Approved for use on PICU for use as a post-filter replacement fluid for children receiving Continuous Renal Replacement Therapy (CRRT) Filsuvez gel is a herbal medicinal product which contains dry extract from birch bark used for the treatment of wounds Our body is made such that it divides the weight equally and makes a balance on both our legs that we stand on. However, when even one of the feet or legs are hurt it becomes difficult for a person to make a balance while standing, ending up with putting more pressure on the affected leg. These boots are therapeutic, off-loading footwear which reduces up to 30% of the pressure on your foot leaving you able to walk normally. Search for "Sharpsafe" or "Sharpsguard" on GP computer systems and ensure correct lid colour is selected. Grey / Non-Formulary: Medicines, which the Nottinghamshire APC has actively reviewed and does not recommend for use at present due to limited clinical and/or cost effective data.

Microbiologistandgastroenterology recommendation only approved in accordance withNICE Interventional Procedures Guidancefor the treatment of recurrent Clostridium difficile infection . No new patients to receive prescriptions in primary care. Patients already receiving Red Medicines in primary care should be handled on a case by case basis with the support of the Medicines Optimisation team. NUH are not a commissioned specialist centre for treatment. Patients will be referred to an appropriate specialist centre for treatment if required. Available in a variety of sizes to accommodate bulky dressings, bandages and swelling (refer to size guide)

Need help?

Approved in accordance with HST13 for treating familial chylomicronaemia syndrome at a commissioned specialist centre. As a general rule, herbal products are poorly standardised, will have no evidence of efficacy (but will have a placebo effect), have unknown side effects and interactions, give false hope and cost money. Medicines that should be initiated by a specialist and prescribed by primary care prescribers only under a shared care protocol, once the patient has been stabilised. Nottingham CountyCouncil clinical waste collection service(links to individual district/borough councils) Summary of the evidence for cranberry juice as UTI prevention. Bottom line: It might work for some women, but they would need to consume such a large quantity that this may make it unacceptable as a remedy.

Grey / Non-Formulary (no formal assessment): APC has not formally reviewed this medicine or indication because it had never been requested for formulary inclusion. Often used for drugs new to market. There is no such thing as 'Alternative medicine'. Something either works or it doesn't. If any 'alternative medicine' is shown to work they become 'medicines'. Not appropriate for prescription in primary care. Offloading knee braces should only be used after specialist assessment. The Kerraped boots fill in for the vulnerable foot of the patients suffering from lymphedema, have neuropathic foot ulcers or the ones with bulky bandages on the foot who cannot wear their regular footwear.

Grey / Non-Formulary (undergoing assessment): Work is ongoing and will be reviewed at a future APC meeting. Specialist is defined by the APC as a clinician who has undertaken an appropriate formal qualification or recognised training programme within the described area of practice and has a working experience and knowledge within a speciality area