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Updates

Details of updates to the guidance will be noted here, including those resulting from changes in the BNF or BNFC.

Date Guidance update
   
8 May 2026

The Bacterial Infections section of the guidance has been updated. The main changes are:

  • a revised introductory section, with new information on antibiotic stewardship, recognising sepsis and providing safety‑netting advice
  • updated prescribing advice for dental abscess
  • advice on the appropriate use of second‑line antibiotics for dental abscess, including amendments to the recommended dose for clindamycin and clarithromycin and removal of co-amoxiclav
  • amended advice on the management of sinusitis
  • addition of a tool to support a 3-day review of patients prescribed antibiotics
  • updates to the Bacterial Infections Management Guide
9 April 2026 Guidance updated to reflect BNF 91
10 October 2025

Guidance updated to reflect BNF 90 and BNFC 2025-2026

Changes are:

  • Glyceryl trinitrate spray – updated information on administration: repeat dose changed from 'after 3 minutes' to 'after 5 minutes'.
  • Ibuprofen – addition of information on maximum dose in children.
  • Metronidazole – update to patient advice on alcohol use during and after treatment.
  • Miconazole Oromucosal Gel – change in pack size from 80 g to 15 g.
  • Omeprazole – Removed cautions on use during pregnancy and breast-feeding.
  • Salbutamol – updated information on administration.
4 June 2025

Guidance updated to reflect BNF 89 

Changes are:

  • Co-amoxiclav - change to expression of co-amoxiclav tablet dose from 250/125 to 375 mg (250/125 mg)
  • Fungal infections - section updated to reflect changes to fluconazole dosing and management of oropharyngeal fungal infections
  • Glucose - change to glucose doses for treatment of hypoglycaemia in adults and children
11 December 2024 Guidance updated to reflect BNF 88 and BNFC 2024-25
3 June 2024

Guidance updated to reflect BNF 87 and BNFC 2023-24

Changes are:

  • BioXtra Gel - preparation removed as no longer listed in BNF
  • Doxycyline - change of duration for treatment of sinusitis from 7 days to 5 days
  • Loratidine - update to child age/weight dosing information
  • Paracetamol - update to presentation of child age ranges

8 April 2024

Miconazole cream - tube size amended from 20 g to 30 g

9 November 2023

Ephedrine Nasal Drops, 0.5% - preparation removed as no longer available to prescribe.