Netherfield House Surgery: 01912370643

Patient Information: SSRIs and Hot Weather

As temperatures rise during periods of warm weather or a heatwave, patients taking selective serotonin reuptake inhibitors (SSRIs) should take extra care to avoid becoming overheated or dehydrated.

Common SSRIs include sertraline, citalopram, escitalopram, fluoxetine and paroxetine.

Why is hot weather important?
SSRIs can affect the body’s ability to regulate temperature and may increase sweating in some people. This can make you more vulnerable to dehydration, heat exhaustion, dizziness and feeling unusually hot or unwell.

How can you stay safe?
• Drink fluids regularly unless you have been advised to restrict your fluid intake.
• Stay out of direct sunlight during the hottest part of the day (usually 11am–3pm).
• Wear lightweight, loose-fitting clothing.
• Keep your home cool by closing curtains or blinds in sunny rooms.
• Avoid excessive alcohol intake.
• Take regular breaks in cool or shaded environments if outdoors.

Symptoms to watch for
Seek medical advice if you develop persistent dizziness, severe headache, excessive thirst, nausea, vomiting, muscle cramps, marked weakness, confusion or disorientation.

Do NOT stop your antidepressant
Continue taking your SSRI as prescribed. Do not stop your medication suddenly without medical advice.

When to seek urgent medical attention
Seek urgent medical help if you experience a very high temperature, severe confusion or agitation, loss of consciousness, severe dehydration, or symptoms suggestive of serotonin syndrome.

Hearing Aid Battery Supply

We are delighted to inform you that we have liaised with Newcastle Hospitals NHS Trust to arrange for the Surgery to become a local hub for Battery supply.

From 18th May we will have a stock of all coloured batteries to enable you to pick them up from us at no charge when needed.

Simply call in to reception and ask one of the staff.

UK Sickness Certification Rules (2026)

GP’S etc.do not certify sickness from day 1 in the UK. The 7-day self-certification rule still applies.

Days 1–7 of sickness (calendar days)
• Employees self‑certify their sickness absence.
• Employers cannot require a fit note or GP certificate.
• Calendar days include weekends and non‑working days.

Day 8 onwards
• Employers may request medical evidence.
• This is normally a fit note (formerly sick note).
• Fit notes can be issued by a GP or other authorised professionals (nurse, pharmacist, physiotherapist, occupational therapist).

What changed in April 2026
• Statutory Sick Pay (SSP) is payable from the first day of absence.
• The 3 waiting days were removed.
• The Lower Earnings Limit was removed, widening eligibility.
• These are pay changes only — they do NOT alter certification rules.

Common misconception
SSP from day 1 does not mean a fit note from day 1. Employers still cannot lawfully demand medical certification during the first 7 calendar days of sickness.

Summary Table

Day of sickness Evidence required Who provides it
Days 1–7 Self-certification Employee
Day 8 onwards Fit note GP or authorised clinician