One method to implement the Sick Day guidance is to include the advice within the dosing instruction on the prescription. This provides a number of triggers to discuss with the patient the importance of temporarily stopping these medicines during a potentially dehydrating illness: when issuing the prescription at consultation; when the medicine is dispensed and when referring to the dosing instruction on the medicine pack.
Each GP IT system has a way to autopopulate the prescription with the Sick Day Rules guidance, e.g. in EMIS, the formulary EFM-file can be edited to include this dosing instruction which will be installed in each practice as the file is updated; in Vision the dosing instruction can be set by each practice using the default doses functionality. NHS Lothian has an advanced clinically driven electronic formulary called eLJF-CLINICAL, built as a guideline in Vision, which uses the above dosing instruction to autopopulate each relevant prescription. The suggested dosing schedule above, also prints on community pharmacy labels without further editing.