There is no such thing as 'Alternative medicine'. Something either works or it doesn't. If any 'alternative medicine' is shown to work they become 'medicines'.
2016 trial: "For every woman who drank cranberry juice for 3.2 years, just one UTI would be prevented. That's a lot of cranberry juice."
2005 review: In women at high risk for a UTI, over six months to a year of cranberry juice use: - 7 out of 10 women wouldn't have a urinary tract infection anyway - 2 out of 10 women will have a urinary tract infection anyway - 1 out of 10 women will not have a urinary tract infection because they used cranberry juice
Not a drug, but can raise levels of other drugs. Click here for a list.
As a general rule, herbal products are poorly standardised, will have no evidence of efficacy (but will have a placebo effect), have unknown side effects and interactions, give false hope and cost money.
Grey / Non-Formulary: Medicines, which the Nottinghamshire APC has actively reviewed and does not recommend for use at present due to limited clinical and/or cost effective data. Grey / Non-Formulary (undergoing assessment): Work is ongoing and will be reviewed at a future APC meeting. Grey / Non-Formulary (no formal assessment): APC has not formally reviewed this medicine or indication because it had never been requested for formulary inclusion. Often used for drugs new to market.
Medicines which should normally be prescribed by specialists only. eg hospital only.
For patients already receiving prescriptions in primary care - continue. No new patients to receive prescriptions in primary care.
Medicines that should be initiated by a specialist and prescribed by primary care prescribers only under a shared care protocol, once the patient has been stabilised.
Prior agreement must be obtained by the specialist from the primary care provider before prescribing responsibility is transferred. The shared care protocol must have been agreed by the relevant secondary care trust Drugs and Therapeutics Committee(s) (DTC) and approved by the Nottinghamshire APC.
Medicines suitable to be prescribed in primary care / general practice after specialist* recommendation or initiation.
A supporting prescribing guideline may be requested which must have been agreed by the relevant secondary care trust DTCs and approved by the Nottinghamshire APC.
*Specialist is defined by the APC as a clinician who has undertaken an appropriate formal qualification or recognised training programme within the described area of practice
Primary care/ non specialist may initiate as per APC guideline.
The supporting prescribing guideline must have been agreed by the relevant secondary care trust D&TC(s) and approved by the Nottinghamshire APC.
Medicines suitable for routine use within primary care.
Can be initiated within primary care within their licensed indication, in accordance with nationally recognised formularies, for example the BNF, BNF for Children, Medicines for Children or Palliative Care Formulary. Primary care prescribers take full responsibility for prescribing.