eg Insulins, HRT, travel tables) Some good tables comparing drugs in the same therapeutic class (eg Insulins, HRT, travel tables) Summaries of guidelines Summaries of guidelines Self-help directory Self-help directory

17. Clinical Knowledge Summaries (Previously Prodigy) Clinical Knowledge Summaries Clinical Knowledge Summaries www.cks.library.nhs.uk/ Guidelines for GPs Guidelines for GPs Useful for enquiries relating to conditions mainly managed in primary care Useful for enquiries relating to conditions mainly managed in primary care Regularly updated Regularly updated

18. Lexi-comp www.lexi.com/ Is not a cheaper substitute for Micromedex – there is less detail and not as well referenced but some easy to access information Is not a cheaper substitute for Micromedex – there is less detail and not as well referenced but some easy to access information Drug monographs with subsets Drug monographs with subsets Poisoning/toxicology Poisoning/toxicology Alternative medicines Alternative medicines Clinical / diagnostics Clinical / diagnostics

19. Natural Medicines Database www.naturaldatabase.com Comprehensive database Comprehensive database Good for checking interactions Good for checking interactions Searchable under product name, drug name or disease/condition Searchable under product name, drug name or disease/condition Efficacy Efficacy Referenced Referenced

20. Pro-File Identify and source unlicensed “special” medicinal products Identify and source unlicensed “special” medicinal products Obtain the most appropriate products from the most appropriate sources. Obtain the most appropriate products from the most appropriate sources. Access via your MI pharmacist (restricted access). Access via your MI pharmacist (restricted access). www.pro-file.nhs.uk

21. UCLH Solutions Medicine supply problems. Medicine supply problems. Product Shortage Information updated daily. Product Shortage Information updated daily. Critical Drugs section. Critical Drugs section. Advice for dealing with the problem. Advice for dealing with the problem. http://www.uclhsolutions.com/ http://www.uclhsolutions.com/

22. Toxbase Commissioned by HPA Commissioned by HPA National Poisons Information Service National Poisons Information Service Poisons, antidotes etc Poisons, antidotes etc Medicines in Pregnancy Medicines in Pregnancy http://www.toxbase.org/

23. Other useful websites Interactions site Interactions site www.hiv-druginteractions.org, HIV www.hiv-druginteractions.org, HIV www.hiv-druginteractions.org http://medicine.iupui.edu/flockhart/, CYP tables http://medicine.iupui.edu/flockhart/, CYP tables http://medicine.iupui.edu/flockhart/ Palliative medicine Palliative medicine http://www.palliativedrugs.com http://www.palliativedrugs.com http://www.palliativedrugs.com http://www.pallcare.info/ http://www.pallcare.info/ http://www.pallcare.info/ Drugs in breast feeding Drugs in breast feeding http://toxnet.nlm.nih.gov/cgi-bin/sis/htmlgen?LACT http://toxnet.nlm.nih.gov/cgi-bin/sis/htmlgen?LACT http://toxnet.nlm.nih.gov/cgi-bin/sis/htmlgen?LACT UKMi Mailtalk UKMi Mailtalk http://www.mailtalk.ac.uk/lists/mi-uk.html http://www.mailtalk.ac.uk/lists/mi-uk.html http://www.mailtalk.ac.uk/lists/mi-uk.html

24. Other useful websites Vaccine information Vaccine information http://www.apmsd.co.uk http://www.apmsd.co.uk http://www.apmsd.co.uk Travel advice Travel advice http://www.nathnac.org/ http://www.nathnac.org/ http://www.nathnac.org/ http://www.hpa.org.uk/webw/HPAweb&HPAwebStan dard/HPAweb_C/1203496943315?p=1249920576136 http://www.hpa.org.uk/webw/HPAweb&HPAwebStan dard/HPAweb_C/1203496943315?p=1249920576136 http://www.hpa.org.uk/webw/HPAweb&HPAwebStan dard/HPAweb_C/1203496943315?p=1249920576136 http://www.hpa.org.uk/webw/HPAweb&HPAwebStan dard/HPAweb_C/1203496943315?p=1249920576136 Patient sites Patient sites www.nhsdirect.nhs.uk www.nhsdirect.nhs.uk www.nhsdirect.nhs.uk www.netdoctor.co.uk/medicines/ www.netdoctor.co.uk/medicines/ www.netdoctor.co.uk/medicines/ www.patient.co.uk www.patient.co.uk www.patient.co.uk

25. Demo times 4.45pm- 5.05pm Cochrane 4.45pm- 5.05pm Cochrane 5.05pm - 5.25pmTIC TAC 5.05pm - 5.25pmTIC TAC 5.25pm – 5.45pmPharm line 5.25pm – 5.45pmPharm line 5.45pm – 6.05pm Natural Database 5.45pm – 6.05pm Natural Database 6.05pm – 6.30pm Computer based exercises, to develop your own skills according to need 6.05pm – 6.30pm Computer based exercises, to develop your own skills according to need