We are pleased to advise that deep linking capability, enabling users to directly download individual mobile toolkits, has now been released on the RDS mobile app. When you install the update, you will see that each toolkit has a small QR code icon the header area beside the search icon – see screenshot below. Clicking on this icon will open up a window with a full-size QR code and the alternative of a short URL for sharing with users. Instructions are provided.
You may need to actively install the update to install RDS app version 4.7.1 to see this improvement. Installing this update is also strongly recommended to get the full benefits of the new contingency arrangements – specifically, that if the RDS website should fail, you will still be able to download new mobile app toolkits.
To check your current RDS version, click on the three dots bottom right of the RDS app screen. This takes you to a “More” page where you will see the version number. To install latest updates:
On iPhones – go to the Apple store, click on your profile icon top right, scroll down to see the apps waiting to be updated and update the RDS app.
On Android phones – these can vary, but try going to the Google Play store, click on your profile icon top right, click on “Manage apps and device”, select and update the RDS app.
Please get in touch with ann.wales3@nhs.scot with any questions.
A patient is deemed to have had a clozapine treatment break if dosing has been interrupted for more than 48 hours.
If treatment has been missed for less than 48 hours this is not classed as a treatment break and dosing may resume without any adjustment.
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Clozapine monitoring service |
Treatment break rules – change of blood test frequency |
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CPMS (Clozaril) |
If there has been a break of more than 96 hours, revert to weekly blood tests for 6 weeks* |
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DMS (Denzapine) |
If there has been a break of more than 72 hours, revert to weekly blood tests for 6 weeks* |
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ZTAS (Zaponex) |
* After 6 weeks patients may resume their previous blood sampling schedule if authorised to do so by the monitoring service.
The clinical team must notify the clozapine patient monitoring service and Leverndale pharmacy of the treatment break as soon as possible, even if clozapine treatment has been resumed already.
Please note:
Patients should recommence clozapine treatment starting from 12.5mg once or twice daily on day 1. The product information for clozapine suggests that re-titration to a previous dose may be achieved at a faster rate than initial titration, if it is safe to do so. The blank clozapine titration chart can be used for this purpose.
The following factors should be considered when deciding how quickly to build up the dose:
If in doubt use the standard clozapine titration chart . This takes the daily dose to 275mg by day 15 and further alterations can be made from there as appropriate.
Provide regular patient education emphasising the need for reliable compliance with treatment.
As admission to an acute hospital is often a source of unintended treatment breaks, ensure clozapine warnings on EMIS are up to date so that clozapine use is identified on the Glasgow Mental Health Summary within Clinical Portal.
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