Why am I being advised to reduce or stop my stomach acid medication?

10th January 2022Medicines, Patient information, Prescriptions, Safety Alert

Proton Pump Inhibitors (or PPIs) are a group of medicines used to reduce stomach acid and include omeprazole, lansoprazole, esomeprazole and pantoprazole. These medicines are very commonly prescribed but many patients continue taking them for longer than they may need. Usually a course of two to three months is sufficient to help heartburn or indigestion to settle.

As with any prescription medication, PPIs can cause side effects which are more likely if you take a high dose or use them for a long period of time. More and more evidence is coming out that suggests this group of medications may be linked to more problems than we knew about previously. We are therefore re-assessing which of our patients these medicines remain the best choice for.

What are the possible risks from long-term use of a PPI?

10th January 2022Medicines, Patient information, Prescriptions, Safety Alert
  • Increased risk of serious stomach infections including Clostridium difficile
  • Increased risk of bone fractures
  • Decreased absorption of nutrients including magnesium, calcium, and vitamins
  • Reduce the effectiveness of other medicines you may take including medicines used to prevent heart attack and stroke
  • May increase risk of kidney disease, pneumonia, dementia and certain cancers – more research is being done on all these possible links.

Always speak to your GP or pharmacist before stopping prescribed medicines. PPIs should be reduced slowly to minimise rebound symptoms. If you have a history of stomach ulcers or bleeding, or have severe symptoms it is likely that continuing your PPI is the best option – your GP can help you to make this decision.

For information on what you can do to help with heartburn and indigestion yourself, see our Self Care and Common Conditions section of the website for some useful links.

Creams and ointments for eczema and other skin conditions

10th January 2022Medicines, Patient information, Prescriptions

These are known as ‘emollients’ and are really important for the maintenance and treatment of dry skin conditions where they need to be used frequently to prevent dryness and itching – often up to four or five times a day.

Funding on the NHS is only for diagnosed skin conditions. Mild dry skin is something most people experience from time to time and simple emollients (moisturisers) can be purchased from any supermarket, health shop or pharmacy.

Due to the large quantities of these products prescribed by GP practices, we are asked to prescribe from an approved list of cost-effective products. Many of these contain exactly the same ingredients as more well-known brands, for example ‘Zerodouble’ is the same as ‘Doublebase’ and ‘Aproderm’ is very similar to ‘Aveeno’.

Bath and shower emollients are no longer recommended on the NHS because a large UK study on children with eczema found that using these products made no difference to the improvement of eczema compared to just using leave on emollients. Instead, we recommend using your normal emollient as a soap or dissolved in bath water. You can find more information about the study at https://www.nhs.uk/news/pregnancy-and-child/bath-oils-childhood-eczema-provide-no-clinical-benefit/

Changes to Prescription Ordering

10th January 2022Patient information, Prescriptions, Safety Alert

From December 1st 2020 we will no longer be accepting prescription requests made by email.

In the interest of safety and efficiency, we kindly request that all online requests are made using the NHS App, or on Patient Access (pin required). These services mean you can quickly and conveniently order your repeat prescriptions and your request will come straight through to our clinical system. There is also a box to send any comments or questions relating to your request and the option to change your nominated pharmacy.

Since the start of the pandemic, we have seen a huge increase in the number of emails the practice receives each day and managing email prescription requests has become unsustainable for our team. We have also become aware that errors are more likely when medications are requested by this method as our non-clinical team have to correctly identify the required item on the system.

If you need any help with how to order your prescriptions please ask the reception team. For patients who do not have internet access, we will continue to accept paper requests via the box at reception and orders made through local pharmacies.

The NHS app

19th September 2019Online services, Patient information, Self care

The NHS App provides a simple and secure way for patients to book GP appointments, order repeat prescriptions and access a range of other healthcare services.

Who is it suitable for?

The NHS App is for people aged 13 and over who are registered with a connected GP surgery. You can use some of the app’s features without your GP surgery being connected.

How does it work?

With the NHS App you can:

  • check your symptoms – find reliable NHS information on hundreds of conditions and treatments, and get immediate advice
  • book appointments – search for, book and cancel appointments at your GP surgery
  • order repeat prescriptions – see your available medications and request a new repeat prescription
  • view your medical record – get secure access to your GP medical record
  • register to be an organ donor – easily manage your preferences on the NHS Organ Donor Register
  • choose how the NHS uses your data – register your decision on whether it can be used for research and planning