Therapeutics Today

A publication by the National Medicines
Information Centre (NMIC)
November 2026

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Guidance and Advice | HSE Antibiotic Prescribing | HSE-Medicines Management Programme (MMP) | Irish Medicines in Pregnancy Service (IMPS) | Medication Safety | Signposting

November 2026 | Issue 11

Welcome to the November edition of Therapeutics Today. This month’s issue will highlight information, including guidance and advice, recently published by various organisations. Readers are also reminded of previously published NMIC bulletins, which are available on our website www.nmic.ie.

We welcome any feedback or comments which can be provided using the feedback button below or by emailing the NMIC directly at nmic@stjames.ie.

 
Guidance and Advice

UK Specialist Pharmacy Service (SPS)  

The SPS are a team of pharmacy professionals and support staff commissioned by NHS England to provide advice and guidance on Medicines Optimisation. Recent publications that may be of interest include:

Managing the risks of using liquid oral phenobarbital - last updated 30th September 2026

Understanding acute CAR-T cell therapy toxicities in adults - published 2nd October 2026

SPS website
 
HSE Antibiotic Prescribing

As readers are aware, the HSE antibiotic prescribing website is a very useful evidence-based antimicrobial information resource. Recent updates to antibiotic prescribing that can be found in the community guidelines section include:

•Dermatophyte nail infection V3.0

•Candida skin infection V3.0

•Pityriasis versicolor V3.0 

HSE Antibiotic prescribing website
 
HSE-Medicines Management Programme (MMP)

HSE-Medicines Management Programme (MMP) Updates: 

The HSE-MMP has recently completed an updated evaluation to identify preferred continuous glucose monitoring (CGM) sensors with associated systems. Further information in relation to this initiative including the evaluation report and preferred CGM sensors poster can be found on the MMP’s website at the following link: www.hse.ie/mmp in the section entitled Glucose monitoring.

Glucose monitoring

The HSE-MMP preferred proton pump inhibitor (PPI) for the treatment of gastro-oesophageal reflux disease (GORD) is pantoprazole. The HSE-MMP has recently published a data snapshot, analysing trends in paid claims for PPIs on the General Medical Services (GMS) scheme. This analysis shows positive trends in the paid claim rate of the preferred PPI, pantoprazole. The data snapshot can be can be found on the MMP’s website at the following link: www.hse.ie/mmp in the section entitled Data Snapshots. 

Data snapshot PPI - pantoprazole
 
Irish Medicines in Pregnancy Service (IMPS)

Irish Medicines in Pregnancy Service (IMPS)

IMPS Insights, from the Irish Medicines in Pregnancy Service (IMPS) at the Rotunda Hospital, is a quarterly broadcast intended to keep health professionals up to date on Medicines in Pregnancy and Breastfeeding. Ideal for bite-sized learning, IMPS Insights offers concise updates, hot topic discussions and multidisciplinary perspectives.

The Autumn episode of IMPS Insights includes emerging evidence on statin use in pregnancy. Additional updates discussed include evidence surrounding maternal influenza vaccination and medication safety through the lens of renin-angiotensin system (RAS) blocking drugs. 

Recordings and accompanying supplementary materials are available on the IMPS website https://rotunda.ie/imps/ . To stay informed about future episodes, updates from IMPS and new resources, join the IMPS mailing list: https://forms.office.com/e/KYdTixqyqW

IMPS website
 
Medication Safety

Medication Safety Minute

Readers are reminded of the “Medication Safety Minute”, a collaborative project undertaken by two hospital consultants and the Medication Safety Facilitator (a pharmacist) in St James’s Hospital. 

These bite-sized messages, which may also include short videos, are published every week and are available via X @medsafetymin. A recent Medication Safety Minute is linked directly below: 

    • Drug interactions – key perpetrators
Read more
 

Health Products Regulatory Authority (HPRA)

The Health Products Regulatory Authority (HPRA) website contains the latest regulatory updates on medicines and information on medicine shortages, as well as access to all currently approved product information (e.g., Summary of Product Characteristics [SmPCs]).

Direct Healthcare Professional Communication (DHPC)

The HPRA has recently published the following important safety information update:

Rifampicin and Rifampicin combination – Potential genotoxicity and associated contraceptive requirements – published 23rd October 2026

The product information for the Rifampicin product range has been updated regarding potential genotoxicity, based on non-clinical data. 

HPRA Safety Notices
 

Signposting

Recently published articles that may be of interest can be found below:

  • Qaseem A, et al. Clinical Guidelines Committee of the American College of Physicians. Pharmacologic treatments for females with menopausal vasomotor symptoms: a clinical guideline from the American College of Physicians. Annals of Internal Medicine. 2026 Oct 6. doi: 10.7326/ANNALS-26-01205. Epub ahead of print.
  • Piasta J, Zewail A. Hormonal options for perimenopause: a clinician toolkit. Obstetrics & Gynecology. 2026 Nov. 148(5):p 571-583. (Accessible by HSE staff on HSE Library Ireland).  
  • Mahase E. Why “heart attack” has been redefined—and why that will save more women. BMJ. 2026 Oct.395:e100978. (Accessible by HSE staff on HSE Library Ireland).  
  • Powers JM, et al. American Society of Hematology 2026 guidelines for diagnosis of iron deficiency. Blood Adv. 2026 Aug 2025015950. Epub ahead of print.
  • Joishy M, et al. Antibiotic allergy de-labelling in children: a practical guide for primary care. British Journal of General Practice. 2026 Nov 1;76(772):525-7.
 

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