The following documents have been developed by the practice to support you with your healthcare needs and monitoring.
It may be helpful to understand your blood pressure over a period of time and therefore we may ask you to submit readings:
How to measure your blood pressure
BP Record Sheet - Printable Form
The quickest way to submit your results is via email.
Up to date advice regarding Covid-19 can be found at https://www.gov.uk/coronavirus
The following documents may also be of use, particularly for parents and carers:
Recognising Symptoms flu, cold, covid
If you are off work due to illness between 3 and 7 days, you do not need the GP to issue a fit note. Your employer may ask you to provide a statement of sickness (SC2) in order for you to be eligible for sick pay. This is done through the government website.
If you are off for more than 7 days, you will need to speak to one of our clinicians before they will provide a fit note for you.
If you already have a fit note from the GP and they did not tell you to book a review, you can request an extension through our website using accurx on the homepage.
🩺 Medicine Sick Day Rules – Key Points
🚫 When to pause certain medicines
If you become dehydrated from:
- Multiple episodes of vomiting or diarrhoea
- Fever, sweats or shaking chills
Stop taking temporarily until you’re well again.
💊 Common medicines to stop during dehydration
| Medicine group | Common endings / examples | Why stop when unwell? |
| ACE inhibitors | Ends in ‑pril – lisinopril, perindopril, ramipril | Can reduce kidney function if dehydrated |
| ARBs | Ends in ‑sartan – losartan, candesartan, valsartan | Can reduce kidney function if dehydrated |
| Diuretics (“water pills”) | furosemide, bendroflumethiazide, indapamide, spironolactone | Increase fluid loss, worsening dehydration |
| NSAIDs | ibuprofen, naproxen, diclofenac | May impair kidney function if dehydrated |
| Metformin | – | Higher risk of rare but serious lactic acidosis if dehydrated |
| SGLT2 inhibitors | Ends in ‑flozin – canagliflozin, dapagliflozin, empagliflozin, ertugliflozin | Increase dehydration risk; in diabetes may trigger dangerous acid build‑up (ketoacidosis) |
💧 When to restart
- Once you’ve been eating and drinking normally for 24–48 hours
- Do NOT double up doses to “catch up” – just resume your usual schedule
🛠 Practical tips
- Keep a list of your medicines handy
- If unsure, speak to your Pharmacist, GP, or specialist before stopping
- Maintain good hydration (aim for ~2–3 L/day when well, unless told otherwise)
- Seek medical help if symptoms worsen or you can’t keep fluids down
