We start 2023 with the following list of 603 injectable drugs currently found in the King Guide to Parenteral Admixtures Loose-Leaf, and Internet Editions. endstream
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Nursing: March 2008 - Volume 38 - Issue 3 - p 15. doi: 10.1097/01.NURSE.0000312600.67772.13. The following statements are either true or false. Prescription and OTC drugs (over 100,000 drug products), 900+ nutraceuticals, including herbal medicines, Presented in prescriptive, immediately actionable bullet points for busy clinicians and students. ">"b@-Hx\,.262OqaDdH\m>cn!Bmn La/))Z.$+HS'xtI9,y[}rRWLStG\_
#x#x4yF8MT{E)S Some cannot be safely diluted in infusion bags. Y-SITE COMPATIBILITY & pH MONITORING, ADVERSE EFFECTS & COMMENTS Acetylcysteine Infusion for liver failure 15mg/kg loading dose then 7.5mg/kg over 24 hours for 5 days pH: 7 adjusted with sodium hydroxide. A visual check for precipitation, turbidity or colour change should be carried out before administering the mixture, but does not guarantee compatibility. The two types of incompatibilities associated with intravenous administration are physical and chemical.1,2, A drug interaction describes the alteration of a drug effect due to the influence of another substance (i.e. Y-Site, Syringe, and other sets/container specific information. hb```f``9Abl,P&/ZTlb`Po&$s]/ wy D63Hr=bW.X=3$o]$fr5\F0#7B/Le!xtPqBllZ'dgc~vA1+ We also added new stability information to the monographs for DIGOXIN, HYDROMORPHONE HYDROCHLORIDE, MORPHINE HYDROCHLORIDE, SODIUM CHLORIDE, and VANCOMYCIN HYDROCHLORIDE. 62 0 obj
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medication compatibility chart Crit Care Nurse. Not all products are registered and approved for sale in all countries or regions. Bethesda: American Society of Health-System Pharmacists; 2007. 1. Copyright 2022 - King Guide Publications, Inc. - All rights reserved. Apply judgment in using these results. Of the 196 co-infusions, 110 had additional restrictions on time in solution. Midazolam (Versed) YES Midazolam (Versed) YES Midazolam (Versed) ** View Text Version Copyright Report To prevent dangerous incompatibilities and ensure safe patient treatment, it is important to combine various actions in different processes. All drug components in the test samples were found to be chemically stable (less than 10% loss of intact drug) for the entire period of the study under the conditions being tested, even if the study period was less than 24 hours. Trissel LA. This was the third project that I was assigned at Oconee Medical center. i\ M,
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They are used in people of all ages who are sick, injured, dehydrated from exercise or heat, or undergoing surgery. Latest news, evidence and CPD opportunities. Further publications showed that, depending on the ward type, up to 80% of IV drug doses were prepared with the wrong diluents.11. CompatibilitySome drugs aren't compatible with each other or with IV solutions. With workflows optimized by technology and guided by deep domain expertise, we help organizations grow, manage, and protect their businesses and their clients businesses. If you really do court, make a point of conversation about your welfare and well-being. Available on any smart phone or tablet, or by integrating the IV Compatibility Checker into your EMR, HIS or patient portal with the PEPID Knowledge Base to accurately identify any potentialincompatibilities. High-Risk IV Medications Dosing Limits Guidelines of Care The purpose of this tool kit is to provide evidenced-based recommendations and best practices on setting and managing high-risk IV medications limit settings for adult patients in intensive and acute care units. Please allow at least 3 seconds for click feedback on this limited version. 2021, 2022 Doody's Core Titles List Selection I 5-Star Rating from Doody's Review Service For more than 40 years ASHP has published the most trusted resource for injectable drug information. What makes a difference? COMPATIBILITY Compatibility is dependent on the concentration of each medication in the total final volume being infused, rather than the actual dose. When a drug or solution name is in the Selected Items section, a link to the Trissels monograph for that drug/solution will be displayed. J Res Pharm Pract; (1): 37-40. The compatibility results are presented in a chart or list view, with the default chart view displaying all methods within the fields for the selected drugs and solutions. For more products, please check the B. Braun Product Catalogue. RICU: Respiratory Intermediate Care Unit, Subsequently, severe respiratory complications caused by toxic drug-drug interactions may lead to an additional cost for the healthcare provider of up to 56,670 per single case.14. Ensure drug-solution and drug-drug-solution compatibility across various IV ports, syringes and additives prior to mixing. hWk0W=tlPIl-sYZ%fl~:YR|]6p|;HRIDP* C=9J)90EqL$1%re8E {.#s%&Z)g*b]TCD|y4WSDq6Dq6UcZq!Jxz
#,4J. Use reference materials to find incompatibility, compatibility, and storage information. However, in some circumstances there may be compelling reasons for mixing two or more parenteral drug solutions in the same infusion bag, in the same syringe or at a Y-site junction where two or more intravenous lines meet. Many institutions and schools subscribe to Micromedex products, which translates into free access for you. Author E L Gordon PMID: 3637148 No abstract available MeSH terms Drug Combinations* Drug Incompatibility* One or more drug components in the test samples exhibited a loss of intact drug greater than 10% within 24 hours under the conditions being tested. For this reason, the decision to mix any two injection solutions whether in a syringe, in an infusion bag or at a Y-site should be based on a reliable reference. Refer to drug manufacturer's labeling and use instructions for recommendations, USP <797>, and applicable institution policy for shelf life and sterility information of reconstituted product and admixture device compatibility. within the same infusion line (simultaneous infusion) and/or IV container - administered one after the other, but within the same infusion line The more medicines you take, the more difficult it can be to remember important information about them. Copyright 1993-2021 The Australian recommendations for the use of antibiotics in the prevention of endocarditis have been revised by Therapeutic Guidelines. The problem is frequently observed when diazepam injection is diluted. Chemical stability studies, however . Copyright 2021 GlobalRPH - Web Development by, IV Dilutions Medication Reference and Infusion Guidelines, Renal dosing for healthcare professionals, HONcode standard for trust- worthy health, Pediatric Oncology: Diagnosis And Prognosis Communication. %%EOF
The selected drug(s) and solution(s) will populate the Selected Items in the left pane. Any queries concerning reproduction and rights should be sent to [emailprotected]We acknowledge the provision of funding from the Australian Government Department of Health and Aged Care to develop and maintain this website. New items will appear in the "Selected Items" field. View the full Trissels monograph for more information on the physical and chemical characteristics of the drug. Many of these may be due to differences in concentrations of either drug or in the solution diluent. Diazepam is very poorly water soluble so it is formulated as an injection solution in a vehicle comprising 50% propylene glycol and 10% ethanol. The single user license allows access from any computer or device from any location and limits access to one person at a time while the site license allows access from an unlimited number of computers or devices. %PDF-1.5
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The majority of sources cited define compatibility by physical compatibility rather than chemical compatibility This table is a guide only. Incompatibility can involve precipitation, ionic reactions, evolution of gas and denaturation of biological molecules. Reference texts can provide information, but data are often unavailable for new drugs. Dangerous incompatibilities can be prevented bya plausibility check regarding the SPC and available sources on compatibility information, also considering the material used for therapy (e.g. A number of references, in addition to the manufacturer's product information, are available. Such circumstances include: The decision to mix drugs should not be made without knowledge of their compatibility. Y = compatible for at least 30 minutes P = provisionally compatible; give within 15 minutes P(5) = provisionally compatible; give within 5 minutes . Pre-Filled Syringe Low Molecular Weight Heparin, Leukocytoclastic Vasculitis Associated with a New Anticoagulant: Rivaroxaban Yeni Bir Antikoaglanla likili Lkositoklastik Vasklit: Rivaroksaban, International Nonproprietary Names for Biological and Biotechnological Substances: a Review17, Medication Incidents Reported in Irish Hospitals, Antiangiogenic Activities of Bemiparin Sodium, Enoxaparin Sodium, Nadroparin Calcium and Tinzaparin Sodium, Enoxaparin Sodium USP Reference Standards 11USP Benzyl Alcohol RS, Endovascular Options for Chronic DVT WhatS Available and When to Use These Options, Antithrombotic Therapy in Patients with Acute Coronary Syndromes, Clinical Policy: Enoxaparin (Lovenox) Reference Number: ERX.SPMN.233 Effective Date: 01/17 Coding Implications Last Review Date: Revision Log, Periprocedural Management of Coagulation Status and Hemostasis Risk in Percutaneous Imaging Guided Interventions: Body Imaging Division, TABLE E-1 Clinical Studies of Thromboprophylaxis Following, Comparison of the Oral Direct Thrombin Inhibitor, Enoxaparin (Lovenox) Reference Number: ERX.SPA.208 Effective Date: 01.11.17 Last Review Date: 02.21 Revision Log Line of Business: Commercial, Medicaid, Dabigatran Or Rivaroxaban Versus Other Anticoagulants For, Clexane/Clexane Forte Pre-Filled Syringes, Local Tolerability of Two Low-Molecular-Weight Heparins, Nadroparin and Enoxaparin, Enoxaparin Prescribing, Administration and Monitoring, Relative Antithrombotic and Antihemostatic Effects of Protein C Activator Versus Low-Molecular-Weight Heparin in Primates, CLEXANE 2000 Anti-Xa IU/0.2Ml CLEXANE 4000 Anti-Xa IU/0.4Ml CLEXANE 6000 Anti-Xa IU/0.6Ml, FFS) Implemented Prior Authorization (PA) Criteria for the Use of Dabigatran (Pradaxa), Rivaroxaban (Xarelto) and Apixaban (Eliquis, Enoxaparin Sodium Injection Full Prescribing Information, Indicative List of Pharma Product Patent Expiry for the Year 2011 As Per Dialog Pro (As on 9Th May 2012) S, Patient Medication Guide BIO-ENOX (Low Molecular Weight Heparin, Topic 0518 Xarelto Vs. Lovenox for Prevention of VTE Following TJA, Enoxaparin Sodium Injection Is a Prescription, Use of Recombinant Human Activated Protein C in Treatment of Severe, Unfractionated Heparin, Low-Molecular-Weight Heparins, and Direct Thrombin Inhibitors. Precipitation of a drug from its concentrated injection solution when it is diluted with water or saline is counter-intuitive. Keep a compatibility chart handy in your medication room or on your medication cart (in . Let us drive innovation in medical technology together. Consequences of physicochemical drug incompatibilities are particularly severe in neonate and pediatric patients.1,4,6, There is little published scientific information about the frequency of drug incompatibility reactions. 1. You can either click on the X in the top right or press the Close button to return to the previous screen. When in contact with other fluids it precipitates as well. To have the most complete information possible ASHP recommends multiple sources of IV drug information be available to hospital pharmacy. Procedure Details Handbook of Injectable Drugs, 16th Edition, Enoxaparin Sodium Solution for Injection, Manufacturer's Standard, Rivaroxaban Versus Enoxaparin for Thromboprophylaxis After Hip, Anticoagulation Dosing Guideline for Adult COVID-19 Patients, Estonian Statistics on Medicines 2016 1/41, Protective Effect of Diclofenac and Enoxaparin in L- Asparaginase Induced Acute Pancreatitis in Rats, Low-Molecular-Weight Heparins in the Treatment of Acute Coronary Syndromes, Estonian Statistics on Medicines 2013 1/44, Addition of Low Molecular Weight Heparin to Antiplatelet in Patients, Reinvestigation of Synthesis of Enoxaparin Under PTC Conditions, Generic Name Brand Name Dose Form 0.5 Normal Saline Sodium Chloride Iv Soln, Acetylsalicylic Acid Compared with Enoxaparin for the Prevention of Thrombosis and Mechanical Ventilation in COVID19 Patients: a Retrospective Cohort Study, Australian Public Assessment Report for Enoxaparin Sodium, Venous Thromboembolism, Coagulation and Cancer Van Doormaal, F.F, Thromboprophylactic Treatment with Rivaroxaban Or Dabigatran Compared with Enoxaparin Or Dalteparin in Patients Undergoing Elective Hip- Or Knee Replacement Surgery, Attachment: Extract from Clinical Evaluation: Nadroparin, Enoxaparin Sodium Injection I.P. The link displays the drug concentrations used in the studies, additional information on the vehicle used, and each studys findings. Search fields self-populate with brand and generic drug names as you type, and compatibility results are instantly generated as you build your drug list. The extent of the damage mainly depends on the patients condition (age, weight, nature, severity of the disease etc.) Other drugs which demonstrate solubility problems and which are formulated in injection vehicles other than simple aqueous solutions include digoxin, clonazepam, phenytoin, amiodarone and phytomenadione. Incompatibility between two intravenous (IV) bolus drugs constituted 68.8% with pantoprazole and ondansetron (85.4%) being the most frequent combination. What is the role of artificial intelligence in inflammatory bowel disease? When both compatible and incompatible study results are available for the same drug pair. Consistently checking alternative modes of administration and/or using multi-lumen catheters. To view compatibility results for a list of drugs, enter multiple IV drugs and/or solutions then click "Analyze". These changes are consistent with new international guidelines for endocarditis prophylaxis, which have generally reduced the indications for using antibiotics. This is not a complete list of side effects and other serious side effects or health problems may occur as a result of the use of this drug. In general, drugs should not be added to parenteral nutrition, or to blood products. Caldolor (Ibuprofen): This medication, also an NSAID, is basically IV Advil. Download the free Micromedex IV Compatibility app from iTunes or Google Play. e^QHv` % hb```,Q ea8p3$H``h Glucose 5% infusion solution, which has a pH of 4.3-4.5, will precipitate phenytoin almost immediately. 164 0 obj
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Step 1. IV drug compatibility in critical care Abstract: Objectives: To analyze potential (in)compatibilities of intravenous drugs based on the scheduling prepared by the nursing team. Meropenem (infusion) and pantoprazole (bolus) constituted 16.6%. For more information, please visit our home care page. Methods: historic cohort (retrospective) with 110 adults in critical units. Two syringes taped together sounds like a recipe for disaster' date=' either for the patient or for the nurse - particularly with regard to increased risk for needle sticks. The drug is formulated with non-aqueous solubilising agents and the solution is adjusted to a pH of 12. Examples include: A transient precipitation formed upon mixing but then disappeared. Many medications will have a dose limit per minute such as phenytoin which is typically not to exceed 25mg/minute. The Fig. adsorption). Incompatibility between two intravenous (IV) bolus drugs constituted 68.8% with pantoprazole and ondansetron (85.4%) being the most frequent combination. Incompatibilities of drugs in standard IV therapy can occur between: drugs and inappropriate IV solutions as diluent two drugs (drug-drug incompatibility) when they are - mixed together, e.g. drugs and materials of IV containers (e.g. With no software to install and no updates to apply practitioners are assured of having the latest and most up-to-date information available. Find information on medicines by active ingredient or brand name. Only 212/820 (26%) co-infusions of drugs were compatible. endstream
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3: Compatibility check using available literature, databases, services and information material. Select a second drug the same way, 3. Medication compatibilities are concentration, temperature and light dependent. Australian Prescription Products Guide. All Rights Reserved. Our solutions for regulated financial departments and institutions help customers meet their obligations to external regulators. Only limited material is available in the selected language. A red I means the drugs are incompatible, and an orange U symbol means there are conflicting reports. 194 0 obj
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Visit the B. Braun product catalog with our complete portfolio. When this occurred, "incompatible" was used. Iran J Pharm Res; 14(suppl); 87-93. There are a number of drugs that are commonly delivered via syringe driver to patients having palliative care in the community (see box). saline IV Soln: dex/Na/K IV soln < 1 unit/mL heparin PN (NO heparin) PN (with heparin) intralipids (fats) alprostadil (PGE1) amiodarone: calcium CHLORIDE calcium GLUCONATE: hXmo8+UEw'EUBJRmwNBRb8x0_N%p
F9)c'R&(a&LH*$("A7(P&|I#\(NU?ANI"4R`2DVT@0AX|N4nE`] 4IV,\;{^Q8q9bcFO>C@Do\#+Uhju}4wQTLG/|
{0pR(7%?$sM7kB(h9hY* ^?r37HE2hHGp0JE~fqpyzlFE'&abRoXIPoTD L ExUoib:"nt/x]q>=YZ+Bc#,%3}~(qYKjs@x' ? From the IV medication syringe 2.5 mL was transferred into the 5-mL syringe containing 2.5 mL of lipid emulsion. The precipitate may or may not show up again later. View answers to our most frequently asked question. ^P}M%@586:vaX-KF\6c:Zj;C8r8&}+MDU_M iVg 6qiv |fZ~d,NDF+ mTI\uPxuPh)":H"3&"Xz M9|AqouXOKX3ZuJ&!q\&`1 ,5
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Fig. We streamline legal and regulatory research, analysis, and workflows to drive value to organizations, ensuring more transparent, just and safe societies. We coordinate your medical care when discharged from the hospital. If a separate site is not available . Pharm World Sci; 22(3): 88-91, 8 Tissot E, Cornette C, Demoly P, Jacquet M, Barale F, Capellier G. (1999) Medication errors at the administration stage in an intensive care unit. This review focused on analyzing the physical and chemical compatibility of the IV drugs most commonly used through Y-site infusion in the ICU setting and summarizing the information obtained in a double-entry chart. Read our full disclaimer. Assessment and planning of regimes to avoid mixing of drugs, which have to be administered separately. Key points The table provides a guide to medication compatibility via Y-site within the NICU. BMJ Qual Saf; 20(12): 1027-34, 6 Hpner JH, Schulte A, Thiessen J, Knuf M, Huth RG. Click the relevant option after each search. 36 0 obj
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To view compatibility results for a list of drugs, enter multiple IV drugs and/or solutions then click "Analyze". Serving legal professionals in law firms, General Counsel offices and corporate legal departments with data-driven decision-making tools. patients at home requiring many drugs by simultaneous continuous infusion where multiple intravenous lines are not feasible, for example, use of a syringe driver during palliative care. Table 2: Compatible IV . Read our privacy policy. http://www.ncbi.nlm.nih.gov/pubmed/17937330, drugs and inappropriate IV solutions as diluent, two drugs (drug-drug incompatibility) when they are, drugs and adjuvants (preservative, buffer, stabilizer, solvent). Step 2
No more over sizedcharts. Special Sections on Stability and Storage To search on compatibility information, begin by typing the desired drug or solution name into the appropriate search box. A separate license is required for each facility location and we offer discounts for multiple licenses. This table was compiled for the convenience of . The mixing of drug salts of calcium, and to a lesser extent magnesium, with phosphates, carbonates, bicarbonates, tartrates or sulfates should also be avoided. In some cases, the manufacturer recommends administration of the undiluted drug. ! Critical Care Intravenous Drug Administration Guide For Use on ICU, HDU & CTCCU Page 1 of 44 April 2008 (For review April 2009) . The King Guide has been updated quarterly since 1971 and is an excellent addition to any drug information library with complete monographs for over 600 injectable drugs. Product images are for reference only. Incompatibility is an undesirable reaction that occurs between the drug and the solution, container or another drug. Rapid IV bolus Don't let the courthouse door close on you. . All drug components in the test samples were found to be chemically stable (less than 10% loss of intact drug) for at least 24 hours under the conditions being tested. Standards for Infusion Therapy. All subscriptions provide for access from any computer, tablet or phone. A cost evaluation of the risk can be done by assigning costs to their related clinical treatment and resulting extended length of stay. Ketorolac Tromethamine IV Drug Compatibility Chart L Alteplase (Activase, rTPA) Amiodarone (Cordarone) Argatroban Atropine Calcium chloride Diltiazem (Cardizem) Dobutamine (Dobutrex) Dopamine Epinephrine (Adrenalin) Esmolol (Brevibloc) Furosemide (Lasix) Heparin Insulin (regular) Lidocaine (Xylocaine) Lorazepam (Ativan) Magnesium Sulfate In chart view, you can filter the table to display just the Y site results. 1. In editis INTRAVENOUS COMPATIBILITY CHART - Drug Information For The . An internet connection is not required, allowing you to make decisions with confidence at anytime, from anywhere. IBM Micromedex IV Compatibility (Mobile) IBM Micromedex Mobile IBM Micromedex Neofax (Mobile) IBM Micromedex Neofax and Pediatrics IBM Micromedex Pediatrics (Mobile) IBM Micromedex RED BOOK IBM Micromedex UltiMedex Clinical Knowledge Hours of Operation Micromedex Support is available 24/7. administration of intravenous (IV) medication to neonates. Drug pairs with conflicting compatibility results may often have different concentrations used or other differences to account for the variability. Incompatibility is present when visible or electronically-determined precipitates, particulates, haziness, turbidity, color, or gas evolution are detected. Find the product you are looking for. For research results that do not fit these conventional guidelines, the research results are designated as Uncertain or Variable. q.pD&abjlurtMh""?7u9 eo:jWCIY#%E;%;ZgqvPWy{d&pk0k;%s*%@=)e cI2mJ2(zTv$5hu
-d0)&2`\ I9d. Search for the two antibiotics, aztreonam and clindamycin, one at a time. Albumin ? PEPID has all the TOOLS to help you help others. The cost can be calculated using the average daily costof the expected clinical treatment. IV Drug Compatibility 12+ ITDCS Ltd Designed for iPad 1.3 16 Ratings $2.99 Screenshots iPad iPhone This application provides the healthcare profession with a method of quickly checking the compatibility of any two of the following intravenous drugs at the Y-site: Acetylcysteine Adrenaline Alfentanil Aminophylline Amiodarone Aprotinin Compatibility of a drug(s) is dependent on the manufacturer(s) of the products and/or the use of specific product formulations. Incompatibility problems are more likely to arise when small concentrated volumes are mixed in a syringe rather than in the larger volume of an infusion bag. When two drug solutions are mixed together the absence of a visible reaction does not exclude degradation of either drug. While some general principles can be applied to the mixing of injection solutions, they are fraught with exception and applicability varies with circumstance. Definitions for the following types of compatibility testing are as follows: Y-site Compatibility - A single drug that is administered simultaneously at a Y-site connection with another drug in a solution Solution Compatibility - A single drug in a solution Admixture Compatibility - Two drugs in a solution Mixing solutions containing calcium or magnesium ions has a substantial risk of forming an insoluble calcium or magnesium salt. Enter one drug and click View compatibility. The default compatibility result will display the solution compatibilities for the IV Drug searched. Many injectable drugs cannot be mixed together in syringes or infusions. While published compatibility data exist for insulins and some of the blood products, most recently marketed biological drugs such as infliximab, interferons and recombinant coagulation factors have no such data available and mixing with other drugs is not recommended. On$a }; 1994-Present PEPID, LLC. In dialog with B. Braun. The compatibility or incompatibility of IV medication is an important consideration in drug administration, especially since it is not unusual for multiple drugs to be administered through y-site connectors on continuous infusion administration sets. The syringe was then gently inverted several times to mix the solution and capped. This trial version of the IV-Compatibility Checker is not currently being maintained and may not feature updated information. When both drugs are present in the "Drug List" on the left, click the "Run Report" button. Trusted clinical technology and evidence-based solutions that drive effective decision-making and outcomes across healthcare. 2. %%EOF
Cs = Compatible Only if Drugs mixed in NS CD = Compatible Only if Drugs mixed in Dextrose C* =Conc./Time dependent, CALL PHARMACY dextrose IV soln. Combinations of two, three or more of these drugs occasionally need to be co-administered via syringe driver. Among repeat test samples, microparticulate formation was electronically determined to have formed in some samples but not others. Making safe and wise decisions for biological disease-modifying antirheumatic drugs (bDMARDs) and other specialised medicines. )sHQVzP` ,
(A blank space indicates no available data.) An independent peer-reviewed journal providing critical commentary on drugs and therapeutics. Aust Prescr 2008;31:98-101. https://doi.org/10.18773/austprescr.2008.057, Changes to COVID-19 oral antiviral PBS eligibility criteria, FAQs: use of COVID-19 oral antiviral agents in residential aged care, COVID-19 vaccination side effects: how to manage and when to report them, Chronic kidney disease: early detection and management, Mental health and young people: opportunities to empower and engage, Benzodiazepine dependence: reduce the risk, Mental health and young people: finding the path that works for you, Reducing your risk of benzodiazepine dependence, Administration of medicines to children: a practical guide, COVID-19 oral antiviral PBS eligibility criteria update November 2022, Vericiguat (Verquvo) for persistent chronic heart failure with LVEF < 45%, COVID-19 oral antiviral PBS eligibility criteria update September and November 2022, Chronic kidney disease: a focus on early detection and management Quality use of medicines briefing paper.