Major Websites for MI

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: Developed your knowledge of useful medicines information websites [overview]. Found answers to example questions using specific MI databases (where applicable).

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

5. UKMi Enquiry Answering Page 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 Navigate using tree structure BNF extra – advanced information on what will be new in next edition Calculations/conversions

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

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

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

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

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

12. Department of Health • The Green book www.dh.gov.uk/PublicationsAndStatistics/Publications/PublicationsPolicyAndGuidance/PublicationsPolicyAndGuidanceArticle/fs/en?CONTENT_ID=4072977&chk=87uz6M • The Green book www.dh.gov.uk/PublicationsAndStatistics/Publications/PublicationsPolicyAndGuidance/PublicationsPolicyAndGuidanceArticle/fs/en?CONTENT_ID=4072977&chk=87uz6M

13. Google & Google Scholar www.google.co.uk Powerful search engine Thousands of hits Many ways of limiting searches Scholar - limits to academic sites 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/Howwemonitorthesafetyofproducts/Medicines/TheYellowCardScheme/YellowCarddata/Druganalysisprints/index.htm?ssSourceNodeId=747

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

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

17. Clinical Knowledge Summaries (Previously Prodigy) Clinical Knowledge Summaries www.cks.library.nhs.uk/ Guidelines for GPs Useful for enquiries relating to conditions mainly managed in primary care 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 Drug monographs with subsets Poisoning/toxicology Alternative medicines Clinical / diagnostics

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

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

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

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

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

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

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