Subscribed MI Resources

The Maudsley Reference Guide (also known as the MPG) contains the prescribing guidelines on the safe and effective prescribing of psychotropic medication currently used in the UK, USA, Canada, Australia, New Zealand, and Japan. It contains guidance on drug choice, minimum and maximum doses, adverse effects, switching medications, prescribing for special patient groups, and more.  

The Maudsley Deprescribing Guidelines provides guidance for clinicians through evidence-based, comprehensive and authoritative information on this important aspect of treatment, derived from the latest research and insights from clinical practice (including from patient experts).  

The Maudsley Deprescribing Guidelines covers topics such as:  

• Why and when to deprescribe antidepressants, benzodiazepines, gabapentinoids and z-drugs  

• Barriers and enablers to deprescribing including physical dependence, social circumstances, and knowledge about the discontinuation process  

• Distinguishing withdrawal symptoms, such as poor mood, anxiety, insomnia, and a variety of physical symptoms from symptoms of the underlying disorder that medication was intended to treat  

• The difference between physical dependence and addiction/substance use disorder  

• Explanation of why and how to implement hyperbolic tapering in clinical practice  

• Specific guidance on formulations of medication and techniques for making gradual reductions, including using liquid forms of medication, and other approaches  

• Step-by-step guidance for safely stopping all commonly used antidepressants, benzodiazepines, gabapentinoids and z-drugs, including fast, moderate and slow tapering regimens or schedules for each drug, and guidance on how to tailor these to an individual  

• Troubleshooting issues which can arise on stopping these medications, including akathisia, withdrawal symptoms, acute or protracted, and relapse. 

Access NEWT Guidelines

Created by Wrexham Maelor Hospital, the NEWT Guidelines are a resource for pharmacists and other healthcare professionals providing or administering medicines to patients with swallowing difficulties. It includes information on the legal aspects of altering licensed medicine formulations, how to prepare solid dose formulations for administration via enteral feeding tubes, and how to solve problems such as tube blockage and enteral feed interactions 

Click the ‘Registered Users Click here to log in’ button and access should be instant when on the NHS Wales network. However, if you are required to enter a username and password, please email elibrary@wales.nhs.uk for the log-in. 

We Need Your Feedback: We want to know how Wales has benefited from access to NEWT Guidelines

Share your comments and suggestions with us before 31^st October 2024. 

The Renal Drug Handbook is compiled from the UK Renal Pharmacy Group. It features drug monographs guiding physicians in how to prescribe, prepare, and administer drugs to patients undergoing renal replacement therapy. It also provides reviews of drug utilization in renal units across the UK. 

The psychopharmacology resource - Stahl Online - is a collection of e-Books, illustrated guides, handbooks and case studies, and more, written or edited by leading psychopharmacologist, Dr Stephen M. Stahl 

List of titles available within the Stahl Online collection 

Stahl Drug Lookup to view the A-Z list of psychotropic drugs 

The Allied and Complementary Medicine Bibliographic Database covers alternative and allied therapies and related subjects. It is produced in-house at the British Library and hosted on the Wolters Kluwer OVID platform. It includes a range of international titles. Coverage dates from 1985 to the present and is updated with new content monthly. 

The Cochrane Library is a collection of six databases providing systematic reviews, abstracts of clinical trials, answers to clinical questions, protocols, editorials and more. Database coverage ranges from 1992 to the present and is updated quarterly. It is headquartered in the UK. NHS Wales e-Library's subscription to Cochrane Library provides access to everyone living or working in Wales. 

We Need Your Feedback: We want to know how Wales has benefited from access to Cochrane Library

Share your comments and suggestions with us before 31^st October 2024. 

EMBASE is the biomedical and pharmacological bibliographic "Excerpta Medica" database. Updated daily, it covers drugs and pharmacology and other aspects of human medicine and related disciplines. Embase is produced by Elsevier in Europe and hosted on the Wolters Kluwer OVID platform. 

MEDLINE is a bibliographic database of life sciences and biomedical information produced by the National Library of Medicine in the United States. It is updated daily and includes literature published from 1966 to present. 

BMJ Best Practice is a clinical decision support tool designed to provide clinicians with quickly accessible information at the point of care to support decision making. It is structured around the patient consultation and can provide advice on symptom evaluation, tests to order and treatment approach. 

ClinicalKey is a searching tool designed to capture content published by Elsevier in range of health and care specialties. It contains access to clinical decision support resources, e-Books, calculators, e-Journals, procedural videos, and multimedia content. It also connects to NICE guidelines.   

Browse for e-Books relating to pharmacy, medicines information and drugs on NHS Wales LibrarySearch (catalogue). If you’re looking for a particular e-Book, type this into the search bar to see if we have it. 

More information on e-Books including guides on how to navigate e-Book platforms can accessed here:  https://elh.nhs.wales/e-books/