1. April 09 – September 09  10,245 daily newsletter recipients  18,798,938 pages accessed by users  3,565,340 news items read by users  38,039 records in the library Headline 6-month statistics About NeLM – The National electronic Library for Medicines The National electronic Library for Medicines Contact Us London & South East Medicines Information Service, Guy’s hospital, SE1 9RT. Tel: 0207 188 3848, email: nelm_support@gstt.nhs.uknelm_support@gstt.nhs.uk usage report Top viewed Medicines Q&As added during Apr.-Sep. ‘09 Date published Views What information is NHS Direct giving patients about oseltamivir (Tamiflu®)? 29/09/094,225 What is the dose of oseltamivir (Tamiflu®) for the treatment and prophylaxis of influenza in children under 1 year of age? 01/05/093,763 Oseltamivir or zanamivir - Can mothers breastfeed after treatment for influenza? 01/05/093,677 Use of oseltamivir in patients taking methotrexate04/06/093,217 What information is NHS Direct giving patients about Relenza® (zanamivir) Inhaler? 08/05/092,192 Can patients drink alcohol whilst taking long-term low- dose methotrexate? 16/04/092,151 Advice on administration of oseltamivir (Tamiflu) via enteral feeding tubes 01/05/092,056 Does warfarin interact with oseltamivir or zanamivir?27/08/091,506 Can oseltamivir be used in patients with renal impairment or on renal replacement therapies? 24/06/091,474 How should dentists prescribe, store, order and dispose of controlled drugs? 23/04/091,473 What is the Child-Pugh score?11/06/091,470 Can zanamivir be given to patients with renal impairment or patients on renal replacement therapies? 07/05/091,468 What pharmacokinetic and pharmacodynamic factors need to be considered when prescribing drugs for patients with liver disease? 11/06/091,443 Use of oseltamivir in immunocompromised patients29/05/091,122 NeLM Areas visited during Apr. – Sep. ‘09Visits Drug specific reviews564,213 Disease focused reviews471,740 SPC (product licence) changes303,904 Guidelines231,376 Drug class focused reviews181,760 Medication safety163,409 Medicines Q & A138,703 Drug alerts 103,252 Complementary medicines86,778 Health in focus56,533 Drugs in pregnancy21,487 Critically appraised trials20,958 Drug monitoring13,619 Most viewed items during September ‘09Views Systematic review: Clinical effectiveness of combination therapy of drugs for pulmonary arterial hypertension (News) 2,606 Pharmacodynamic effect and clinical efficacy of clopidogrel and prasugrel with or without a proton pump inhibitor. (News) 1,982 MHRA drug safety update: Clopidogrel and proton pump inhibitors interaction clarification (News) 973 NPSA publishes review of medication incidents across the NHS in England and Wales (News) 919 Dabigatran versus warfarin in patients with atrial fibrillation – results from the RELY trial (News) 903 DTB editorial: Tamiflu – the wrong message? (News)877 Which injection can be given enterally? (Medicines Q&A)848 Class 2 drug alert: Cervarix® human papillomavirus vaccine (News)803 NICE issues FAD for prasugrel in the treatment of acute coronary syndromes with percutaneous coronary intervention (News) 771 When should gentamicin levels be taken after once daily administration? (Medicines Q&A) 766 NeLM communities viewed during Sep. ‘09Views Non-medical prescribing4,427 Primary and Community Care3,572 London New Drugs Group2,953 Hampshire PGDs2,764 Hospital Effectiveness Project2,428 Prescribing in a Secure Environment755