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Home » Health Professionals » Prescribing Information » Discharge Medicines Service (DMS) in Mental Health Trusts

Discharge Medicines Service (DMS) in Mental Health Trusts - Educational resources for Community Pharmacy Professionals

The Discharge Medicines Service (DMS) became a new Essential service within the Community Pharmacy Contractual Framework (CPCF) on 15 February 2021. This page provides a range of mental health related educational resources for Community Pharmacy Professionals.

General Information

Handy book on medicines used for mental health and how they work



Anxiety may also occur as a symptom in many physical and mental health disorders. There are several different types of anxiety disorder including:

  • Generalised anxiety disorder (GAD)
  • Obsessive compulsive disorder (OCD)
  • Panic disorder (or panic attacks)
  • Phobias - including agoraphobia and social anxiety disorder (or social phobia)
  • Post-traumatic stress disorder (PTSD)



Specialist Pharmacy Service: What are the clinically significant drug interactions with tobacco smoking?

Most interactions between drugs and tobacco smoking are not clinically significant.

When giving smoking cessation advice, be aware of a small number of drugs, in particular aminophylline, theophylline, clozapine, erlotinib, olanzapine, riociguat, chlorpromazine, flecainide, methadone, and warfarin which may require dose adjustment or increased monitoring when smoking status is altered.

Close monitoring of plasma levels (where useful), clinical progress and adverse effect occurrence and severity is essential when patients change their smoking status.

If the affected drug is prescribed under the supervision of a specialist, their input should be sought if the patient changes their smoking status.