Propafenone 150mg tablets shortage
Propafenone 150mg is unavailable until about 31 July 2026. Seek specialist advice. Options include flecainide, or 300mg tablets if the dose allows (don't halve them).
Category Prescribing & medicines
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Disopyramide (Rythmodan) shortages
Rythmodan 100mg capsules are out of stock until April 2027, and the 250mg MR tablets until late July 2026. Seek cardiology advice on alternatives or unlicensed imports.
Rybelsus: switch patients to the new tablet strengths
All Rybelsus strengths (3, 7, 14mg) are being replaced by bioequivalent 1.5, 4 and 9mg tablets. Practices need to switch patients' prescriptions.
New BSol asthma guidelines and formulary changes
New BSol asthma guidelines based on NICE NG245 are on the IMOC website. Symbicort 100/3 pMDI is added for over-12s, and Proxor as an alternative to Fostair pMDI.
Levemir insulin being discontinued
Stop prescribing Levemir and offer patients a suitable alternative; stocks run out by the end of December 2026.
GPs ‘pressured’ into prescribing weight-loss drugs without ICB-commissioned services
GPs report pressure to prescribe weight-loss drugs without ICB-commissioned services.
Gender care for children and young people: referral and prescribing guidance
QOF obesity indicator OB005: GPC England guidance
Prednisolone 1mg gastro-resistant tablets shortage
Don't start new patients on prednisolone 1mg GR tablets. Review existing patients and use plain 1mg tablets, the local formulary choice.
Flumetasone/clioquinol ear drops unavailable until December 2026
Don't start new patients on these ear drops. Use an alternative combination from the SPS Medicines Supply Tool, in line with the local formulary.