Polypharmacy prescribing guidance - draft: consultation
We are consulting on this draft updated polypharmacy prescribing guidance. 'Appropriate Prescribing - Making medicines safe, effective and sustainable 2025-2028' aims to further improve the care of individuals taking multiple medicines through the use of 7-Steps medicine reviews and promotes a holistic approach to person-centred care.
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Glossary of Terms
The following terms are used in this consultation:
ACB Anticholinergic burden
ACE Angiotensin Converting Enzyme
ACEI Angiotensin Converting Enzyme Inhibitor(s)
Ach Acetylcholine
ACS Acute Coronary Syndrome
ADR Adverse Drug Reaction
AF Atrial Fibrillation
AKI Acute Kidney Injury
AMR Antimicrobial Resistance
ARB Angiotensin II Receptor Antagonist
ASB Asymptomatic Bacteriuria
ASM Antiseizure medications
BMD Bone mineral density
BMI Body Mass Index
BNF British National Formulary
BNP Brain Natriuretic Peptide Test
BP Blood Pressure
BPM Beats per Minute
CI Confidence Interval
CCBs Calcium Channel Blockers
CHA2DS2-VASc Score for Atrial Fibrillation Stroke Risk
CHD Coronary Heart Disease
CHF Congestive Heart Failure
CHI Community Health Index
CKD Chronic Kidney Disease
CNS Central Nervous System
COPD Chronic Obstructive Pulmonary Disease
CrCl Creatinine Clearance
CSCI Continuous subcutaneous infusion
CVD Cardiovascular Disease
DMARDs Disease-modifying anti-rheumatic drugs
T2DM Diabetes Mellitus Type 2
DN4 Douleur Neuropathique 4
DOAC Direct Acting Oral Anticoagulant
ECG Electrocardiogram
ECHO Echocardiogram
eGFR Estimated Glomerular Filtration Rate
g Gram (unit of measurement)
GI Gastro-intestinal
GTN Glyceryl Trinitrate
HbA1C glycated haemoglobin
HCP Healthcare professionals
HDL High-density lipoprotein
hHF Hospitalisation for heart failure
HF Heart Failure
IHD Ischaemic Heart Disease
INR International Normalised Ratio
iSIMPATHY Implementing Stimulating Innovation in the Management of Polypharmacy and Adherence Through the Years
KIS Key Information Summary
L2 2nd Lumbar Vertebrae
LGS Lennox-Gastaut Syndrome
LFTs Liver Function Tests
LVEF Left Ventricular Ejection Fraction
LVSD Left Ventricular Systolic Dysfunction
MACE Major Adverse Cardiovascular Events
MAI Medication Appropriateness Index
MAOIs Monoamine oxidase inhibitors
MDT Multidisciplinary team
mg Milligram (unit of measurement)
MHRA Medicines and Healthcare products Regulatory Agency
MI Myocardial Infarction
MMSE Mini-Mental State Examination
MRI Magnetic Resonance Imaging
NCSE Non-convulsive status epilepticus
NICE The National Institute for Health and Care Excellence
NNH Number Needed to Harm
NNT Number Needed to Treat
Non-STEMI Non ST-elevation myocardial infarction
NSAID Non-steroidal anti-inflammatory drugs
NTI National Therapeutic Indicator
NYHA New York Heart Association (Functional Classification)
OTC Over the counter
PADL Penicillin allergy de-labelling
PC-MAI Person-Centred Medication Appropriateness Index
PGx Pharmacogenomics
PIMs Potentially inappropriate medications
PIS Prescribing Information System
PNS Peripheral nervous system
POA Power of Attorney
PPIs Proton Pump Inhibitors
QALY Quality Adjusted Life Year
QTc Corrected QT Interval
SIGN Scottish Intercollegiate Guidelines Network
SIMPATHY Stimulating Innovation Management of Polypharmacy and Adherence in the Elderly
S-LANSS Self-reported Leeds Assessment of Neuropathic Symptoms and Signs
SMR01 Scottish Morbidity Record (Covers General Acute Inpatient and Day)
SPARRA Scottish Patients at Risk of Re-admission or admission
SPC Summary of Product Characteristics
SR Systematic Review
SSDD Symptoms of stress and distress in dementia
SSRI Selective Serotonin Reuptake Inhibitors
STEMI ST-elevation myocardial infarction
STU Scottish Therapeutics Utility
TCA Tricyclic Antidepressants
T Score Bone Density Score
TFT Thyroid Function Test
UTI Urinary Tract Infection
U&E Urea & Electrolyte Profile
Contact
Email: EPandT@gov.scot